Lead Patient Access Rep

Temple-Health; Philadelphia (Philadelphia County); Presencial; USD 60.000 - 80.000; Jornada completa

Descripción de la vacante

Temple-Health is seeking a Lead Preregistration Specialist to oversee preregistration and precertification in the Patient Access department. You will mentor staff, coordinate training, and ensure smooth daily operations for oncology and other services.

Responsibilities include verifying insurance coverage, obtaining authorizations, resolving complex eligibility issues, and escalating as needed to maintain timely patient registrations and high-quality service.

Formación

• Associate's Degree required or combination of education and experience considered in lieu of degree.
• 5 years experience with complex pre-registration, insurance verification and/or precertification processes for oncological or specialized medical services.

Responsabilidades

• Lead preregistration/precertification staff to meet department goals.
• Support the Manager with resources and staff training.
• Assist with staff training/orientation and ongoing staff development.
• Solve complex insurance coverage and authorization issues.
• Ensure timely and accurate completion of assignments and tasks.
• Verify patient insurance coverage and benefits.
• Obtain necessary insurance authorizations for hospital and physician services.
• Handle escalations from physicians, employees, office staff, patients or family.

Conocimientos

Staff training

Insurance verification

Precertification

Team leadership

Customer service

Educación

Associate's Degree in related field

Relevant education and experience considered

Herramientas

Insurance systems

Descripción del empleo

3401 North Broad Street, Philadelphia, Pennsylvania, United States

Tracking Code

262203

Weekly Hours

40.00

Schedule

Full-Time

Shift

Day Shift

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 or
• Combination of relevant education and experience may be considered in lieu of degree Required

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. Required
• General Experience with and knowledge of all front end revenue cycle functions as well as third party insurance verification/authorization systems Preferred

Licenses