[Hiring] Patient Access Facility Lead @Prisma Health

Role Description

Performs functions of moderate to difficult complexity with high visibility and high risk from a compliance and regulatory standpoint. Assists Management with training, orienting and monitoring day to day performance of team members to ensure departmental policies and processes are being followed, responsible for daily cash handling procedures, assists with the development of team member schedules and registers patients. Subject Matter Expert for the department.

• All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
• Interviews patient or other sources, in accordance with HIPAA guidelines, to obtain complete and accurate patient demographic and financial information for the purpose of establishing the patient record and facilitating timely claims payment.
• Collects and records information that supports the clinical team with ensuring requirements are met surrounding health equity and the social determinants of healthcare, which is subject to review by CMS and the Joint Commission.
• Performs routine account analysis and problem solving. Alleviates difficult situations and handles patient inquiries and/or concerns.
• Acts as a preceptor to ensure team members are equipped to complete efficient registration processes to support an optimal patient experience.
• Maximizes collections and minimizes bad debt by providing estimated costs for patient responsibility at time of service.
• Collaborates with Patient Access Leadership to coordinate team member schedules, including scheduling rotation, time off, and call-offs as necessary.
• Provides education to inform team members of relevant changes and developments in payor requirements.
• Performs other duties as assigned.

Qualifications

• High School diploma or equivalent OR post-high school diploma/highest degree earned.
• Four (4) years hospital admissions, billing and/or credit/collections experience.
• In lieu of education and experience detailed above, four (4) years in a service-related position (i.e., customer service in a business/office setting, banking, or finance) to include two (2) years in a lead capacity.
• Preference is given to candidates with experience in hospital admissions, billing, or credit/collections.
• In lieu of education and experience detailed above, an Associate degree and two (2) years of experience may be considered.
• In lieu of education and experience detailed above, Bachelor's degree plus one (1) year experience may be considered.

Requirements

• Maintains a working knowledge of third-party payment requirements, including (as applicable) Medicare, Medicaid, managed care organizations, private insurers, and worker's compensation carriers.
• Ability to foster an environment that focuses on an optimal patient experience through accountability, collaboration, team member participation, and effective communication.
• Proficient computer skills including word processing, spreadsheets and database.

Company Description

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.