Supervisor, Patient Access - Hospital Experience

Med-Metrix, LLC; Arlington (VA); On-site; USD 65,000 - 95,000; Full time

Job summary

Med-Metrix, LLC in Arlington, VA is seeking a Supervisor, Patient Access to oversee insurance verification, financial clearance and authorization teams. You’ll monitor productivity, lead QA, and manage escalations while ensuring HIPAA compliance and strong customer service.

The role requires 3+ years’ experience in healthcare front desk leadership, solid communication skills and proficient use of Microsoft Office. Remote access and confidentiality are critical in this environment.

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 communication skills.
• 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

Interpersonal skills

Communication

Organization

Problem solving

Education

Experience in healthcare billing or physician practice management

Tools

Microsoft Office Suite

Job description

Job Purpose

The Supervisor, Patient Access is responsible for monitoring and overseeing the daily activities of the insurance verification, financial clearance and authorization team including inventory management, monitoring of process KPI’s, communicating appointment scheduling changes front-desk leadership and monitoring productivity and quality.

Duties and 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

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

Working Conditions

• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
• Physical Demands: While performing the duties of this job, the employee is required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.