Supervisor - Patient Access
Atlas Healthcare PartnersAbout the role
Atlas Healthcare Partners exists to form strategic partnerships with health systems across the nation to develop, manage and operate Ambulatory Surgery Centers (ASCs) in their markets. As a key player in this rapidly growing healthcare segment, we are committed to providing exceptional care and outstanding customer service to every patient, every physician, every time. Our daily focus revolves around our core values of Integrity, Culture, Teamwork, Respect, and Results.
In addition to fostering a workplace that encourages professional growth and advancement, we provide industry-leading health and dental benefits, paired with a matching retirement package. We look forward to you being a vital part of our journey in shaping the future of healthcare.
POSITION SUMMARY
This position leads a team, or teams, within the Revenue Cycle organization that coordinates and facilitates financial clearing patients prior to surgery including building estimates, taking patient phone calls, following up on authorizations and collecting funds prior to service.
ESSENTIAL FUNCTIONS
• Confirm valid coverage for services and location by contacting insurance companies and/or review electronic responses for benefit information.
• Manage patient insurance demographic information to verify authorization obligations.
• Verify that service is a covered benefit, based on knowledge of the specific insurance plan, the specific benefit package restrictions, and the timing of the service.
• Understand patient deductibles, out-of-network referrals and out-of-pocket limitations.
• Review the account and timing of last patient demographic query to identify missing standard and/or required information. If necessary, contact the patient to complete the information.
• Calculate and collect patient liability before or at the time of service. Communicate the liability and explain the calculation low and high amounts when necessary.
• Identify the potential need for assistance when the coverage/benefit is either inadequate or nonexistent for a medically necessary service, and if necessary, create a payment plan with the patient and document the agreement appropriately.
• Oversee and lead the assigned team to deliver on their goals and work to remove barriers to the team’s success.
• Reviews and approves employee time at and away from work to ensure proper coverage.
• Works with Revenue Cycle leadership to determine the appropriate team goals to meet the business needs and directs the execution of the billing workflow to hit the agreed upon targets.
• Provides training and skill assessment for billing team members including the development and delivery of a periodic Quality Assurance plan.
• Assists team members with their professional development in support of Atlas business goals.
• Develops the appropriate training and onboarding of new employees.
• Participates in the recruiting and assessing candidates for the Financial Clearance team as opportunities arise.
• Provide guidance and support to all Atlas parties to improve overall performance including the financial clearance days out, point of service collections and clean claim rate.
• Exhibits an interest in technology, automation and data driven solutions to the team’s business challenges.
• May work payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment to help the team meet goals in work quality and productivity. Coordinates with other staff members and physician office staff as necessary ensure correct processing.
• Builds strong working relationships with assigned business units, departments or provider offices. Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. Provides assistance and excellent customer service to these internal clients.
• Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors and Revenue Cycle stakeholders accurately.
• Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.
• Provides all customers with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.
NOTE: The essential functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate manager.
MINIMUM QUALIFICATIONS
• Bachelor’s Degree or seven years of healthcare insurance and patient accounts experience.
• Requires knowledge of patient financial services, financial, collect
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