Patient Access Lead: Insurance Verification & Compliance

Med-Metrix; Arlington (VA); On-site; USD 65,000 - 85,000; Full time

Job summary

Med-Metrix is seeking a Supervisor, Patient Access to oversee the insurance verification, financial clearance and authorization team from the front desk to back-end processes in a physician practice setting.

You will monitor KPIs, manage productivity, and ensure compliance with HIPAA and security standards while driving quality and throughput across daily operations. Arlington-area responsibilities require strong communication and hands-on coaching.

Qualifications

• 3+ years’ experience managing the front desk at a physician practice or leading an insurance verification team for a third party billing office or similar setting.
• Ability to work well individually and in a team environment.
• Must be reliable, responsible, goal oriented and flexible.
• Excellent interpersonal, communication and organizational skills.
• Experience in Physician Billing or Physician Practice Management.
• Strong organizational skills.
• Strong verbal and written skills in order to effectively communicate with patients, co-workers, insurance companies, practice staff, and clients.
• Proficiency in Microsoft Office Suite.
• Strong interpersonal skills, ability to communicate well at all levels of the organization.
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses.
• High level of integrity and dependability with a strong sense of urgency and results oriented.
• Excellent written and verbal communication skills required.
• Gracious and welcoming personality for customer service interaction.

Responsibilities

• Monitors all pieces of insurance verification, financial clearance and authorization work-flow including all inbound forms of account referral, daily team throughput, communication with the front desk and handling of account escalations.
• Ensures all process goals are met inclusive of hitting financial clearance days out targets, POS collections targets and reduction of eligibility & benefit denials.
• Manage team productivity daily, weekly and monthly ensuring productivity targets are met.
• Ensure weekly QA is performed on all work and address performance issues with training, mentoring and action plans for improvement.
• Provide assistance/resolution to external and internal client inquiries.
• Prepares and maintains daily and weekly reports/logs including but not limited to front-desk account escalations, notification of appointments for reschedule and account inventory logs to manage team work-flow.
• Maintain a current working knowledge of all healthcare related issues and regulations.
• Identifies issues and works with the manager and director to get them resolved.
• Provide training, monitoring and feedback as well as disciplinary action as necessary.
• Maintain a professional attitude
• Maintain confidentiality at all times
• Monitors team attendance, PTO usage and staffing requirements
• Other duties as assigned by their management team
• Responsible for ensuring that remote client access to is disabled for terminated or transferred employees when applicable in a timely fashion
• Report any security or HIPAA violations or concerns for your team to the HIPAA Officers in a timely fashion
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times and ensure all direct reports are trained and in compliance of said policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties for your respective team

Skills

Team leadership

Front desk management

Communication

Organizational skills

Microsoft Office

HIPAA compliance

Problem solving

PHI confidentiality

Customer service

Tools

Microsoft Office Suite

Job description

Med-Metrix is seeking a Supervisor, Patient Access to oversee the insurance verification, financial clearance and authorization team from the front desk to back-end processes in a physician practice setting.

You will monitor KPIs, manage productivity, and ensure compliance with HIPAA and security standards while driving quality and throughput across daily operations. Arlington-area responsibilities require strong communication and hands-on coaching.