Supervisor Patient Access Services Full Time

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 preservice operations. This role is responsible for managing preregistration 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.

ESSENTIAL JOB FUNCTIONS:

• 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 preregistration 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

KNOWLEDGE / SKILLS / ABILITIES:

• 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

REQUIRED EDUCATION / EXPERIENCE:

• A Bachelors 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
• Experience with payer portals and requirements preferred
• 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

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities duties and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time as needed.