Patient Access Supervisor

Job description

Overview
The Patient Access Supervisor oversees the daily operations of patient access services, including patient registration, scheduling, insurance verification, authorizations, and patient information management. This role supervises patient access staff, ensures compliance with regulatory and organizational standards, improves operational workflows, and promotes exceptional customer service to enhance the patient experience and support organizational goals.
Responsibilities
• Supervise, train, and support Patient Access Representatives to ensure efficient department operations.
• Oversee patient registration, appointment scheduling, insurance verification, eligibility reviews, pre-authorizations, and patient cost estimates.
• Ensure compliance with healthcare regulations, privacy requirements, insurance standards, and facility policies.
• Evaluate and improve patient access workflows, processes, and technology utilization.
• Monitor productivity, quality, accuracy, and timeliness through established performance metrics.
• Collaborate with physicians, nurses, finance personnel, and other healthcare staff to support patient care and operational goals.
• Maintain positive relationships with patients and families through exceptional customer service and communication.
• Prepare and distribute patient access reports, statistics, trends, and performance data.
• Complete charge reconciliation, late charge additions, and billing reviews.
• Review and resolve authorization, eligibility, registration, and denial-related issues.
• Verify required authorizations for scheduled services.
• Establish and monitor point-of-service collection goals.
• Resolve assigned tasks, account checks, and claim-related issues.
• Assist departments with charge corrections and claim resolution activities.
• Manage return-to-client files, departmental mail, and quality assurance reviews of consent forms, insurance cards, and patient documentation.
• Perform assigned Patient Access Department (PAD) functions as needed.
• Perform other duties as assigned and comply with all organizational policies and standards

Qualifications
Education
• High School Diploma required.

Experience
• Minimum of three (3) years of patient access or related healthcare experience.
• At least one (1) year of supervisory or management experience required.

Knowledge, Skills, and Abilities
• Knowledge of healthcare regulations, insurance requirements, privacy standards, and facility policies.
• Experience with electronic health record (EHR) systems, practice management software, and patient data management tools.
• Strong organizational, leadership, communication, problem-solving, and interpersonal skills.
• Ability to collaborate effectively with healthcare professionals, patients, families, and caregivers.
• Strong attention to detail, accuracy, and quality control.
• Clinical knowledge and chart review experience with the ability to communicate effectively with physicians and medical staff.
• Working knowledge of governmental and private insurance guidelines.