Supervisor Patient Access Services/ Full Time

BRISTOL HOSPITAL GROUP•Bristol, CT

4d•Onsite

About The Position

At Bristol Hospital and Health Care, we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients, residents and families. We are committed to provide compassionate, quality care at all times and to uphold our values of Communication, Accountability, Respect and Empathy (C.A.R.E). We are Magnet ® and received the 2020 Press Ganey Leading Innovator award for our rapid adoption and implementation of healthcare solutions during the COVID 19 pandemic. Use your expertise, compassion, and kindness to transform the patient experience. Make a difference. Make Bristol Hospital and Health Care your choice. JOB SUMMARY: The Supervisor of Patient Access Services oversees the Pre Registration and Financial Clearance teams, ensuring efficient and accurate pre service operations. This role is responsible for managing pre registration, benefit verification, authorizations, quality audits, training, and reconciliations. The supervisor collaborates closely with revenue cycle leadership, administrative and clinical departments, practices, and providers to optimize workflows and support organizational goals.

Requirements

Ability to ensure quality and integrity of assigned team tasks and meet given productivity standards
Possess a patient centric approach to answer questions and provide information in a professional manner
Demonstrate leadership, teamwork, cooperation and collaboration within and outside the team
Skill in effective oral, written, and interpersonal communication
Skill in problem solving in a variety of settings and translation of data into actionable steps
Ability to read, understand, interpret, and analyze payer requirements
Ability to work independently, take initiative, and manage multiple projects in a timely manner
Possess leadership skills including quality audits, task assignments, and training efforts
Excellent customer service and communication as well as interpersonal, organizational and analytical skills
Demonstrate initiative and ability to multi-task while working independently
Strong organizational skills and systems aptitude
A Bachelor’s degree and a minimum of (2) year of revenue cycle experience or Associates degree and a minimum of (3) years of patient access, financial clearance or financial counselor experience or High School Diploma and a minimum of (5) years of patient access, financial clearance or financial counselor experience
Prior leadership experience including team oversight, performing independent projects, or training activities
Familiarity with medical and insurance terminology
Knowledge of payer contracts, regulations and guidelines as well as State and Federal laws relating to billing, collections, and patient access procedures

Nice To Haves

Experience with payer portals and requirements preferred

Responsibilities

Oversee the notice of admissions and prior authorization process and pre registration process.
Submit and track prior authorization requests: follow up with payers to ensure timely approvals
Maintain detailed logs of authorization requests, approvals, and denials
Assign and monitor worklists: submit authorization data in compliance with payer requirements
Supervise and support staff in collecting copays, deductibles, and coinsurance during the pre registration process: monitor performance and address collection barriers
Review quality and accuracy of financial estimates prepared by staff and ensure consistent communication of patient financial responsibility
Monitor team efforts to contact patients with prior balances and ensure adherence to payment arrangement protocols
Partner with hospital departments and provider practices to ensure procedures are scheduled promptly
Collaborate with revenue cycle leadership and participate in monthly meetings to review payment and denial trends
Coordinate with provider practices and hospital departments to ensure timely scheduling of patient procedures
Serve as an escalation point for complex patient and insurance inquiries
Conduct post service reconciliations and follow up on authorization related denials
Evaluate and improve team performance through audits, reports, and productivity monitoring
Ensure compliance with all hospital policies, HIPAA regulations, and federal and state guidelines
Perform additional duties as assigned