Patient Access Supervisor

Position: Patient Access Supervisor, FT, Day
Inspire health. Serve with compassion. Be the difference.

Job Summary

Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre-authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions.

* Accountabilities

* * Ensures that appropriate/necessary information is obtained, to include insurance verification and pre-certification,

for patient registration and billing purposes. Conforms with guidelines as specified by hospital and departmental

policy and procedure. 20%

* Monitors daily collection report and In-House Accounts over $25,000.00 (where applicable) to ensure that hospital

and departmental policies and procedures are followed. Works collaboratively with the Manager to correct

deficiencies. 15%

* Evaluates work processes/procedures; identifies and resolves problems; and develops, recommends, and

implements process changes to improve productivity and reduce costs. Updates policies and procedures as

needed. 10%

* Ensures departmental Quality and Compliance to include the following:

* Evaluate work processes/procedures

* Identify and resolve problems

* Ensures timely submission of audits

* Develop, recommend and implement process changes. 10%

* Develops and maintains work schedule within budgeted parameters. Establishes priorities, assigns work, and

monitors work flow to meet Greenville Hospital System goals for days outstanding and customer service targets.

10%

* Maximizes reimbursement by ensuring compliance with third party requirements, including precertification and

insurance verifications. Keeps abreast of reimbursement requirements and maintains current knowledge of

applicable government, managed care, and/or third party regulations and guidelines. Ensures compliance and

communicates discrepancies to appropriate personnel or departments, i.e., Patient Account Services, Managed

Care. 10%

* Coaches and follows up regularly (either directly or through team leaders) with employees on quality audits,

productivity and customer service to ensure continuous improvements in those areas. 10%

* Selects, trains/orients assigns and supervises department staff (either directly or through team leaders). Develops

standards of performance, evaluates performance, and initiates or makes recommendations for personnel actions.

5%

* Ensures the appropriate utilization of the GHS progressive discipline policy for employees with performance,

behavior, or attendance problems. Ensures appropriate documentation of verbal counseling, warnings/reprimands,

suspensions and for-cause terminations. Reviews personnel actions for compliance with Federal/State laws and

regulations and GHS policies. Demonstrates excellent rapport and the ability to encourage open communication with

staff and resolve interdepartmental problems and conflicts. 5%

* Interprets and implements all hospital policies in addition to those related to admissions/discharge, credit &

collection, disclosure of confidential information and data and cash management. 5%

Supervisory/Management Responsibilities

Job has direct and/or indirect supervision of employees that may include final budget authority, hire/termination/ disciplinary authority, performance appraisal responsibility. Job will be considered a member of the management staff with direct reports.

Minimum Education

High School diploma or equivalent

Minimum Experience

5 years - Banking/finance, billing/collections, healthcare admissions, billing, insurance or credit/collections, including at least 1 year related healthcare and 1 year supervisory or lead level experience.

In lieu of the Above

Minimum Requirements

Associates degree in business or related field plus four years in banking/finance, billing/collections, admissions and/or insurance, including 1 year related healthcare experience and 1 year supervisory or lead level experience; OR Bachelor's degree in business or related field plus 3 years banking/finance, billing/collections, admissions and/or insurance, including 1 year related healthcare experience and 1 year supervisory or lead level experience .

* Additional

Job Description

Additional

Job Description

Attachments

Business Process History

Work Shift

Day (United States of America)

Location

Colonial Life Building

Facility

7001 Corporate

Department

Pre Access Services

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.