Lead Patient Access Rep

Temple University Health System, Inc.; Philadelphia (Philadelphia County); On-site; USD 50,000 - 70,000; Full time

Job summary

Temple University Health System, Inc. is seeking a Lead Patient Access Representative in Philadelphia, PA. This role supports the Patient Access departments, providing resources and training to staff while ensuring proper patient registration and insurance verification. Candidates should have a minimum of 5 years in complex pre-registration and insurance processes, preferably in specialized medical services. Temple University values equal opportunity for all and welcomes diverse applicants.

Qualifications

• 5 years of experience with complex pre-registration, insurance verification, and/or pre-certification processes.
• Experience with oncological or other specialized medical services is highly preferred.

Responsibilities

• Ensure correct and efficient registration of patients for hospital services.
• Assist staff in resolving complex insurance coverage issues.
• Support training and development of new staff.

Skills

Complex pre‑registration

Insurance verification

Patient registration

Escalation management

Education

Associate's Degree in related field

Job description

Lead Patient Access Rep (262203)

Serves as the lead resource to the Preregistration or Precertification staff within the Patient Access departments. Supports the Manager of the area to ensure the staff is receiving the proper resources and training to meet both departmental and individual productivity and quality goals. Assists with new staff training/orientation and ongoing staff development. In addition, the lead is responsible for assisting staff in solving complex insurance coverage and authorization issues. Ensures timely and accurate completion of assignments and tasks that are delegated. The lead also works at staff level when work demands and is responsible to ensure that all patients are correctly and efficiently registered for hospital services. Verifies patient insurance coverage and benefits. Obtains necessary insurance authorizations for hospital and physician services. The lead representative handles escalations or calls from physicians, employees, office staff, patients or family.

Education

• Associate's Degree in related field Required.
• Combination of relevant education and experience may be considered in lieu of degree.

Experience

• 5 years experience with complex pre‑registration, insurance verification and/or pre‑certification processes for oncological or other specialized medical services such as chemotherapy, radiation oncology, dialysis, or organ transplant.
• General Experience with and knowledge of all front end revenue cycle functions as well as third party insurance verification/authorization systems Preferred.

Licenses

No specific licenses required.

Equal Opportunity Employer / Veterans / Disabled

An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.