Lead Patient Access Rep

Serves as the lead resource to the Preregistration or Precertification staff within the Patient Access departments. Supports the Manager of the area to ensure the staff is receiving the proper resources and training to meet both departmental and individual productivity and quality goals. Assists with new staff training/orientation and ongoing staff development. In addition, the lead is responsible for assisting staff in solving complex insurance coverage and authorization issues. Ensures timely and accurate completion of assignments and tasks that are delegated. The lead also works at staff level when work demands and is responsible to ensure that all patients are correctly and efficiently registered for hospital services. Verifies patient insurance coverage and benefits. Obtains necessary insurance authorizations for hospital and physician services. The lead representative handles escalations or calls from physicians, employees, office staff, patients or family.

Education
Associate's Degree in related field Required or
Combination of relevant education and experience may be considered in lieu of degree Required

Experience
5 years experience with complex pre-registration, insurance verification and/or pre-certification processes for oncological or other specialized medical services such as chemotherapy, radiation oncology, dialysis, or organ transplant. Required
General Experience with and knowledge of all front end revenue cycle functions as well as third party insurance verification/authorization systems Preferred

Licenses

Required Skills


Required Experience