What are the responsibilities and job description for the Patient Access Representative Lead - Birth Place/Labor & Delivery position at St. Joseph's Health?
Employment Type:
Full time
Shift:
Rotating Shift
Description:
MISSION STATEMENT:
We, St Joseph's Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
VISION:
To be world-renowned for passionate patient care and outstanding clinical outcomes.
CORE VALUES:
The Patient Access Authorization Lea directly impacts the revenue cycle by accurately processing data relating to insurance, authorization and demographic information following unit specific policies while maintaining current knowledge of payor insurance requirements. The Authorization Lead may initiate the processes and assesses surgical and diagnostic patient information to be systematically available hospital wide. The Authorization Lead meets established quality and productivity standards and interacts professionally with MD’s, MD office staff, employees, outside vendors, patients, and patient representatives. The Authorization Lead identifies workflow changes to assist in the reduction of authorization denials for the organization. This role works closely with the surgical HUB to make certain that specific procedure codes are appropriately aligned with the authorization being obtained by the payer. The Authorization Lead will assist in training and putting standard work in place with the authorization team to be certain we are paid for all procedures being performed.
EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:
This position requires two years of medical office or customer service experience. Participates in orientation, patient access training program and continuing education. Updates and maintains knowledge and skills related to specific areas of expertise.
Participates in orientation and continuing education and updates and maintains knowledge and skills related to specific areas of expertise.
SPECIAL EQUIPMENT, SKILLS OR OTHER REQUIREMENTS:
Word processing skills required along with PC experience; basic mathematical skills, effective verbal and written communication and human relations skills. Related experience in hospital registration, Eclipsys or PHS/HPF and knowledge of medical terminology preferred.
WORK ENVIRONMENT AND HAZARDS: Clinical Setting. Exposure Class I or II; service specific.
PHYSICAL DEMANDS: Sedentary work: standing, walking and sitting for prolonged periods of time; repetitive motion of hands, fingers, and wrists.
WORK CONTACT GROUP: All services, employees, medical staff, patients, visitors, vendors, and regulatory agencies.
SUPERVISED BY: Patient Access Coordinator
SUPERVISES: Not applicable.
CAREER PATH: Level 2, Level 3 Patient Access Representative; Coordinator, Manager
Pay Range: $19.64-27.85
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Full time
Shift:
Rotating Shift
Description:
MISSION STATEMENT:
We, St Joseph's Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
VISION:
To be world-renowned for passionate patient care and outstanding clinical outcomes.
CORE VALUES:
- In the spirit of goodStewardship,we heal by practicingJustice in fostering right relationships to promote common good,Reverencein honoring the dignity of every person,Excellencein expecting the best of ourselves and others;Integrity in being faithful to who we say we are.
The Patient Access Authorization Lea directly impacts the revenue cycle by accurately processing data relating to insurance, authorization and demographic information following unit specific policies while maintaining current knowledge of payor insurance requirements. The Authorization Lead may initiate the processes and assesses surgical and diagnostic patient information to be systematically available hospital wide. The Authorization Lead meets established quality and productivity standards and interacts professionally with MD’s, MD office staff, employees, outside vendors, patients, and patient representatives. The Authorization Lead identifies workflow changes to assist in the reduction of authorization denials for the organization. This role works closely with the surgical HUB to make certain that specific procedure codes are appropriately aligned with the authorization being obtained by the payer. The Authorization Lead will assist in training and putting standard work in place with the authorization team to be certain we are paid for all procedures being performed.
EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:
This position requires two years of medical office or customer service experience. Participates in orientation, patient access training program and continuing education. Updates and maintains knowledge and skills related to specific areas of expertise.
Participates in orientation and continuing education and updates and maintains knowledge and skills related to specific areas of expertise.
SPECIAL EQUIPMENT, SKILLS OR OTHER REQUIREMENTS:
Word processing skills required along with PC experience; basic mathematical skills, effective verbal and written communication and human relations skills. Related experience in hospital registration, Eclipsys or PHS/HPF and knowledge of medical terminology preferred.
WORK ENVIRONMENT AND HAZARDS: Clinical Setting. Exposure Class I or II; service specific.
PHYSICAL DEMANDS: Sedentary work: standing, walking and sitting for prolonged periods of time; repetitive motion of hands, fingers, and wrists.
WORK CONTACT GROUP: All services, employees, medical staff, patients, visitors, vendors, and regulatory agencies.
SUPERVISED BY: Patient Access Coordinator
SUPERVISES: Not applicable.
CAREER PATH: Level 2, Level 3 Patient Access Representative; Coordinator, Manager
Pay Range: $19.64-27.85
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Benefits:
Health Insurance, 401K Plan, Vacation & Paid Time OffSalary : $20 - $28