Supervisor, Patient Access
Valhalla-NY-10595-United States
Job Summary: The Supervisor of Patient Access oversees the daily functions and operation of, pre-registration, registration, insurance verification, inpatient notification for both inpatient and for outpatient services. Managing the activities of admission, discharge and transfer of patients. The Supervisor is responsible for the successful implementation of procedures, ongoing management, and process improvement, and overall success of the patient access functions in collaboration with Westchester Medical and the Mid-Hudson hospitals. The Supervisor will oversee and schedule a number of registration representatives ensuring proper staff coverage of a 24/7/365 department. Performs related work as required.
Responsibilities:
- Responsible for all the patient access administrative functions that contribute to the management and execution of all admissions, discharges and transfers of inpatient and outpatient services.
- Manages non clinical staff in a manner that promotes optimal productivity, achieves patient and physician satisfaction and engages employees to perform at their highest level, all consistent with the Westchester Medical Health System.
- Provides on-site direct leadership and management, by coaching, developing and empowering direct reports.
- Develops and implements process for responding to patient and employee concerns and issues. Serves as a liaison between physician practices, management, and supporting departments.
- Utilizes education, experience and analytical judgment to perform critical job elements ensuring patient and physician satisfaction, fostering positive relationships.
- Identified areas for process improvement and daily quality monitoring of key performance metrics and accuracy of accounts. Follows a monitoring system to understand trends and system issues.
- Coordinate the integration of pre-registration, pre-certification insurance verification and medical necessity checks for all patients for each facility with Scheduling to ensure resolution of relevant matters.
- Various personnel actions including but not limited to performance evaluations, schedules, and weekly time cards.
- Ensures adequate professional staffing levels. Responsible for the coordination of staffing needs to support accurate completion of all scheduled patients prior to the date of service
- Comply with denials management policy to determine cause, resolve and assist with preparation for appeal or re-bill for inpatient or outpatient denials for New York.
- Train new employees on all applications associated with admissions, discharge and transfer activities and post follow up updates and education.
- Resolve duplicate MRN, dashboards and worklists associated with the patient access functions.
- Attend meetings related to job functions and responsibilities.
Qualifications/Requirements:
Experience: 3 years of experience in a healthcare revenue cycle or clinic operations, or at least 1 year of related experience in a leadership role. Proficient in: Kronos, Patient management System(s), payer websites, medical terminology, Medicare medical necessity and commercial authorizations. Microsoft office products such as Excel, Word and Outlook. Document imaging systems and vendor management.
Education: High School/GED, required
Licenses / Certifications:
Other: The Supervisor should have knowledge of concepts, practices of hospital operations and procedures. The candidate should also possess interviewing, communication skills, and Microsoft office aptitude (Word/Excel/Outlook). This positon requires tact and understanding, and the ability to read and understand clinical documentation, anatomy and ICD codes with emphasis on inpatient and outpatient services. A comprehensive understanding of authorization requirements, procedures, preps, functions of studies, contraindications and radiologist protocol. Must be comfortable with data entry utilizing multiple patient access programs and software. Knowledge of word processing and excel spreadsheets. Work effectively in a multi task fast paced environment prioritizing and completing tasks in a timely manner. Problem solving skills and attention to detail to assess and resolve conflict in a timely manner. Proficient in oral and written communications. Handles difficult or upset callers with the utmost professionalism and compassion. Role models professional behaviors, approaches and attitudes, particularly in stressful and conflicting situations. Communicates cooperatively and constructively with patients, area supervisors, families, co-workers, administration, other clinical departments, providers, community agencies, referral sources and other health team members.
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