Patient Access Operations Lead (Insurance Verification)

Med-Metrix, LLC; Arlington (VA); On-site; USD 65,000 - 90,000; Full time

Job summary

Med-Metrix, LLC in Arlington, VA is seeking a Supervisor, Patient Access to oversee the insurance verification, financial clearance and authorization team, ensuring accuracy, throughput and patient service quality.

You will monitor KPI's, manage scheduling, training and compliance with HIPAA and healthcare regulations, and report on weekly and monthly performance. This role requires leadership, communication and problem-solving skills to drive improvements in front-desk operations.

Qualifications

• 3+ years' experience managing the front desk at a hospital, 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 Hospital Billing, 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 insurance verification, financial clearance and authorization workflow, including referrals, throughput, front-desk communication, and account escalations
• Ensures financial clearance days out, POS collections targets, and reduces eligibility & benefit denials
• Manage team productivity daily, weekly and monthly
• Ensure weekly QA is performed and address performance issues with training and action plans
• Provide assistance/resolution to external and internal client inquiries
• Prepare and maintain daily and weekly reports/logs on front-desk escalations, reschedules, and inventory logs
• Maintain current knowledge of healthcare issues and regulations
• Identify issues and work with manager/director to resolve
• Provide training, monitoring and feedback as well as disciplinary action as necessary
• Maintain a professional attitude
• Maintain confidentiality
• Monitor attendance, PTO usage and staffing
• Other duties as assigned
• Responsible for disabling remote client access for terminated/transferred employees timely
• Report HIPAA violations to HIPAA Officers
• Use and disclose PHI per HIPAA standards
• Understand and comply with Information Security and HIPAA policies; train direct reports
• Limit viewing of PHI to minimum necessary

Skills

Interpersonal skills

Communication skills

Organizational skills

Team leadership

Problem solving

Attention to detail

Verbal communication

Written communication

Reliability

Tools

Microsoft Office Suite

Job description

Med-Metrix, LLC in Arlington, VA is seeking a Supervisor, Patient Access to oversee the insurance verification, financial clearance and authorization team, ensuring accuracy, throughput and patient service quality.

You will monitor KPI's, manage scheduling, training and compliance with HIPAA and healthcare regulations, and report on weekly and monthly performance. This role requires leadership, communication and problem-solving skills to drive improvements in front-desk operations.