- Coordinating and overseeing patient access including patient scheduling, eligibility, and authorization process of insurances for all patients.
- Manage teams of eligibility and authorization specialists and patient schedulers.
- Collaborate with other departments to ensure timely and accurate processing of eligibility and authorization requests.
- Provide training and support to staff on patient scheduling, eligibility, authorization, and billing processes.
- Monitor and analyze patient access data to identify trends and areas for improvement.
- Maintain accurate records and documentation of eligibility and authorization activities by monitoring staff KPIs, reports, and data.
- Responsible for effective and efficient scheduling appointments, and verification and authorizations of all patients' benefits.
- Utilization of electronic verification/eligibility technology or contacting insurance companies to verify and/or obtain patient eligibility and benefits.
- Verify existing patient insurance coverage and update the information in the practice management software system.
- Responsible for obtaining all referrals and authorizations for procedures and services, as required.
- Responsible for acting as a liaison between patients, healthcare providers, and insurance carriers to ensure all proper measures are taken and information is collected.
- Address rejected claims related to patient eligibility, authorization, or demographics.
- Responsible for answering incoming calls from other providers, recipients, and carrier groups in relation to insurance coverage.
- Ensures all patient questions are answered and issues are resolved timely by utilizing the appropriate resources.
- Develops and maintains effective relationships with the patients ensuring all patient demographic and insurance information is obtained and current.
- Maintain up-to-date knowledge of specific clinical services, registration, and preregistration requirements for all departments.
- Maintain awareness of federal and state health care legislation and regulations, OSHA, and HIPAA.
- Develop and implement policies and procedures to improve the eligibility and authorization process.
- Other duties as assigned
- Strong knowledge of state and federal regulations related to eligibility and authorization.
- Excellent communication and interpersonal skills
- Strong leadership and management skills
- Ability to analyze data and identify trends.
- Excellent organizational skills and the ability to multi-task.
- Establish and maintain effective working relationships with patients, insurance companies, and staff.
- Strong written and oral communication skills.
- Knowledge and skills in working with computerized billing systems including practice management software and EMR.
- Must adhere to all HIPAA guidelines and regulations.
- Knowledge of medical insurance and authorization processes
- Knowledge of medical terminology and experience working in a healthcare or insurance environment.
- Knowledge of organizational policies, procedures, and systems.
- High School diploma or equivalent with 5+ years of experience in the related field
- Preferred Bachelor's degree in healthcare administration or related field
- Minimum of 1 year supervision/management experience
- Minimum of 3 years of experience performing patient scheduling, insurance verification or working with medical insurance programs.
- Experience with eligibility, verification of benefits, and prior authorizations from various HMOs, PPOs, commercial payers, and other funding sources.
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Description
Patient Access Supervisor is responsible to coordinate and manage patient access to AAAI services, including managing: Patient Scheduling Department and Eligibility & Authorization Department including but not limited to: overseeing scheduling appointments, verifying insurance coverage, eligibility authorization, and patient billing.
Responsibilities$52,000-$55,000
