Patient Access Team Lead

Guidehouse; Birmingham (AL); On-site; USD 38,000 - 48,000; Full time

Benefits offered by this job

Personal and Company Paid Holidays

401(k) Retirement Plan

Life Insurance & Disability Coverage

Tuition Reimbursement & Learning

Job summary

Guidehouse is seeking a Registration Specialist to manage workflow for the assigned area, handling pre-registration and point-of-service registration for inpatients, outpatients, and ED patients. You will assess patient financial status and collect deposits as required, ensuring complete and accurate information for reimbursement.

Responsibilities include training new staff, maintaining multiple systems, handling inquiries, and ensuring compliance with insurance rules and regulations.

Qualifications

• High School Diploma or equivalent.
• 8 years relevant healthcare experience in billing, collections, and patient registration.

Responsibilities

• Manage the workflow of the assigned area.
• Assist with training new team members.
• Obtain complete and accurate demographic and financial information from patients and sources.
• Obtain required signatures on consents and insurance forms.
• Enter data in computer systems and document incomplete admissions/registrations.
• Maintain multiple computer systems and positive customer service.
• Answer phone calls and assist callers per script.
• Complete all shift duties timely and accurately.
• Comply with safety regulations and policies.
• Notify patients about insurance coverage issues and co-pays.
• Review physician orders for completion and accuracy.
• Complete Medicare compliance tasks and ABN when needed.
• Know Federal, State and Local insurance laws.

Skills

Healthcare billing

Patient registration

Communication skills

Data entry

Customer service

Education

High School Diploma

Tools

EHR systems

Job description

Manages the workflow of assigned area in the absence of the manager. Responsible for all registration activities including, but not limited to, the following: pre-registration, point of service registration of inpatients, outpatients and Emergency Department patients, assessing the patient’s financial status, identifying a source of payment, obtaining sufficient information to permit reimbursement and ensuring the information is complete and accurate. Completes forms and reports related to registration and disseminates to appropriate departments. Obtains patient information, explains financial requirements to the patient or responsible party and collects deposits or deductibles as required.

Responsibilities and Duties

• Responsible for managing the workflow of assigned area.
• Assist with training new team members
• Responsible for obtaining complete and accurate demographic and financial information from a variety of sources, including patient interviews physician offices and in-house departments.
• Obtains required signatures on legal consents and insurance forms.
• Performs required pre-certification, credit referral or deposit collection. Enters data in computer and thoroughly documents any incomplete admissions/registrations in manner prescribed. Obtains pre-certification, referral or authorization number and updates patient's file.
• Maintains multiple computer systems.
• Maintains positive customer service at all times, referring unresolved issues to appropriate supervisor.
• Answers telephone calls. Follows pre-established script and provide assistance to callers.
• Completes all shift duties in a timely and accurate manner.
• Complies with all safety regulations, policies and procedures as defined by Client
• Notifies patients, family members, physicians and/or supervisors of insurance coverage issues, notifies patients of co-payments, deductibles or deposits needed, documenting all information in computer system.
• Reviews Physician’s orders for completion and ensures all required information is listed.
• Completes Medicare Compliance and obtains ABN if necessary.
• Knowledge of all Federal, State and Local Laws pertaining to insurance rules and regulations.

What You Will Need

• High School Diploma or equivalent
• 8 years relevant experience in healthcare with knowledge of billing and collections, medical insurance claims procedures and documentation, patient care charts and histories, patient registration procedures and documentation.

What Would Be Nice to Have

• Team Lead or Supervisory experience

What We Offer

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach

About Guidehouse

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [e-mail] . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse.