Job description
Overview:
Under general supervision, the Patient Access Team Lead is responsible for oversight of LifeLinc’s front-end process of tasks relating to electronic data transfers and manual inputs of patient demographic, insurer and other service-related information into LifeLinc’s multi-site revenue cycle billing software.
Responsibilities:
- Serve as direct supervisor for members of LifeLinc’s Patient Access Team – managing day to day duties, tasks, employee concerns and appropriate staffing levels
- Implementing and/or maintaining operational processes to ensure comprehensive, accurate and timely capture of all patient access information, including patient demographics, insurance & insurance eligibility, prior authorizations, provider information, medical records and other required service-related documentation for integration into LifeLinc’s multi-site revenue cycle billing software
- Work closely with other revenue cycle team members to understand and comply with governmental & other third-party payor requirements related to claims submissions and to ensure proper payment
- Interview, evaluate and train new hires and provide ongoing training to Patient Access team as necessary
- Conduct routine audits of revenue cycle information
- Serve as a point of escalation related to account issues such as charge capture, missing information, documentation completion, etc.
- Produce deliverables such as team productivity summaries, dashboards and monthly facility summaries
- Address concerning trends identified through monthly reporting
- Oversee new site implementation – establishing data transfer systems, staffing, serving as a billing point of contact for the facility
- Other duties as assigned
- Associate degree and/or higher-level education, completed coursework in business or health services administration, or equivalent experience
- Two years or more experience in healthcare pre-access, patient access, admissions or hospital business office, or physician practice office. Candidates with CBO experience are preferred
- Thorough knowledge & experience with health care information system technology
- Clear understanding of healthcare care billing & revenue cycle management
- Detailed understanding of CMS & other third-party payor policies and guidelines
- Familiarity with hospital and/or physician billing documentation requirements
- Proficient in all Microsoft Office applications
- Analytical strengths and attention to detail
- Familiarity with CPT-4 and ICD-10 coding
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