Supervisor, Patient Access, FT, Days

Essential Functions

• All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.

• Ensures that appropriate/necessary information is obtained, to include processing insurance verification, providing estimates and pre-certification for patient registration and billing purposes. Conforms with guidelines as specified by facility or practice and departmental policy and procedures.

• Verifies that appropriate/necessary documentation is secured for processing of Financial Assistance applications according to the guidelines specified by the organizational policy, procedures and 501R regulations. Complies with Federal regulations by maintaining yearly updates to Federal Poverty Levels.

• Establishes departmental quality and compliance. Performs regular audits and evaluates processes, workflows and procedures to identify opportunities for improvement. Implements change and takes initiative to resolve issues as needed.

• Develops departmental goals and objectives. Establishes priorities, assigns work, and monitors workflow. Provides routine feedback to the team regarding productivity, quality audits and customer service to ensure continuous improvement in operations and/ or financial performance.

• Reviews and updates policies and procedures on a regular basis. Ensures regular in-service training is provided for all subordinates to keep job knowledge current. Ensures team is up to date on procedure changes, policy changes and federal guidelines.  

• Maximizes reimbursement by ensuring compliance with third party requirements, including precertification and insurance verifications. Keeps abreast of reimbursement requirements and maintains current knowledge of applicable government, managed care, and/or third-party regulations and guidelines. Ensures compliance and communicates discrepancies to appropriate personnel or departments, i.e., Patient Account Services, Managed Care.

• Monitors the performance of appropriate Work queues to ensure timely completion. Adjusts shift coverage as necessary.

• Performs other duties as assigned.