Pre-Access Associate Team Lead (40 hrs/Week, Days)

Overview

The Pre-Access Associate Team Lead at Riverside Healthcare plays a crucial role in ensuring a smooth and efficient patient experience through accurate registration, scheduling, and insurance/financial processing. This position is responsible for managing patient interactions in a customer-focused and compassionate manner, ensuring that all revenue cycle expectations are met and communicated effectively. The team lead will work independently in a fast-paced environment, handling a variety of tasks including data collection, insurance verification, and compliance with payer requirements while demonstrating flexibility with assignments within professional scope/duties/licensure. Strong organizational skills, attention to detail, and excellent customer service abilities are essential for success in this role.

Essential Duties

• Registration and Scheduling:
• Accurately collect and record all required demographic, insurance/financial, and clinical data necessary for scheduling, pre-registering, and registering patients.
• Coordinate and schedule appointments effectively, considering clinical urgency, procedural conflicts, and patient preferences.
• Optimize patient schedules to enhance convenience and continuity of care.
• Insurance and Financial Compliance:
• Verify insurance/financial information and medical necessity through third-party eligibility checks and precertification.
• Ensure compliance with payer requirements, including Medicare and Medicaid, and accurately document financial expectations and payer policies.
• Explain payer policies and financial responsibilities to patients, assisting with understanding and meeting revenue cycle requirements.
• Customer Service:
• Interact with patients, their representatives, and other stakeholders in a courteous and respectful manner, addressing inquiries and concerns effectively.
• Provide clear and complete preparation instructions for tests/procedures and guide patients to the appropriate treatment sites.
• Maintain confidentiality of personal health information in compliance with HIPAA guidelines.
• Data Management and Documentation:
• Electronically record information promptly and accurately, ensuring that all patient data is updated and correct.
• Review and analyze patient records and documentation to resolve discrepancies and verify compliance with payer requirements.
• Sort and distribute incoming faxes and mail, and maintain organized reference materials.
• Training and Supervision:
• Provide training and orientation for new call center staff, ensuring they have the tools and knowledge needed for success.
• Offer positive and constructive feedback, acting as a role model and delivering consistent methodologies for standardized practices.
• Supervise department operations in the absence of the Scheduling Supervisor, including adjusting staffing levels and overseeing departmental expenses.
• Administrative Support:
• Attend mandatory continuing education and department meetings.
• Review and adjust staffing as needed to ensure timely response to incoming calls and outstanding orders.
• Troubleshoot minor issues and handle situations independently when the Scheduling Supervisor is absent.

Responsibilities

Preferred Experience

• Three to five years of experience in a patient access, call center, or clerical role preferred.
• Prior knowledge of payer regulatory compliance and HIPAA Privacy and Security requirements.
• Experience in office or clerical settings with a focus on customer service.
• Strong customer service skills with the ability to interact effectively and compassionately with patients and their representatives.
• Excellent organizational skills, attention to detail, and ability to work independently in a fast-paced environment.
• Proficiency in computer systems and medical terminology preferred.
• Ability to perform general arithmetic and manage multiple tasks simultaneously

Required Licensure/Education

• High School Diploma required.

Preferred Education

• Associates degree in healthcare administration, business, or a related field preferred

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our Commitment to You

Riverside Healthcare offers a comprehensive suite of Total Rewards: benefits and nationally rated employee well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more so your journey at and away from work is remarkable. Our Total Rewards package includes:

Compensation

• Base compensation within the positions pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift differential, on-call
• Opportunity for annual increases based on performance

Benefits - .5 to 1.0 FTE

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Health Savings and Flexible Spending Accounts for eligible health care and dependent care expenses
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

Benefits - .001 to .49 FTE

• Paid Leave Hours accrued as you work

Employee Health Requirements

Exposure/Sensory Requirements:

Exposure to

• Chemicals: None
• Video Display Terminals: Average
• Blood and Body Fluids: Performing ER and Admitting registrations have the potential to be exposed.
• TB or Airborne Pathogens: Performing ER and Admitting registrations have the potential to be exposed.

Sensory requirements (speech, vision, smell, hearing, touch):

• Speech: Required to communicate during presentations/training, telephone communication, and facilitate meetings.
• Vision: Needed to read memos and literature, close vision (ability to adjust focus).
• Smell: NA
• Hearing: Needed for telephone communication, meetings, alarms and listening to employee concerns.
• Touch: Needed to write, computer entry, filing.

Activity/Lifting Requirements:

Percentage of time during the normal workday the employee is required to:

• Sit: 50-88%
• Twist: 5%
• Stand: 1%
• Crawl: 0%
• Walk: 12-50%
• Kneel: 0%
• Lift: 0%
• Drive: 0%
• Squat: 0%
• Climb: 0%
• Bend: 5%
• Reach above shoulders: 2%

The weight required to be lifted each normal workday according to the continuum described below:

• Up to 10 lbs: Frequently
• Up to 20 lbs: Frequently
• Up to 35 lbs: Occasionally
• Up to 50 lbs: Occasionally
• Up to 75 lbs: Not Required
• Up to 100 lbs: Not Required
• Over 100 lbs: Not Required

Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.):

• Carrying materials such as charts and labels waist high and for approximately 20 feet.

Maximum consecutive time (minutes) during the normal workday for each activity:

• Sit: 30
• Twist: 1
• Stand: 5
• Crawl: 0
• Walk: 5
• Kneel: 0
• Lift: 0
• Drive: 0
• Squat: 0
• Climb: 0
• Bend: 0
• Reach above shoulders: 1

Repetitive use of hands (Frequency indicated)

• Simple grasp up to 10 lbs.
• Normal weight: 5- 10# frequent
• Pushing &pulling Normal weight:
• Fine Manipulation: Computer keyboard, writing, calculator.

Repetitive use of foot or feet in operating machine control: Not Required

Environmental Factors & Special Hazards

• Environmental Factors (Time Spent):
• Inside hours: 8
• Outside hours : 0
• Temperature: Normal Range
• Lighting: Average
• Noise levels: Average
• Humidity: Normal Range
• Atmosphere:
• Special Hazards:
• Protective Clothing Required: None

Pay Range

USD $19.02 - USD $23.46 /Hr