Evenings Lead Patient Access & Authorization

The University of Kansas Health System; Olathe (KS); On-site; USD 52,000 - 68,000; Full time

Job summary

The University of Kansas Health System in Olathe, KS, seeks a Lead Patient Registration Representative Evenings – Full Time to assist management in maintaining departmental standards and resolving daily issues. The Lead will oversee all registration processes, policies, and precertification, and will raise concerns to management as needed.

Position requires education and experience in patient access, with evening hours Monday to Friday 5:00pm–1:30am.

Qualifications

• High School Graduate.
• 1 or more years of referral experience.

Responsibilities

• Communicates with multi-disciplines throughout the health care continuum to ensure pertinent information is communicated regarding eligibility, benefits and authorization for services for the purpose of identifying payment responsibilities.
• Acts as liaison between Olathe Hospital and health plans or HMO's to ensure compliance with pre-certification and authorization requirements of plans and to facilitate reimbursement.
• Acts as a Patient Access Representative as needed.
• Communicates needs for education/discipline/concerns to management.
• Responds to patient/customer service concerns.
• Assists as applicable, in accomplishment of identified departmental goals.
• Promotes all processes in place to prevent denial of reimbursement; when denials occur, assists with timely identification and investigation; When indicated, performs or assists with appeal process in order to promote successful reversals.
• Provide effective communication with staff regarding any process changes, issues or concerns.
• Obtains benefit verification and hospital precertification on all Inpatients and on applicable Outpatients and Observation patients.
• Documents accurately and completely.
• Monitors staff to ensure workload is being completed/handled in a timely manner.
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities.
• Skills and duties may vary dependent upon your department or unit.
• Other duties may be assigned as required.

Education

High School Graduate

1 or more years of referral experience

Job description

The University of Kansas Health System in Olathe, KS, seeks a Lead Patient Registration Representative Evenings – Full Time to assist management in maintaining departmental standards and resolving daily issues. The Lead will oversee all registration processes, policies, and precertification, and will raise concerns to management as needed.

Position requires education and experience in patient access, with evening hours Monday to Friday 5:00pm–1:30am.