Ld Patient Access Rep

Phoenix Children's Hospital, Inc.; Glendale (AZ); On-site; USD 42,000 - 52,000; Full time

Job summary

Phoenix Children's Hospital, Inc. seeks a Lead Patient Access Representative to oversee patient registration and act as a liaison for patients navigating the system.

This role requires expertise in front-end registration, insurance verification, and treatment authorization processes within Vision and AMPFM. The position emphasizes staff training, performance feedback, and collaboration with insurance companies and clinical teams to ensure accurate, timely admission and billing in a fast-paced

Qualifications

• High school diploma or equivalent is required.
• Associate's degree preferred in healthcare, business or related field.
• 2 years of professional/clinical experience is required.
• EMR experience is required.
• 2 years of customer service experience is required.
• Spanish speaking/writing is preferred.

Responsibilities

• Registers patients efficiently and acts as a liaison for patients receiving services.
• Maintains familiarity with front end registration modules in Vision and AMPFM.
• Trains staff on registration, insurance verification, and authorization processes.
• Provides input on staff performance and supports supervision reviews.
• Resolves problems with patients, guarantors, and vendors as needed.
• Maintains positive relationships with patients, insurers and clinical staff.
• Supports quality and productivity management processes.
• Keeps knowledge of payer requirements to ensure compliant billing.
• Participates in hospital education programs to maintain skills.
• Performs other duties related to Hospital Registration as requested.

Skills

Customer service

Multitasking

Communication

Staff training

Spanish language

Education

High school diploma or equivalent

Associate's Degree in healthcare, business or related field

Tools

Vision

AMPFM

EMR experience

Job description

Department: PCH-NW | Hospital Registration

Location: Glendale

Shift: Tue, Wed, Thu, Fri, Sat, Days, Evenings, 11am-7:30pm

Posting #: 1055452

Employee Type: Full-Time

Position Summary

The Lead Patient Access Representative performs efficient and orderly registration of all patients. This is an essential role in ensuring a smooth and efficient experience for patients navigating the healthcare system. Acts as a primary liaison for patients receiving professional and hospital services at Phoenix Children's. Serves in an area specific leadership role. Facilitates communication of operation policies and procedures to Patient Access Representatives.

Position Duties

• Understands the job expectations of Patient Access Representative. Fills in for staff, as necessary. Performs all functions of Patient Access Representative as required.
• Thoroughly understands the front end registration modules in Vision and AMPFM and communicates with IT to ensure the system is used accurately and efficiently and is updated when necessary and possible.
• Conducts training with staff to ensure that staff understands registration process, insurance verification, treatment authorization process, requirements, and mechanisms. Ensures that staff is oriented to the Job Expectations so they may fully carry out their responsibilities.
• Provides input regarding staff performance to the Supervisor of Admitting such that he/she can review employees` performance annually and can take corrective actions when necessary.
• Resolves problems with internal and external clients. Involves other supervisors and department managers as necessary.
• Maintains a positive working relationship with patients/guarantors, insurance companies, government entities, clinical personnel, co-workers and management to promote teamwork, cooperation and a positive public image for Phoenix Children's.
• Serves as a leader and assists with quality and productivity management processes.
• Maintains sufficient knowledge of payers to ensure accurate and timely billing and compliance with all federal, state, and contractual laws and agreements.
• Participates in a variety of unit and hospital educational programs to maintain current skill and competency levels.
• Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable

Position Qualifications

Education

1. High school diploma or equivalent. Required
2. Associate's Degree in healthcare, business or related field OR the equivalent combination of education and experience. Preferred

Experience

1. Two (2) years of experience in a professional/clinical setting OR healthcare with at least one (1) year in registration and/or equivalent experience. Required
2. Electronic Medical Record (EMR) experience. Required
3. Two (2) years of experience in customer service. Required

Special Skills

1. Follow any payer or governmental requirements as required by the organization. Required
2. Advanced knowledge of Patient Access/Admissions/Registration functions. Required
3. Ability to speak and write Spanish. Preferred
4. Thorough knowledge of insurance, registration process, and third party payors. Preferred
5. Strong multitasking and communication skills. Preferred

Physical Requirements & Occupational Exposure/Risk Potential

1. 1. Physical Requirement - Climbing - Occasionally
2. 2. Physical Requirement - Feeling (sensing textures and temperatures) - Occasionally
3. 3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) - Frequently
4. 4. Physical Requirement - Hearing - Constantly
5. 5. Physical Requirement - Pushing/pulling - Frequently
6. 6. Physical Requirement - Reaching - Frequently
7. 7. Physical Requirement - Sitting - Frequently
8. 8. Physical Requirement - Standing - Frequently
9. 9. Physical Requirement - Stooping/crouching/kneeling/crawling - Occasionally
10. 10. Physical Requirement - Talking - Constantly
11. 11. Physical Requirement - Tasting/smelling - Constantly
12. 12. Physical Requirement - Walking - Constantly
13. 13. Physical Requirement - Near Vision - Occasionally
14. 14. Physical Requirement - Far Vision - Occasionally
15. 15. Physical Requirement - Color Discrimination - Occasionally
16. 16. Physical Requirement - Use of keyboard, mouse and/or computer equipment - Constantly
17. 17. Physical Requirement - Lift up to 35 pounds without assistance - Occasionally
18. 18. Physical Requirement - Lift more than 35 pounds without assistance - Occasionally
19. 19. Occupational Exposure/Risk Potential - Confined areas - Applicable
20. 20. Occupational Exposure/Risk Potential - Extreme noise levels - Applicable
21. 21. Occupational Exposure/Risk Potential - Airborne communicable diseases - Applicable
22. 22. Occupational Exposure/Risk Potential - Bloodborne pathogens or bodily fluid - Applicable
23. 23. Occupational Exposure/Risk Potential - Fumes or airborne particles - Applicable
24. 24. Occupational Exposure/Risk Potential - Hazardous materials exposure - Applicable