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Job Description
Job Purpose
The Operations Supervisor, Patient Access is responsible for monitoring and overseeing the daily activities of the insurance verification, financial clearance and authorization team including inventory management, monitoring of process KPI’s, communicating appointment scheduling changes front-desk leadership and monitoring productivity and quality.
Duties and Responsibilities
Monitors all pieces of insurance verification, financial clearance and authorization work-flow including all inbound forms of account referral, daily team throughput, communication with the front desk and handling of account escalations
Ensures all process goals are met inclusive of hitting financial clearance days out targets, POS collections targets and reduction of eligibility & benefit denials
Manage team productivity daily, weekly and monthly ensuring productivity targets are met
Ensure weekly QA is performed on all work and address performance issues with training, mentoring and action plans for improvement
Provide assistance/resolution to external and internal client inquiries
Prepares and maintains daily and weekly reports/logs including but not limited to front-desk account escalations, notification of appointments for reschedule and account inventory logs to manage team work-flow
Maintain a current working knowledge of all healthcare related issues and regulations
Identifies issues and works with the manager and director to get them resolved
Provide training, monitoring and feedback as well as disciplinary action as necessary
Maintain a professional attitude
Maintain confidentiality at all times
Monitors team attendance, PTO usage and staffing requirements
Other duties as assigned by their management team
Responsible for ensuring that remote client access to is disabled for terminated or transferred employees when applicable in a timely fashion
Report any security or HIPAA violations or concerns for your team to the HIPAA Officers in a timely fashion
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times and ensure all direct reports are trained and in compliance of said policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties for your respective team
Qualifications
3+ years’ experience managing the front desk at a physician practice or leading an insurance verification team for a third party billing office or similar setting
Ability to work well individually and in a team environment
Must be reliable, responsible, goal oriented and flexible
Excellent interpersonal, communication and organizational skills
Experience in Physician Billing or Physician Practice Management
Strong organizational skills
Strong verbal and written skills in order to effectively communicate with patients, co-workers, insurance companies, practice staff, and clients
Proficiency in Microsoft Office Suite
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction
Working Conditions
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
Work Environment: The noise level in the work environment is usually minimal.
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
