patient access director

Arnot Health

<p>MAIN FUNCTION:<br>
Supervises day-to-day activities of the Patient Access team with emphasis on patient access/satisfaction, insurance/demographic verification and accuracy, and point of service collection, while maintaining confidentiality, professionalism and ethics. Reports to Systems Director of Patient Access &amp; Credit.<br>
DUTIES AND RESPONSIBILITIES:<br>
1.<br>
Is responsible for daily productive operations of Patient Access team. Team should be achieving 95% pre-registration rates. Maintaining regulatory and functional knowledge of all information required to register all patient types in database to ensure timely &amp; accurate reporting/billing.<br>
2.<br>
Fosters team building throughout Patient Access team by ensuring staff are accurately trained, maximizing usage of applicable tools, and meeting applicable Service Standards continuously.<br>
3.<br>
Prepares work schedules and coordinates/assigns daily duties to staff. Ensures employees are complying with attendance guidelines and time cards reflect an accurate record of time.<br>
4.<br>
Performs daily quality audits on Patient Access team and shares feedback with applicable employees, while monitoring and trending repetitive behavior. Audit rate should be less than 2-5% per employee.<br>
5.<br>
Is responsible for instituting and engaging Patient Access team in meeting financial collection Service Standard goals as well as meeting with patients/family, as applicable, to discuss financial obligations. Ensure cash out procedures are followed and a balance deposit is generated.<br>
6.<br>
Is responsible for development and maintenance of payor requirements, including creating &quot;cheat sheets&quot; and training manuals that support Patient Access team successful processes.<br>
7.<br>
Performs and keeps Director, Patient Access and Credit Services informed of Service Standards goals, performance evaluations and disciplinary issues, as well as other related statistical data or issues involving the Patient Access team. Engages Director in new hire process.<br>
8.<br>
Is responsible for timely completion of introductory period and annual performance evaluations on Patient Access team.<br>
9.<br>
Is responsible for cost control and development of process efficiencies while assisting Director in meeting/maintaining budgetary goals.<br>
10.<br>
Is responsible for ensuring registration system is updated and generating accurate work lists for Patient Access team to utilize, which includes vendor lists, such as RelayHealth or Passport.<br>
8524.070<br>
11.<br>
Is responsible for ensuring Patient Access team distributes patient related materials and obtaining patient or designee's signature on all necessary consents, permits, financial forms, as well as charity application, when applicable.<br>
12.<br>
Ensures Patient Access team completes accurate charge entry, including but not limited to Observation, Laboratory, Radiology, Therapy and/or Physicians services as applicable to assigned area. Quality audit and training should be conducted periodically.<br>
13.<br>
Ensures Patient Access team does not allow services to occur without proper precertification, such as Same Day Surgery Accounts, Outpatient Radiology &amp; Cardiology Tests, and/or Physician Services, or Pharmacy Services.<br>
14.<br>
Assists Patient Access team in coordination efforts with Nursing Services/Designee on the efficient use of available beds, including inpatient, observation and skilled, while adhering to appropriate registration/charge entry standards.<br>
15.<br>
Assists with centralized scheduling for System using applicable databases. Ensures proper department/physician has relative information and assists with maximizing schedule capacity.<br>
16.<br>
In order to provide the highest quality of care to our patients, may be required to work beyond normal scheduled shifts and will be required to comply with the System's attendance policy.<br>
17.<br>
Employee will assist in staff training of peers, colleagues and management, as applicable/requested.<br>
18.<br>
Employee is required to comply with all then-current and future policies and procedures and report directly to the Director, Patient Access and Credit Services.<br>
19.<br>
Employee is responsible for attending all mandatory educational, compliance and safety program sessions.<br>
20.<br>
Employee understands and demonstrates the importance of satisfying the needs of the patient/customer by interacting with him/her in a friendly and caring way, being attentive to the customer's needs, both psychologically and physically, and by taking the initiative to maintain communication with the customer in order to provide a secure and pleasant experience throughout the System.<br>
21.<br>
It is understood that this job description lists typical duties for the classification and is not to be considered inclusive of all duties, which may be assigned.<br>
EDUCATION:<br>
High school diploma or equivalent.<br>
EXPERIENCE:<br>
A minimum of three (3) years prior healthcare, finance, collection or billing experience required. Experience with computer applications required. Medical terminology and coding experience beneficial.<br>
8524.070<br>
REQUIREMENTS:<br>
Good interpersonal skills; able to related well with a wide cross-section of professionals, patients and others in System. Must be polite, courteous and trustworthy in safeguarding confidential information. All functions are essential.<br>
PHYSICAL DEMANDS:<br>
Light physical activity. Emergency room environment (as applicable). Patient interaction with sitting, walking and computer usage required.<br>
EXPOSURE CATEGORY:<br>
Category III. Tasks that involve no exposure to blood, body fluids, or tissues. Category I tasks are not a condition of employment.</p>

Patient Access Supervisor

INTEGRIS Health

<div><p>INTEGRIS Health Cardiovascular Physicians, Oklahoma&rsquo;s largest not-for-profit health system has a great opportunity for a Patient Access Supervisor in Oklahoma City, OK. In this position, you&rsquo;ll work Monday &ndash; Friday Days with our team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front-loaded PTO, 100% INTEGRIS Health paid short-term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health.</p><p></p><p><br>
The Supervisor Patient Access Services oversees the daily operations of the assigned area of responsibility and assigned personnel in the department. Adheres to National Patient Safety Goals as appropriate based on the level of patient contact this position requires. INTEGRIS Health is an Equal Opportunity/Affirmative Action Employer.</p><div>
The Patient Access Supervisor responsibilities include, but are not limited to, the following:<br>
<ul><li>Supervises the daily activities of routine and complex registration activity including scheduling, verifying patient demographic information, processing point of service payments, obtaining signatures for required consent paperwork, document imaging and following documentation standards to facilitate efficient patient access according to assigned protocol</li><li>Supervises the daily activities of routine and complex patient access transactions including coverage eligibility, insurance verification, patient portion calculation and authorization requirement activity utilizing available systems and resources according to assigned protocol</li><li>Demonstrates and possesses the ability to use analytical thinking, independent judgment, and clinical knowledge to adjust service area schedules and accommodate special requests from internal and external customers</li><li>Provides resolution to routine and complex patient access and account issues, responds to questions on reimbursement, serves as a systems expert for patient access specialists, including on-the-job training, and for performance improvement and appropriateness of complex patient access transactions</li><li>Develops team members by providing guidance, feedback and training on multiple processes, payers and systems, and measures productivity to track and trend needs for performance improvement</li><li>Assists the manager with interviewing candidates, hiring new employees, and coordinating new employee on-boarding activities</li><li>Handles all communication effectively, including telephone, email, and verbally with all departments and caregivers within the health system</li><li>Demonstrates the components of the Vision, Mission and The INTEGRIS Values of Love, Learn and Lead</li><li>Supervises the implementation of team-oriented process improvement initiatives for the department and organization</li><li>Supervises continuous quality improvement efforts, establishes goals, tracks progress, prepares data for presentation, and escalates performance issues</li><li>Demonstrates and possesses the ability to interpret and maintains compliance with performance standards, federal and state regulations including EMTALA and HIPAA, policies, procedures, guidelines, and third-party contracts</li><li>Follows all safety rules while on the job, reports accidents promptly and corrects minor safety hazards Reports to the Director or Manager as assigned This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Minimal. Potential for exposure to infections and communicable diseases, blood and body fluids. Must follow standard precautions as needed. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.</li></ul></div><p></p><ul><li><br>
Bachelors degree in business related field preferred</li><li>4 years of Patient Access operations activities (scheduling/registration/insurance) or related experience (billing, collections, accounts receivables)</li><li>1 year supervisory experience preferred</li><li>Healthcare Certification (AAHAM CRCS, HFMA CRCR, NAHAM CHAA or CHAM) preferred</li><li>Previous experience with medical terminology, basic ICD 10 and CPT coding, healthcare program reimbursement and methodologies</li><li>Previous experience with Microsoft Office programs and experience with admission/discharge/transfer or billing/claims management software</li><li>Previous experience in scheduling, registration, insurance (including Medicare, Medicaid, and third-party regulations), billing, collections, and customer service in either a hospital or physicians office setting preferred</li><li>Must be able to communicate effectively in English (verbal/written)</li></ul><div><br>
<b>INTEGRIS Health mission:</b> Partnering with people to live healthier lives.</div><div><br>
<br>
<p>To our patients, that means we will partner to provide unprecedented access to quality and compassionate health care. To you, it means some of the state's best career and development opportunities. With INTEGRIS Health, you will have a genuine chance to make a difference in your life and your career.</p><p>
INTEGRIS Health is the state's largest Oklahoma-owned health system with hospitals, rehabilitation centers, physician clinics, mental health facilities and home health agencies throughout much of the state.</p></div></div>

Patient Access Supervisor - Cardiology Outpatient Clinic

<div><p>INTEGRIS Health, Oklahoma&rsquo;s largest not-for-profit health system has a great opportunity for a Patient Access Specialist in Woodward, OK. In this position, you&rsquo;ll work Full Time Days 5:30am-5:30pm with our Patient Registration team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health.</p><p></p><p><br>
The Patient Access Specialist is responsible for the provision of patient access activity for ancillary, diagnostic, surgical and emergency services as assigned to facilitate efficient operations, expeditious reimbursement and optimal customer satisfaction and employee satisfaction. Acts as a liaison between INTEGRIS and patients, providers, and payers for all pre-care matters related to account resolution. Provides information regarding the patients coverage eligibility and benefits, patients financial liability, INTEGRIS Health's billing practices and policies. Assists patients in understanding coverage benefits and coverage terminology.</p><p>
INTEGRIS is an Equal Opportunity/Affirmative Action Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.</p><p>
The Patient Access Specialist responsibilities include, but are not limited to, the following:</p>
<ul><li>Ensures the appropriateness of complex patient access transactions including coverage eligibility, insurance verification, patient portion calculation and authorization requirement activity utilizing available systems and resources according to assigned protocol</li>
<li>Performs financial counseling activity including screening for government programs and financial assistance, payment options and arrangements, processing point of service payments, verifying patient demographic information, obtaining signatures for required paperwork, document imaging and following documentation standards to facilitate efficient patient access according to assigned protocol</li>
<li>Possesses the ability to use analytical thinking, independent judgment, and clinical knowledge to adjust service area schedules and accommodate special requests from internal and external customers</li>
<li>Accepts inbound phone calls from patients, physician offices, insurance carriers, etc. with the intent to resolve the concern immediately.</li>
<li>Collects patient payments and follows levels of authority to ensure financial clearance</li>
<li>Documents all patient account activities concisely, including authorization and patient liability requirements</li>
<li>Performs filing, data entry, and other duties as assigned.</li>
<li>Responds promptly to patient inquiries regarding pre-care services, policies, coverage, benefits and financial liability * Utilizes multiple resources to resolve patient or payor inquiries while on the phone or preparing/reviewing patient accounts or prior authorization requirements</li>
<li>Understands different payer regulations and can communicate effectively with patients regarding their coverage benefits and financial liability</li>
<li>Participates in team-oriented process improvement initiatives for the department and organization</li>
<li>Participates in continuous quality improvement efforts, establishes goals with supervisors and tracks progress</li>
<li>Interprets and maintains compliance with performance standards, federal and state regulations including EMTALA and HIPAA, policies, procedures, guidelines, and third-party contracts</li>
<li>Follows all safety rules while on the job, reports accidents promptly and corrects minor safety hazards</li>
</ul>
<p>Reports to assigned supervisor.</p>
<p>This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Potential for exposure to infections and communicable diseases, blood and body fluids, electrical equipment, chemicals. Must follow standard precautions.</p>
<p>All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.</p>
<ul>
<li>1 year of Patient Access operations activities (scheduling/registration/insurance) or related experience (billing, collections, accounts receivables)</li>
<li>Previous experience in one of the following: scheduling, registration, insurance, billing, collections, and customer service in either a hospital or physician's office setting</li>
<li>May consider successful completion of 1100+ related Career Tech program or one year of college coursework in a related field in lieu of experience</li>
<li>College coursework in related field or Healthcare Certification (AAHAM CRCS, HFMA CRCR, NAHAM CHAA) preferred</li>
<li>Previous experience should include utilizing standard office equipment and PC software</li>
<li>Previous experience with medical terminology, basic ICD 10 and CPT coding preferred</li>
<li>Must be able to communicate effectively with others in English (verbal/written)</li></ul></div>

Patient Access Specialist - Days - Woodward

Assisted Recovery Centers of America

<div><h1 class="jobSectionHeader"><b>Organization Overview</b></h1><p>
Assisted Recovery Centers of America (ARCA) is a leader in providing evidence-based treatment and wraparound services to individuals living with substance use disorders and co-occurring mental health conditions. As the largest outpatient provider of Medication-Assisted Treatment (MAT) in the state of Missouri, ARCA is committed to helping individuals achieve sustainable recovery and improved quality of life.</p><h1 class="jobSectionHeader"><b>
Position Summary</b></h1><p>
The Patient Access Team Supervisor is responsible for overseeing daily operations of the front desk and patient access functions at both the Olive and Dellwood clinic locations. This role is integral to ensuring that patients are welcomed with compassion, scheduled efficiently, and supported throughout their care journey. The supervisor will lead a team of medical receptionists and patient access staff, ensuring compliance with ARCA policies and high standards of customer service.</p><h1 class="jobSectionHeader"><b>
Key Responsibilities</b></h1><ul><li>Supervise, train, and mentor front desk staff and patient access team members across two clinic locations.</li><li>Monitor daily workflow to ensure efficient and timely registration, check-in, scheduling, and insurance verification.</li><li>Handle escalated patient concerns with professionalism and empathy.</li><li>Maintain accurate documentation and compliance with HIPAA and other regulatory guidelines.</li><li>Collaborate with clinical, billing, and administrative teams to ensure a seamless patient experience.</li><li>Assist in the development and implementation of standard operating procedures and front desk workflows.</li><li>Evaluate team performance and provide ongoing coaching and feedback.</li><li>Support onboarding and training of new team members.</li><li>Track and report patient access metrics and make recommendations for process improvements.</li></ul><h1 class="jobSectionHeader"><b>
Qualifications</b></h1><ul><li>High school diploma or equivalent required; Associate&rsquo;s or Bachelor&rsquo;s degree in Healthcare Administration or a related field preferred.</li><li>Minimum of 2 years of experience in medical reception, patient access, or front office coordination in a healthcare setting.</li><li>At least 1 year of supervisory or lead experience preferred.</li><li>Strong interpersonal and communication skills with a patient-centered mindset.</li><li>Proficiency in electronic health record (EHR) systems and scheduling software; familiarity with Carelogic is a plus.</li><li>Ability to work independently and manage multiple priorities in a fast-paced environment.</li></ul></div>

Oregon Health & Science University

<div>Department Overview:
<p>
The Director of Centralized Financial Clearance and Prices Estimates is responsible for the strategic and operational oversight of financial clearance, price estimates, and referral workflows across OHSU Health and has direct management responsibility for the Centralized Financial Clearance, Insurance Verification Specialists, Price Estimates, and Epic Referrals Systems teams that support various departments and services across the OHSU Health system. Financial Clearance workflows include verifying insurance coverage and benefits, submitting and obtaining prior authorizations, and providing price transparency for patients who are self-pay, are receiving non-covered services, or have an insurance that is out of network and/or non-contracted. In addition, the Centralized Finanical Clearance team ensures that all planned admissions to the OHSU hospital and urgent admits (ED or add-ons) have the appropriate benefits, are authorized, and ensure payor notifications are completed at the time of admission. This position also has direct oversight of the Epic Referrals Systems team, which manages the referral application workflows and system build within Epic, as well as all associated projects.</p><p></p><p><br>
The Centralized Finanical Clearance team currently supports 34 departments, and the goal is to continue to centralize the remaining roughly 40 decentralized departments over time. This position will be responsible for setting the strategic direction for these centralization efforts and partnering with the decentralized departments to progress centralization over time.</p>
Function/Duties of Position:
<p>
This position is responsible for maintaining and developing key performance indicators and for transparent reporting at the organizational and departmental levels to ensure the department consistently meets service level agreements. As it relates to key performance indicators, this position will be responsible for improving price estimate accuracy, increasing price transparency, ensuring authorizations are submitted and received within best-practice benchmarks, and reducing no-authorization denials. If performance gaps exist, this position will be expected to lead process improvement initiatives with key stakeholders across the OHSU Health system to get the team back on track. This includes ongoing monthly investigation of front-end no-auth denials to identify trends and improve workflows.</p><p></p><p><br>
The Director sets the strategic direction and works to align and standardize Financial Clearance and Price Estimate Epic workflows, operational workflows, training, and metrics across OHSU (for both centralized and non-centralized teams) and OHSU Health partner organizations, both current and future. This position will also keep apprised of and recommend best practices and emerging technologies to automate and improve processes.</p><p></p><p><b><br>
Personnel Management</b></p><ul><li>
Complete supervision of the Centralized Financial Clearance and Referral Systems teams, which supports departments and services across OHSU Health, including interviewing, hiring, training and orientation, work assignments, staffing, performance monitoring, ongoing feedback, counseling, disciplinary procedures up to and including dismissal, and responding to grievances.</li><li>
Develops appropriate staffing plans to ensure team performance is achieved.</li><li>
Assures key performance indicators and quality and accountability measures are in place to ensure team success.</li><li>
Maintains a strong leadership team for Patient Access Services, including managers and supervisors.</li></ul><p><b>
Operations Management</b></p><ul><li>
Standardizes financial clearance, insurance verification, and price estimate workflows across OHSU Health.</li><li>
Measures quality indicators to ensure that staff provide high-quality customer service to both external and internal customers.</li><li>
Measures for staff include accuracy and volume of work performed, prompt and professional communication, face-to-face customer contact skills, appropriate problem-solving, ability to learn and use available information technology, standard complaint processing, positive and respectful peer communication, and relationship skills in providing coverage for the department's internal service needs.</li></ul><p><b>
Strategic Planning and Execution</b></p><ul><li><b>
</b>Provides strategic planning and direction for financial clearance and price estimates across OHSU Health.</li><li>
Maintains current knowledge of industry best practice workflows and metrics to identify gaps in performance. Utilizes the gaps to always have a 1-2 year plan on how to improve efficiencies and consistently meets and exceeds best practice benchmarks.</li><li>
In addition, develops and executes the strategic direction and approach for centralizing financial clearance activities across OHSU.</li></ul><p><b>
Administrative Operations</b></p><ul><li>
Fully accountable to ensure monthly budget targets are met. Completes the monthly variance report for Centralized Financial Clearance and Price Estimates Org. Identify cost-saving measures as needed.</li><li>
Monitors departmental compliance with government, professional, and internal regulations, including DNV, CMS, OHSU Corporate Compliance, and OHSU labor unions. Develops and/or updates policies and procedures to meet objectives as needed.</li><li>
Provides regular updates to the senior director and executive leadership on department performance, progress toward goals, strategic initiatives, major projects, and specific opportunities and risks.</li><li>
Performs monthly analysis of actual expenses as compared to the budget.</li><li>
Other duties as assigned.</li></ul>
Required Qualifications:
<ul><li>Bachelor&rsquo;s Degree or equivalent education and experience.</li><li>
At least 7 years of progressive leadership experience within revenue cycle, patient access, financial clearance, or related field.</li><li>
Comprehensive knowledge of healthcare access systems, patient financial processes, payer requirements, and healthcare issues.</li><li>
Demonstrates strong communication and customer service skills.</li><li>
Excellent oral and written communication skills, complex decision-making analysis, and an ability to develop concise communications.</li><li>
Has the ability to navigate Microsoft Excel and Visio easily.</li><li>
Superb organizational skills and strong customer service orientation and experience.</li><li>
Must have ability to work autonomously, be flexible and able to shift priorities on short notice.</li><li>
The ideal candidate is driven by achieving outcomes in a timely manner.</li></ul>
Preferred Qualifications:
<ul><li>Master&rsquo;s Degree.</li><li><p>
Prior experience in an academic setting and/or market with a complex payer mix is preferred.</p></li><li><p>
Specific experience with an integrated health record, Epic preferred.</p></li><li><p>
Prior process improvement experience.</p></li><li>
HFMA Certified Revenue Cycle Representative or HFMA Certified Healthcare Financial Professional.</li></ul>
Additional Details:
<p>
Although the position is expected to work standard Monday &ndash; Friday business hours, there will be times when availability is necessary on weekends and during the evening.</p><p></p><p><b><br>
Benefits</b></p><ul><li><p>
Healthcare for full-time employees covered 100% and 88% for dependents.</p></li><li><p>
$50K of term life insurance provided at no cost to the employee.</p></li><li><p>
Two separate above market pension plans to choose from.</p></li><li><p>
Paid time off - 208 hours per year, prorated for part-time.</p></li><li><p>
Extended illness bank - 64 hours per year, prorated for part-time.</p></li><li><p>
9 paid holidays per year.</p></li><li><p>
Substantial Tri-Met and C-Tran discounts.</p></li><li><p>
Employee Assistance Program.</p></li><li><p>
Childcare service discounts.</p></li><li><p>
Tuition reimbursement.</p></li><li><p>
Employee discounts to local and major businesses.</p></li></ul>
Why apply to OHSU?: <b>We are Oregon's only public academic health center.</b> In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. <b>All are welcome.</b> OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu</div>

Director, Centralized Financial Clearance and Price Estimates (Director, Revenue Cycle)

Kelsey-Seybold Clinic

<div><p><b>Job ID:</b> 2346462<br>
<b>Job Type</b>: Full-time<br>
<b>Location</b>: Pearland, TX 77581</p>
<p><b>
Explore opportunities with Kelsey-Seybold Clinic,</b> part of the Optum family of businesses. Work with one of the nation&rsquo;s leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind<b> Caring. Connecting. Growing together.</b></p><br>
<p></p>
<p>
The Senior Patient Access Capacity Manager oversees the planning, analytics, and reporting functions that optimize scheduling and patient access center productivity. This role provides leadership to the capacity management team, ensuring alignment with organizational goals and best practices in ambulatory scheduling. The manager partners with internal stakeholders and external vendors to resolve issues, develop workflows, and establish KPIs. Additionally, they monitor performance trends and dashboards to recommend improvements that enhance efficiency and patient access.</p><br>
<p></p>
<p>
If you are located in near Pearland, TX, you will have the flexibility to work remotely* as you take on some tough challenges.</p><br>
<p></p>
<p>
You&rsquo;ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.</p>
<p><b>
Required Qualifications:</b></p>
<ul>
<li>Bachelor&rsquo;s Degree in Healthcare Administration, Business, or equivalent experience</li>
<li>7+ years in healthcare operations or patient access management, including leadership or project experience</li>
<li>Proven solid written and verbal communication and presentation skills</li>
<li>Proven solid analytical skills: ability to determine and manage actions needed based on available reporting data</li>
<li>Proven solid problem-solving skills: with the ability to think strategically and creatively</li>
<li>Proven solid organizational, time management, and interpersonal communication skills</li>
<li>Proven solid functional competence using Microsoft Office Outlook, Teams, Word, Excel, PowerPoint, Visio</li>
<li>Proven excellent customer service orientation</li>
<li>Proven high-level of analytics and reporting with excellent attention to detail</li>
<li>Proven ability to work in a fast-paced changing environment</li>
<li>Proven ability to present and communicate complex information in a clear and concise manner, verbally or in writing</li>
<li>Proven ability to engage and influence diverse stakeholders</li>
<li>Proven ability to work independently and organize work effectively</li>
<li>Proven ability to work with staff at various levels with various focus areas (e.g., technical and operational)</li><br>
</ul>
<p><b>Preferred Qualifications:</b></p>
<ul>
<li>Master&rsquo;s Degree in Business, Healthcare, Public Health, or related area</li>
<li>7+ years management experience</li>
<li>Epic Cadence, Epic Ambulatory and Reporting experience</li>
<li>Knowledge of Lean, Six Sigma, or similar methodologies</li>
<li>Proven solid project management skills</li></ul><br>
<p></p>
<ul><li>All employees working remotely will be required to adhere to UnitedHealth Group&rsquo;s Telecommuter Policy</li></ul><br>
<p>
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you&rsquo;ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.</p><br>
<p></p>
<p><i>
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes &ndash; an enterprise priority reflected in our mission.</i></p><br>
<p></p>
<p><i>
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.</i></p><br>
<p></p>
<p><i>
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.</i></p></div><p></p>

Sr. Manager Patient Access Capacity Management – Kelsey Seybold – Patient Access Center – Remote

Capital Health

<div><div>Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.</div><div></div><div>
Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.</div><div></div><div>
The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).</div><div></div><div>
Pay Range:</div>
$19.71 - $25.62<div></div><div>
Scheduled Weekly Hours:</div>
40<div></div><div>
Position Overview</div><div>
Functions as a super user to insure department compliance with system and operational changes and assists in training to support ongoing staff education and development. Applies financial screening guidelines to insure collectable accounts and functions as a resource to staff. Communicates effectively and works cooperatively with others. Has respect for and understanding of other registration disciplines. Utilizes standards, guidelines, and written procedures for performing registration functions.</div><div></div><div>
MINIMUM REQUIREMENTS</div><div>
Education:High school diploma or equivalency.</div><div>
Experience:One year of Health Access experience. Knowledge of all Capital Health departments required.</div><div>
Other Credentials:</div><div></div><div>
Knowledge and Skills:Health Access Representative productivity exceeds 90% with less than 10% error rate. Strong customer service and problem-solving skills.</div><div>
Special Training:Proficient computer skills. Advanced health insurance and prior authorizations knowledge.</div><div>
Mental, Behavioral and Emotional Abilities: Possesses ability to work independently and as a team member.</div><div>
Usual Work Day:8 Hours</div><div>
ESSENTIAL FUNCTIONS</div><ul><li>
Assists in training, problem solving, and quality review with subordinate health access representatives. Assigns duties to registrars as directed by Supervisor or Manager.</li><li>
Follows compliance with computer system procedures, department procedures, and training guidelines to accurately complete each registration. Serves as a resource for company protocols.</li><li>
Audits charts for accurate demographics, Medicare compliance, authorizations and referrals, necessary signatures, and completion of forms and charts.</li><li>
Complies with department procedures and regulatory guidelines for Medicare Secondary Payer, Advance Beneficiary Notice, Advance Directives, Patients Rights, and the Interpreter flag as measured by quality assurance and observation.</li><li>
Follows and monitors staff compliance with following payer requirements for authorization, pre-authorization, referrals, coordination of benefits forms, and in-network verification according to Insurance Card Database, and Insurance Verification guidelines.</li><li>
Audits charts for final billing. Ensures accurate demographics, authorizations or referrals, necessary signatures, and completion of forms and charts.</li><li>
Follows Self Pay procedure regarding No Surprise Billing Act and referrals to Medicaid and charity.</li><li>
Assists with training and education of patient access staff.</li><li>
Communicates effectively with Health Access team members and is open to feedback and suggestions in order to identify opportunities for improvement.</li><li>
Identifies and seeks out members of the registration department as a resource to increase knowledge and seek validation of department guidelines and procedures.</li><li>
Reports to Management Team regarding department deficiencies to include faulty equipment, supplies and concerns.</li><li>
Identifies unit and department goals and supports the culture of organization.</li><li>
Supports department performance improvement initiatives. Initiates ideas to meet department goals.</li><li>
Attends all mandatory department meetings.</li><li>
Follows patient identification policy.</li><li>
Serves as a resource for Health Access department. Leads department through daily workload and divides work as needed.</li><li>
Provides coverage in working areas as required when on-call duties apply.</li><li>
Acts as a liaison for physician office and ancillary departments as needed.</li></ul><div>
PHYSICAL DEMANDS AND WORK ENVIRONMENT</div><div>
Frequent physical demands include: Sitting , Wrist position deviation , Pinching/fine motor activities<br>
<br>
Occasional physical demands include: Standing , Walking , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Keyboard use/repetitive motion<br>
<br>
Continuous physical demands include: Talk or Hear<br>
<br>
Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.<br>
<br>
Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Accurate Depth Perception, Accurate Hearing</div><div>
Anticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens , Airborne Communicable Disease , Extreme Noise Levels , Dust/Particulate Matter</div><div></div><div>
This position is eligible for the following benefits:</div><ul><li><div>
Medical Plan</div></li><li><div>
Prescription drug coverage &amp; In-House Employee Pharmacy</div></li><li><div>
Dental Plan</div></li><li><div>
Vision Plan</div></li><li><div>
Flexible Spending Account (FSA)</div></li></ul><ul><li>Healthcare FSA</li><li>Dependent Care FSA</li></ul><ul><li><div>
Retirement Savings and Investment Plan</div></li><li><div>
Basic Group Term Life and Accidental Death &amp; Dismemberment (AD&amp;D) Insurance</div></li><li><div>
Supplemental Group Term Life &amp; Accidental Death &amp; Dismemberment Insurance</div></li><li><div>
Disability Benefits &ndash; Long Term Disability (LTD)</div></li><li><div>
Disability Benefits &ndash; Short Term Disability (STD)</div></li><li><div>
Employee Assistance Program</div></li><li><div>
Commuter Transit</div></li><li><div>
Commuter Parking</div></li><li><div>
Supplemental Life Insurance</div></li></ul><ul><li>Voluntary Life Spouse</li><li>Voluntary Life Employee</li><li>Voluntary Life Child</li></ul><ul><li><div>
Voluntary Legal Services</div></li><li><div>
Voluntary Accident, Critical Illness and Hospital Indemnity Insurance</div></li><li><div>
Voluntary Identity Theft Insurance</div></li><li><div>
Voluntary Pet Insurance</div></li><li><div>
Paid Time-Off Program</div></li></ul><div></div><div>
The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level.</div><div></div><div>
The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.</div></div>

Health Access Rep Lead - FT - Day - Patient Access Services Hamilton NJ

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Health Access Rep Lead - FT - Day - Patient Access Services Hamilton NJ