Patient Access Lead-Authorizations FT, Day

Inspire health. Serve with compassion. Be the difference.

Job Summary

Accountabilities:

(Seneca location is the Home Base, periodically will float to Grove and Easley locations)

• Assists in recruitment and retention of qualified staff; participates in applicant screening, interviewing, and selection. 5%
• Trains/orients and monitors progress/performance of assigned staff on a day-to-day basis. Performs employee evaluations in collaboration with Manager and recommends personnel actions as appropriate. 5%
• Develops and maintains work schedule within budgeted parameters. Establishes priorities, assigns and monitors work, and audits work flow. 10%
• Evaluates and monitors daily work processes/procedures for compliance with established quality and quantity standards. Identifies and resolves problems and develops, recommends and implements process changes including performance coaching with employees to improve productivity and reduce costs. 25%
• Coordinates activities necessary for implementation of required training programs. 5%
• Monitors daily collections to identify trends and to develop and implement corrective action as needed. 5%
• Coordinates admitting activities with other departments and with physician practices by anticipating and providing solutions to the needs of various populations. Gives high priority to customer satisfaction by ensuring a smooth and efficient admission process, maximizing reimbursement and maintaining effective working relationships. 10%
• Monitors Admissions activities and intervenes as necessary to alleviate difficult situations and handle customer inquiries or complaints. 5%
• Interprets and implements hospital policies relating to admissions/discharge, credit & collections, disclosure of confidential information, and data and cash management. 10%
• Maximizes collections and minimizes bad debt by reviewing all potential self-pay and sponsorship cases and taking appropriate action in compliance hospital policy. 5%
• Maximizes reimbursement by ensuring compliance with third party requirements, including precertification and insurance verifications. Ensures compliance of reimbursement requirements and government, managed care and/or third party regulations and guidelines. Communicates discrepancies to appropriate personnel or departments. 10%
• Performs duties/responsibilities of Admissions Counselor as appropriate. 5%

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