Patient Access Lead - Cedar Rapids, United States - UnityPoint Health

Description

Overview:

The Patient Access Team Lead is responsible to function as a Patient Access Associate in addition to other administrative responsibilities. When these functions are completed with accuracy this process will ensure patient safety through appropriate identification, maximum reimbursement for hospital charges and compliance with all state and federal regulations.

Interacts in a customer focused and compassionate manner to ensure patients and their representatives needs are met, and that they understand the medical centers policies for the resolution of patient financial liabilities and the various available payment options. Serves as a liaison for team members/leaders and works collaboratively across departments to support the Patient Access Director, Manager(s), or Supervisor(s).

Why UnityPoint Health?

• Culture At UnityPoint Health, you matter. Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.
• Benefits Our competitive Total Rewards program offers benefits options like 401K match, paid time off and education assistance that align with your needs and priorities, no matter what life stage youre in.
• Diversity, Equity and Inclusion Commitment Were committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.
• Development We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.
• Community Involvement Be an essential part of our core purposeto improve the health of the people and communities we serve.

Hear more from our team members about why UnityPoint Health is a great place to work at

Customer Service/Key Accountability

• Accurately and thoroughly collects, analyzes and records demographic, insurance/financial and clinical data in computer system. Ensures information source is appropriate.
• Updates and edits information in computer, ensuring that all fields are populated correctly and appropriately.
• Completes eligibility check and obtain benefits though electronic means or via phone contact with insurance carriers or other agencies.
• Contacts patients/families/physicians to obtain additional demographic/insurance information and update in computer system if needed in order to proceed with verification process.
• Interpret physicians hand-carried orders to determine service needs and scans physician orders or verifies that complete and valid orders are on file for each patient.
• Obtains information and completes MSPQ and other payer-specific documents.
• Reviews and explains all registration forms prior to obtaining signatures from patient or appropriate patient representative.
• Explain benefits and request copay, deductible and coinsurance as applicable after developing an estimate applying allowable (based on payer).
• Identifies prearranged payment commitment and follows instructions as outlined by the financial clearance department.
• Completes registration checklist.
• Ensure that all monies collected are posted to the correct patient account and are secure or turned over to appropriate associates/cash posting specialists. Provides receipt of payment.
• Balances cash drawer at the end of each shift to ensure cash, checks and payments made by credit card are accounted for and balance transactions.
• Meets defined / established collection goals of the health system.
• Identifies patients in financial hardship and refer to Patient Financial Coordinators/Certified Application Counselors for charity/financial assistance
• Refers to Cash Posting Specialists requiring payment plans.
• Responsible for maintaining knowledge of EMTALA regulations and following these regulations.
• Remains aware of state (IA) and federal laws in regards to registration processes.
• Ensures each patients identification band is correct by asking the patient to review the information and initial the band and then assure it is securely fastened upon completion of this identification process.
• Ensures that medical necessity has been established when scheduled testing doesnt meet requirements or that the patient signs a waiver of non-covered service prior to testing.
• Notify patients of need for Advanced Beneficiary Notice (ABN) for Medicare.
• Documents on accounts using hospital account note with activity comments to ensure easy account follow up.
• Identifies payer requirements for preauthorization. If preauthorization not in place, contact Financial Clearance Department.
• Performs follow up visits to patients in nursing areas, ER treatment room or clinical departments to obtain additional registration information, documents and/or signatures. Follow up may be performed via phone if appropriate to the situation (making sure a witness is present, if necessary).
• Participates in performance improvement initiatives and demonstrates initiative to improve quality and customer services with a goal to exceed customer expectations.
• Instrumental in training new Patient Access staff.
• Supervise volunteers and interns.
• Thoroughly performs responsibilities of the kiosk Promotor role including but not limited to coordinating and assisting patients for use of the kiosks where applicable
• Adhere to all confidentiality policies and procedures.
• Answers telephone calls promptly and accurately. Takes telephone messages and directs calls in an appropriate and professional manner.
• Retrieves, files photocopies or scans medical correspondence, reports and miscellaneous items, as requested.
• Integrates and demonstrates FOCUS values and Expectations for Personal and Service Excellence to guide professional behaviors, while adhering to the policies and procedures of IH-DM. Balance team and individual responsibilities; be open and objective to others views; give and welcome feedback; contribute to positive team goals; and put the success of the team above own interests.
• Arranges or assists with patient transport as necessary.
• Answers phones and routes calls as necessary.
• Maintains physician not in system master file as instructed and assigned.
• Monitors and maintains multiple work queues as instructed and assigned.
• Monitor tracking system and print orders and transcribe and scan into computer system.

Billing Functions

• Refer patients who need financial assistance with their clinic/hospital bills to a Financial Advocate.
• Perform functions other than described due to extenuating circumstances.
• Other duties as assigned.

Administrative & Other Responsibilities

• Training for new employees & employees needing additional/refresher training
• Assist with schedules & filling shift gaps
• Audit registration processes on current team members
• Quality checks
• Assist with generating reports & evaluating opportunities
• Staff liaison to represent team members in new hiring interviews, meetings
• First point of contact for team members for day to day registration or work flow questions
• Resolve real time conflicts & in the moment coaching
• Monitor supply stock
• Assist with covering on-call as assigned
• Support Patient Access leadership roles as assigned

• High School graduate or GED equivalent is required
• Prior leadership experience or Patient Access/Revenue Cycle related experience
• Typing speed and accuracy of a minimum of 40 WPM. Project a professional image. Writes, reads, comprehends, and speaks fluent English. Proficient in Microsoft Office Applications. Ability to multi-task and work efficiently to maintain patient movement and schedules. Ability to communicate and work collaboratively with UnityPoint ancillary departments and Patient Directors, Managers, and Supervisors.
• Use of usual and customary equipment and systems used to perform essential functions of the position.