Patient Access Team Lead

Medical University of South Carolina • Charleston, SC

1d • Onsite

About The Position

The Patient Access Services Team Lead reports to the Patient Access Services Supervisor. Under general supervision, the Patient Access Services Team Lead assists the supervisor with the internal management of the team. This position provides a high level of customer service while verifying and preparing all patient accounts for billing to maximize payment for MUSP and MUHA services. This role facilitates the timely completion of the front-end registration process and works closely with physicians and nurses to provide optimal quality care to patients. The Patient Access Services Team Lead verifies various payment methods available (insurance, self-pay, agency), working with patients to set up payment arrangements to include applying for assistance programs. This position assists in collecting copayments and deductibles and solves basic billing inquiries.

Requirements

• Excellent customer service skills are required
• Ability to receive and express detailed information through oral and written communications.
• Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
• Knowledge of insurance plans and benefits
• Computer literate and able to operate in multiple applications such as Microsoft Office
• Minimum typing skills of 35-40 wpm (certified typing test results required)
• Requires eye-hand coordination and manual dexterity
• Requires the use of office equipment, such as computer terminals, telephone, and copiers
• Knowledge of medical terminology.
• Able to handle multiple tasks simultaneously.
• Ability to work weekends, Friday, Saturday, and Sunday. Must be flexible and able to work flex and staggered shifts
• Requires substantial amount of walking
• Associate Degree or High School Diploma with 2 years of customer service experience
• One (1) year relevant experience in a medical office or hospital preferred

Nice To Haves

• Patient Access Certification (preferred)

Responsibilities

• Consistently confirms, enters, and/or updates all required demographic data on patient and guarantor in registration system(s) on a daily basis to achieve maximum payment.
• Secures and/or explains copies of insurance card(s), forms of ID, and signature(s) on all required forms and scans them into the appropriate imaging documentation system.
• Consistently completes the Medicare Secondary Payer (MSP) questionnaire, if applicable.
• Discusses Advanced Directives with patients and obtains a copy for the patient’s record, if available.
• Reviews all other regulatory forms and information with the patient, such as Notice of Privacy Practice and Billing information.
• Verifies insurance using Real Time Eligibility, Payer Website, or phone number to determine coordination of benefits and obtains authorization and/or referrals as required.
• Follows procedures to accurately identify a patient and apply the patient identification bracelet, if applicable.
• Registers patients during downtime following downtime procedures and enters data into registration system immediately upon system availability.
• Performs Service Recovery as needed at the point of service with patients and visitors.
• Verifies financial information to determine insurance coordination of benefits, pre-certification/prior-authorization requirements by contacting the insurance company or through other verifying technology.
• Informs self-pay patients of prepayment requirements or screens for funding sources.
• Prepares estimate of procedures, calculates advance payment requirements, informs patient of acceptable payment arrangements on previous and current balances.
• Refers potentially eligible patients to contract eligibility vendor(s) to pursue funding reimbursement.
• Coordinates with clinical areas to establish patient financial expectations and assist in the resolution of revenue cycle issues.
• Maintains up-to-date knowledge, requirements, and skills to perform daily duties and meet key performance metrics for the facility, unit, and payers. For example, employee must read all e-mails/newsletters and attend required training sessions.
• Consistently collects patient payments and provides receipt accurately completing all required fields.
• Calls patient prior to date of service to inform them of their expected financial liability. Will educate patient on their respective benefits and accept payment over the phone if patient agrees.
• Coordinates with appropriate providers when payment is unable to be collected from the patient. If necessary, secure a waiver for services.
• Accurately posts all payments on system.
• Accurately reconciles receipts with cash collected and completes required balancing forms at the end of their shift.
• Performs other position appropriate duties as required in a competent, professional, and courteous manner.

Benefits

• The Medical University of South Carolina is an Equal Opportunity Employer.
• MUSC participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree