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Patient Access Lead
Revenue Cycle Management is looking for a Patient Access Lead to join our team!
**Hybrid opportunities after 90 days of in office training**
SUMMARY: The Patient Access Lead is responsible for patient registration, insurance verification, and customer service functions within the patient access team. Reporting to the Patient Access Supervisor, this role supports the day - to - day operations of the team, ensuring an exceptional patient experience through accurate information collection, timely insurance verification, and professional communication. The Lead acts as a liaison between patients, staff, and departments to facilitate smooth workflow and financial clearance.
ESSENTIAL FUNCTIONS:
Customer service
- Serve as the first point of contact for patient billing inquiries.
- Handle high volumes of inbound and outbound calls with professionalism.
- Route calls appropriately and ensure messages are delivered to the correct departments.
- Ensure timely response to emails and medical record requests.
- Use EMR systems to input data and generate reports; scan and attach relevant documents.
- Uphold high standards of customer service in all interactions.
Insurance Verification
- Assist front office staff with complex insurance - related inquiries.
- Verify insurance benefits and eligibility using portals, phone calls, and other methods.
- Ensure authorizations are obtained and documented before surgery dates.
- Accurately enter insurance coverage, including co - pays and deductibles, into the EMR.
- Identify coverage types (e.g., PPO, HMO, workers’ comp) and process accordingly.
- Communicate effectively with physicians, billing, and other internal departments to ensure timely claim submission and resolution.
Patient Collections Support
- Handle patient inquiries related to billing and insurance claims.
- Contact patients with outstanding balances and offer financial assistance or payment plans.
- Process payments, refunds, and reconcile account discrepancies.
- Support account recovery efforts by collaborating with the billing and coding teams.
Leadership
- Act as resource; gives advice and instructions to employees; coaches staff on assigned tasks; facilitates problem/issue resolution.
- Monitor and ensure the completion of daily assignments.
- Identify training needs and provide timely feedback to the Patient Access Supervisor.
- Perform other related tasks as needed.
KNOWLEDGE, SKILLS, AND ABILITIES:
- Knowledge of the content, intent, and application of HIPAA, federal and state regulations
- Knowledge with in and out of network insurances, insurance verification, patient responsibility, and process for prior authorization
- Strong knowledge of medical terminology, insurance processes, and revenue cycle management
- Task - oriented and organizational skills; ability to complete tasks timely
- Detail - oriented focus; being careful about detail and thorough in completing work tasks
- Ability to work independently and as a team
- Ability to adapt with flexibility
- Effective communication (written/verbal) , problem solving and interpersonal skills
EDUCATION AND EXPERIENCE:
- High school diploma or GED
- Two (2) years of patient access or registration experience in a medical office or facility setting
BENEFITS:
- 3 Medical Plans
- 2 Dental Plans
- 2 Vision Plans
- Employee Assistant Program
- Short- and Long-Term Disability Insurance
- Accidental Death & Dismemberment Plan
- 401(k) with a 2-year vesting
- PTO + Holidays
Please visit our website for more information:
Premier Medical Resources is a healthcare management company headquartered in Northwest Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to bring their expertise and leadership as we strive to combine best practices and industry excellence. Come join our team at Premier Medical Resources where passion and career meet.
Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data. Employment with Premier Medical Resources is contingent on the successful completion of a pre-employment drug screen and background check.
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