Lead Patient Access Rep

Temple University Health System; United States; On-site; USD 55,000 - 72,000; Full time

Job summary

Temple Health seeks a Lead Patient Access Representative to supervise preregistration activities, support staff training, and resolve complex insurance issues. The role requires ensuring accurate patient registrations and obtaining required authorizations for hospital and physician services.

The position supports staff training, retention, and process improvement within the Patient Access department, with emphasis on productivity and quality goals.

Qualifications

• Associate’s Degree in related field is required or a combination of education and experience may be considered in lieu of degree.
• 5 years of experience with complex pre-registration, insurance verification and/or pre-certification processes for oncological or specialized medical services.

Responsibilities

• Serve as the lead resource to Preregistration or Precertification staff to meet productivity and quality goals.
• Assist with staff training/orientation and staff development.
• Help staff resolve complex insurance coverage and authorization issues.
• Verify patient insurance coverage and benefits; obtain necessary authorizations for hospital and physician services.
• Handle escalations from physicians, staff, patients or family and ensure timely, accurate registrations.

Skills

Leadership

Staff training

Customer service

Education

Associate’s Degree in related field

Job description

Lead Patient Access Rep – (262203)

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

Your Tomorrow is Here!

Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals. Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University.

To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike. At Temple Health, your tomorrow is here!

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.

Your Tomorrow is Here!

Temple Health is committed to setting new standards for preventing, diagnosing and treating major diseases in our community and across the nation. Achieving that goal means investing in our employees’ success through staff and leadership development. Our recruitment strategy is to attract and retain a diverse, high performing workforce that fosters a healthy, safe and productive environment for our patients and colleagues alike.

Primary Location

: Pennsylvania-Philadelphia

Job

: Finance

Schedule

: Full-time

Shift

: Day Job

Employee Status

: Regular