Patient Access Lead

				Overview:

Patient Access Lead

Full Time; Primarily 5:30p-2a M-F, with rotating on call, varied hours as needed

A Lead Admitting Tech is responsible for overseeing daily registration and appointment processes as outlined by UPH-Marshalltown registration standards and policies. This position includes monitoring staffing needs, delegating work, account denials/error management, resolving patient issues, and POS collections. Additional responsibilities include working collaboratively with Patient Access Supervisor and Manager, Patient Access Leads, Outpatient/Scheduling staff, Physicians, Physician offices, and UPH-Marshalltown ancillary departments.

Responsibilities:

Departmental Support

* Actively involved with overseeing Patient Access staff registration and appointment scheduling processes while adhering to UPH Registration standards.
* Primary resource for Patient Access department. Will assist UPH-Marshalltown Patient Access staff when on weekend call rotation. 
* Assists with new employee selection process, orientation, disciplinary guidance, and ongoing training support for staff.
* Will assist in managing staffing fte's and department expenses to remain at, or below budget.
* Weekend and Holiday "on call" rotation.
* Will prepare and oversee UPH-Marshalltown Patient Access schedule and staffing needs.
* Will partake in regularly scheduled Lead meetings to discuss issues, concerns, and department opportunities.

Registration/Billing Functions

* Correctly enters patient demographic, insurance information, and obtains signatures on all required forms (Conditions of Admissions, Important Message from Medicare, Self-pay Restricted, Release of information, ABN), as necessary for hospital billing. 
* Responsible for obtaining physician orders, scanning orders and/or transcribing them into EPIC/Paragon when required.
* Verifies insurance eligibility within EPIC/Paragon and accessing on-line resources. Reads return responses to ensure active coverage on the account for the date of service.
* Confirms if an insurance authorization is required per insurance specific requirements and will enter auth/precert number in the appropriate EPIC/Paragon field. 
* Maintains competency using EPIC estimator tool for all contracted insurance plans to ensure maximum financial reimbursement for the health system. 
* Collects the self-pay portion of a patient's out of pocket expenses at the time of registration and provides receipt of payment to the patient or other responsible party.
* Post payment to account and balance cash drawer at the end of each shift to ensure cash, checks and payments made by credit card are accounted for.
* Works collaboratively as a team to meet defined monthly UPH Point of Service collection goals.
* Proficient with hospital billing workques to resolve timely.
* Identifies patients who are self-pay status or those who may need financial counseling assistance and refers them to Patient Financial Coordinator.

Personal Accountability/Teamwork     

* Places patients, customers and other individuals that we service as a top priority.
* Places organization / department needs ahead of personal conveniences (breaks / lunches). 
* Takes accountability for completing work functions in a timely manner and audits own work for accuracy and completion.
* Completes cross-training in all areas of the department / campus and willingly moves to the area of the department where most needed including cross campus locations. 
* Demonstrates a willingness to meet the department work schedule and willingly picks up additional shifts when necessary.
* Uses good judgment in making decisions and demonstrates this with diplomacy.
* Completes other job functions in between registrations to maximize productivity.
* Participates in performance improvement initiatives and demonstrates initiative to improve quality and customer services with a goal to exceed customer expectations.
* Uses AIDET principles to greet patients and visitors in a positive and courteous manner and will determine the need for assistance with directions, escort, or transport services. 
* Remains sensitive and empathetic to patients, relatives, and guests who may be using non-verbal curs to express their feelings or needs.
* Answers questions about the registration process and provides information to others as needed.
* Anticipate the need to assist co-workers and adapt to staff coverage in any registration area or site.

Financial Management

* Proficient with Hospital Billing and Professional Billing workques, as well as denial management opportunities.
* Responsible for overseeing patient workques to insure accounts worked timely and accurately, and will delegate to staff appropriately.
* Provide additional registration/billing training when denial trends are identified.

Qualifications:

Required:

* High School Diploma or equivalent
* 1 year Front desk experience in hospital and/or medical office setting
* Use of usual and customary equipment used to perform essential functions of the position.

Preferred:

* Associates Degree or related Medical field certificate/degree.
* Insurance billing. Medical terminology. Hospital registration/scheduling experience.
* Valid driver's license when driving any vehicle for work-related reasons
			

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UnityPoint Health