Patient Access Specialist Lead

High School plus three to four years of specialized training in a healthcare setting with demonstrated knowledge in registration/patient access functions/processes.
Minimal 2 years’ experience with hospital insurance plans including Medicare, Medicaid, HMO’s, and PPO’s.
Excellent typing and computer skills.
Familiarity with area managed care plans and contractual terms.
Ability to self-direct and exercise independent judgment in situations requiring follow-up and discussions with physicians, plans and hospital personnel to ensure completion of required authorizations/approvals for payment services.
2-3 years of specialized training in a health care setting with demonstrated knowledge of registration functions, insurance verification, authorization, and pre-certification process.
Ability to delegate simple tasks to others.
Excellent written and verbal communication skills.
Excellent customer service skills.
Familiarity with medical terminology required.
Ability to prioritize and multi-task.
Ability to work under stressful situations.
Demonstrated leadership skills.

Obtaining demographic, insurance, and medical information to ensure an accurate and complete registration.
Performing insurance verification, data collection and documentation.
Determining medical necessity for services based on established medical criteria.
Identifying patient financial responsibilities and collecting applicable monies.
Acting as liaison to all internal and external customers to facilitate access to hospital services.
Providing guidance to Patient Access staff, in the absence of the manager or in collaboration with the manager.
Makes assignments for Patient Access staff.

No preferred qualifications provided.