Lead Patient Access Rep

Temple Health – Temple University Health System; Philadelphia (Philadelphia County); On-site; USD 60,000 - 80,000; Full time

Job summary

Temple Health – Temple University Health System in Philadelphia is seeking a lead for the Patient Access departments. This role focuses on supporting staff through training and addressing complex insurance issues. The ideal candidate will have a minimum of 5 years’ experience in pre-registration and insurance verification processes. Additional qualifications include an Associate's Degree or equivalent experience. Candidates should be skilled in problem-solving and prepared to train new hires in this dynamic healthcare environment.

Qualifications

• 5+ years of experience with complex pre-registration and insurance verification processes.
• Experience with specialized medical services such as chemotherapy or organ transplant.

Responsibilities

• Lead resource for Preregistration and Precertification staff.
• Ensure staff receive appropriate resources and training.
• Assist staff with solving complex insurance issues.

Skills

Insurance verification

Complex pre-registration processes

Staff training

Problem-solving

Education

Associate's Degree in related field

Job description

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