Lead Patient Registration Representative

The Lead Patient Access Representative is responsible for assisting management with maintaining departmental standards and resolving daily issues. The Lead will be knowledgeable of all registration processes, policies and procedures, including precertification. The Lead Patient Access Rep will communicate the need for education, discipline, and/or concerns to management as well as respond to patient/customer concerns as needed. Schedule: Monday thru Friday 5:00pm-1:30am.

Responsibilities

Communicates with multi-disciplines throughout the health care continuum regarding eligibility, benefits and authorization for services; Acts as liaison between Olathe Hospital and health plans or HMO's to ensure compliance with pre-certification and authorization requirements and facilitate reimbursement; Acts as a Patient Access Representative as needed; Communicates needs for education/discipline/concerns to management; Responds to patient/customer service concerns; Assists in accomplishing identified departmental goals; Promotes processes to prevent denial of reimbursement, assists with identification and investigation of denials, and performs or assists with appeals; Provides effective communication with staff regarding process changes, issues or concerns; Obtains benefit verification and hospital precertification on all Inpatients and applicable Outpatients and Observation patients; Monitors staff to ensure workload is completed in a timely manner; Performs the professional, clinical and/or technical competencies of the assigned unit or department; Other duties may be assigned as required

Requirements

High School Graduate; 1 or more years of referral experience

Nice to have

2 or more years of patient access experience