Patient Access

PM Consulting

Philippines

On-site

PHP 600,000 - 900,000

Full time

2 days ago
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Benefits offered by this job

Onsite work Bridgetowne
Mid-shift schedule
Career growth opportunities
Healthcare-focused team leadership

Job summary

Confidential Hiring in Bridgetowne, Quezon City is seeking an experienced Patient Access Lead/Supervisor to oversee the day-to-day operations of the Account Specialist team under Patient Access - Benefits & Authorization.

The role requires 3–5 years in Patient Access with 1 year in a lead capacity, onsite, mid-shift, and a focus on developing processes and reporting to leadership. Eligible candidates will manage workflows and ensure payer compliance.

Qualifications

  • 3–5 years in Patient Access or related roles.
  • 1+ year in lead/supervisory or training capacity.
  • Strong knowledge of insurance verification, benefits interpretation, and prior authorization.
  • Orthopedic experience strongly preferred.

Responsibilities

  • Oversee daily Patient Access operations and team performance.
  • Coach and develop team members; provide feedback.
  • Resolve escalated patient, provider, payer inquiries.
  • Ensure compliance with payer requirements and privacy standards.
  • Collaborate with Front Office, Revenue Cycle, and leadership.
  • Prepare operational and performance reports for leadership.
  • Monitor productivity, quality, and service levels.
  • Support staffing, workload balancing, and process improvement.

Skills

Leadership
Communication
Analytical
Problem solving
Coaching
Conflict resolution
Team supervision
Workflow optimization

Education

High School Diploma
Associate or Bachelor in Healthcare Admin or related

Tools

EHR systems
Eligibility tools
Pre-certification platforms
Payer portals
Microsoft Office
Reporting tools

Job description

PATIENT ACCESS - LEAD / SUPERVISOR

Company: Confidential Hiring
Location: Bridgetowne, Quezon City
Work Setup: Onsite
Schedule: Mid Shift

We are looking for an experienced Patient Account Specialist Supervisor to oversee the daily operations, performance, quality, and development of the Account Specialist team under Patient Access - Benefits & Authorization.

Key Responsibilities
  • Supervise daily operations involving insurance verification, benefits review, package registration, referrals, authorization support, and patient financial responsibility workflows.
  • Monitor team productivity, quality, turnaround times, and service levels.
  • Serve as a subject matter expert on payer requirements, eligibility tools, benefit interpretation, referrals, authorizations, network status, and provider participation.
  • Review team documentation to ensure accuracy and compliance with established standards.
  • Provide coaching, training, feedback, and performance development to team members.
  • Handle escalated patient, provider, payer, and internal inquiries.
  • Collaborate with Front Office, Clinical, Contact Center, Revenue Cycle, and leadership teams to resolve issues and improve workflows.
  • Support staffing coordination, workload balancing, process improvement, and quality assurance initiatives.
  • Prepare and communicate operational and performance reports to leadership.
  • Ensure compliance with departmental policies, payer requirements, privacy standards, and applicable regulations.
Qualifications
  • High School Diploma or equivalent required; Associate's or Bachelor's degree in Healthcare Administration, Business, or a related field is preferred.
  • At least 3-5 years of experience in Patient Access, Insurance Verification, Benefits, Referrals, Authorizations, Revenue Cycle, physician office, or hospital environments.
  • At least 1 year of experience in a lead, supervisory, training, quality review, or workflow coordination capacity is preferred.
  • Strong knowledge of insurance verification, benefit interpretation, prior authorization, referral processes, payer requirements, and patient financial responsibility.
  • Familiarity with CPT, ICD-10, medical terminology, clinical documentation, and payer medical necessity guidelines.
  • Proficiency in EHR systems, eligibility tools, pre-certification platforms, payer portals, Microsoft Office, and reporting tools.
  • Strong leadership, communication, organizational, analytical, problem-solving, coaching, and conflict-resolution skills.
  • Ability to manage workloads, analyze trends, identify root causes, and implement workflow improvements.
  • Orthopedic experience is strongly preferred.
What We Offer
  • Onsite work environment in Bridgetowne, Quezon City
  • Mid-shift schedule
  • Opportunity to lead and develop a healthcare-focused Patient Access team
  • Career growth and professional development opportunities
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