What are the responsibilities and job description for the PRE-ACCESS SUPERVISOR position at Natchitoches Regional Medical Center?
Description
Position Summary
The Pre-Access supervisor coordinates all aspects of the pre-service process to facilitate an efficient and customer-friendly atmosphere, in line with the mission and core values of Natchitoches Regional Medical Center. The Pre-Access supervisor is responsible for inpatient and outpatient insurance verification, precertification/authorization; time of service collections; and screening for financial assistance for all patients scheduled for services. Assures development of a high-performance work team through coaching, mentoring, and daily briefings. Responsible for analysis of performance metrics to improve process performance. Maintains all levels of the pre-Admission process in conjunction with JCAHO standards and HIPAA regulations. Develops and maintains working relationships with physicians and office staff, as well as other customers within and outside the facility.
Primary Responsibilities
Reasonable accommodations may be made to enable individuals with disabilities to perform the primary responsibilities.
A. PRE-ADMISSIONS/REGISTRATION
Responsible for the management of pre-admission/registration functions for inpatient and outpatient services to ensure financial clearance prior to or at the time of service.
1. Assures process and resource allocation to provide prompt and accurate pre-admission functions to include:
a. Pre-admissions
b. Verification of benefits
c. Precertification/Authorization is obtained and documented as designated by payor
d. Calculation of patient portion, securing payment or payment arrangement
e. Financial Assistance screening if indicated
B. PATIENT SCHEDULING
Provides direction and guidance to decentralized scheduling clinical staff to ensure accurate, timely, and complete scheduling of patient procedures.
1. Ensures that accurate and complete data is gathered and entered into the scheduling software timely.
2. Coordinates with the centralized Pre-Access department to ensure that insurance verification and pre-registration processes function smoothly and effectively.
C. GENERAL MANAGEMENT DUTIES
1. Coordinates patient pre-access processes and policies as directed by volume, standards/regulations, and goals set by senior management.
2. Serves as a liaison with clinical staff, physicians, and office staff as appropriate.
3. Prepares reports for management, e.g., up-front collections monitoring, admission errors, patient satisfaction, etc.
4. Performs other duties as assigned by manager and/or director.
Competencies
1. Ensures Accountability – Holding self and others accountable to meet commitments.
2. Communicates Effectively – Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences.
3. Manages Conflict – Handling conflict situations effectively, with a minimum of noise.
4. Drives Results – Consistently achieving results, even under tough circumstances
5. Business Insight – Applying knowledge of business and the marketplace to advance the organization’s goals.
6. Builds Effective Teams – Building strong-identity teams that apply their diverse skills and perspectives to achieve common goals.
7. Develops Talent – Developing people to meet both their career goals and the organization’s goals.
Supervisory Responsibility
Supervises decentralized insurance verifiers and financial assistant positions as assigned.
Requirements
Required Education and Experience
1. High school diploma or GED required.
2. Minimum of 2 years of supervisory experience required.
3. Knowledge of governmental and managed care payor requirements for admission.
Preferred Education and Experience
1. Bachelor's degree preferred.
2. Minimum of three years progressive work experience in Hospital Revenue Cycle or Physician Office setting preferred, necessary to gain full understanding of preadmission, admission, verification, precertification, time of service calculation and financial screening in order to effectively manage team functions and activities.
3. 3 Years of experience, education and work performance of an internal Associate may be reviewed and considered for possible promotion into this position if the Associate has demonstrated knowledge of third-party rules and requirements and Admitting principles and processes.
