Senior Patient Access Lead: Precert & Insurance Verifications

Temple Health; Philadelphia (Philadelphia County); On-site; USD 50,000 - 70,000; Full time

Job summary

Temple University Health System, Inc. is seeking a Lead Patient Access Representative in Philadelphia to oversee and support the patient access staff. This role involves managing complex insurance authorization issues and training new employees. The ideal candidate will have an Associate's Degree and at least 5 years of experience with pre-registration and insurance verification processes, particularly in oncological services. The position emphasizes ensuring efficient registration for hospital services and handling escalations appropriately.

Qualifications

• 5 years of experience with complex pre-registration processes for specialized medical services.
• General experience with front end revenue cycle functions and insurance verification is preferred.

Responsibilities

• Assist Manager with training and resources for staff.
• Handle escalations and solve complex insurance issues.
• Verify patient insurance coverage and benefits.

Skills

Insurance verification

Pre-registration processes

Customer service

Education

Associate's Degree in related field

Job description

Job Description - Lead Patient Access Rep (262203)

Lead Patient Access Rep - ( 262203 )

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.

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Temple Health refers to the health, education and research activities carried out by the affiliatesof Temple University Health System (TUHS) and by the Lewis Katz School of Medicine atTemple University. TUHS neither provides nor controls the provision of health care.All health care is provided by its member organizations or independent health care providersaffiliated with TUHS member organizations. Each TUHS member organization is owned and operatedpursuant to its governing documents.