Lead Patient Access Rep

Temple Health; Philadelphia (Philadelphia County); Sur place; USD 50 000 - 70 000; Plein temps

Résumé du poste

Temple University Health System, Inc. is seeking a Lead Patient Access Representative in Philadelphia to oversee and support the patient access staff. This role involves managing complex insurance authorization issues and training new employees. The ideal candidate will have an Associate's Degree and at least 5 years of experience with pre-registration and insurance verification processes, particularly in oncological services. The position emphasizes ensuring efficient registration for hospital services and handling escalations appropriately.

Qualifications

• 5 years of experience with complex pre-registration processes for specialized medical services.
• General experience with front end revenue cycle functions and insurance verification is preferred.

Responsabilités

• Assist Manager with training and resources for staff.
• Handle escalations and solve complex insurance issues.
• Verify patient insurance coverage and benefits.

Connaissances

Insurance verification

Pre-registration processes

Customer service

Formation

Associate's Degree in related field

Description du poste

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.