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Supervisor, Patient Access

Location : Buffalo, NY
Job Type : Temp/Contract
Hours : Full Time
Travel : No
Relocation : No

Job Description :

• Manages, carries out, documents and reports on required Patient Access activities.
• Manages the Patient Access Coordinators, Senior Patient Access Representative, Patient Access Representatives, secretaries and any other employees who are assigned to the Patient Access Department including work schedules, vacations coverage/solicitation, coaching/counseling/discipline, staff development and training, performance documentation and 6-month and annual evaluations, and other duties expected for managers and supervisors at Roswell Park.
• Oversees the insurance preauthorization process for new patient scheduling team, internal consults, clinical trial authorizations and Veteran’s Administration referrals; ensures that all patients scheduled for these areas have their insurance overage verified and that necessary authorizations are obtained and documented in appropriate databases.
• Identified patient who may have financial difficulties die to insufficient or a lack of insurance coverage; refers these patients to financial counselor, ensures that directions regarding appropriate payment plan from the Financial Counseling office or required referrals and/or authorizations are in place before scheduling appointments based on Financial Counselors clearance.
• Monitors the denials and write-offs lists for both the hospital and the Physician Practice Plan as related to demographic updates, new patient insurance verification process, clinical trial eligibility and prior authorization process and the Veteran’s Administration referral process; takes corrective action based on an analysis of identified causes; develops and implements standard operating procedures to reduce denials and write-offs; ensures all denials are addressed in a timely manner and remediated when possible.
• Works with the Director, Patient Access to establishes and monitor goals for write-off and denial amounts for the Patient Access area and develop standard operating financial procedures to meet these goals.
• Works with Human Resources staff to coordinate and facilitate new employee mandatory training.
• Works with the Director and other areas of the organization to identify areas of performance improvement and quality assurance monitoring; creates plan; implements and reports those efforts to organization Quality improvement committee.
• Maintains and established departmental policies and procedures, objectives, quality assurance programs, safety and compliance standards.


Required Qualifications :

MINIMUM QUALIFICATIONS (All applicants MUST meet these):
• Bachelor’s degree and the equivalent of four (4) years of full-time experience in an ambulatory or outpatient clinic, healthcare business office or patient access type of environment, including one (1) year experience in a supervisory, administrative, consultative, managerial, or executive capacity; or
• Associates degree and equivalent of six (6) years of full-time experience in an ambulatory or outpatient clinic, healthcare business office or patient access type of environment, including one (1) year experience in a supervisory, administrative, consultative, managerial, or executive capacity; or
• High School Diploma or High School Equivalency diploma and the equivalent of eight (8) years of full-time experience in an ambulatory or outpatient clinic, healthcare business office or patient access type of environment, including one (1) year experience in a supervisory, administrative, consultative, managerial, or executive capacity; or
• High School Diploma or High School Equivalency diploma and the equivalent of six (6) years of full-time experience as a Patient Access Representative at Comprehensive Cancer Center, including one (1) year experience in a supervisory, administrative, consultative, managerial, or executive capacity.


 


PREFERRED QUALIFICATIONS:
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• Must have excellent verbal, written and electronic communication skills.
• Must be comfortable and competent to communication with patients, payers, referring clinicians and employees and volunteers in all department.
• Must demonstrate interpersonal relationships in a manner which enhances communication, promotes conflict resolution, and facilitates staff mentoring and development.
• Must demonstrate managerial leadership and organizational abilities,
• Must have the ability to work in stressful conditions.
• Must be computer literate and have the ability to use the Hospital information system.
• Must have the ability to react to a crisis in a calm and professional manner.
• Must have the ability to think and plan in a critical fashion.
• Must have the ability to exercise sound judgement and discretion.


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