Pre-Certification Specialist Lead

United Musculoskeletal Partners•Dunwoody, GA

1d•Onsite

About The Position

The Pre-Certification Specialist Lead oversees the daily operations of the Patient Access team, ensuring efficient and accurate patient registration, scheduling, insurance verification, and authorization processes. This role is responsible for supervising the Pre-Certification Specialist team, providing training, monitoring performance, and maintaining compliance with organizational policies and regulatory requirements. The supervisor ensures exceptional customer service and fosters a positive work environment.

Requirements

High school diploma or equivalent required
Minimum 2–3 years of experience in patient access or healthcare registration.
Strong leadership and team-building skills.
Excellent communication and interpersonal abilities.
Proficiency in scheduling systems, insurance verification, and authorization processes.
Proficient in leveraging technology to optimize workflows, ensure data accuracy, and support efficient patient access operations
Ability to manage multiple priorities in a fast-paced environment.
Hearing: Adequate to perform job duties in person and over the telephone.
Speaking: Must be able to clearly communicate in person and over the telephone.
Vision: Visual acuity adequate to perform job duties, including visual examination of patient (if applicable) and reading information from printed sources and computer screens.
Adequate physical ability includes sufficient manual dexterity to perform the requisite job duties. Job duties may require bending, reaching, repetitive hand movements, standing, walking, squatting, sitting and occasional heavy lifting, pushing and pulling.

Nice To Haves

Associate’s or Bachelor’s degree preferred.
Prior supervisory or leadership experience preferred.

Responsibilities

Directly supervises Pre-Certification Specialists, including hiring, onboarding, scheduling, and performance evaluations.
Monitors daily workflows to ensure timely and accurate completion of patient access functions.
Provides coaching and feedback to staff to maintain high standards of service and productivity.
Implements training programs for staff in all areas: Check-in/out, Chart Auditing, Call Center, Scheduling, Insurance Verification, and Authorization submission.
Ensures staff competency and compliance with organizational policies and procedures.
Maintains adherence to HIPAA and other regulatory requirements.
Reviews and audits patient access processes for accuracy and efficiency.
Collaborates with other departments to resolve issues and improve workflows.
Promotes a culture of excellent patient service by modeling and reinforcing positive behaviors.
Handles escalated patient concerns and resolves issues promptly and professionally.
Prepares and analyzes reports related to patient access performance metrics.
Ensures compliance with organizational standards and payer requirements.
Participates in departmental meetings and organizational initiatives.
Performs other related duties as assigned.