Patient Access Supervisor

Job description

Be a part of a world-class academic healthcare system, UChicago Medicine , as a Patient Access Supervisor for the Revenue Cycle Department.
The Patient Access Supervisor provides operational leadership and oversight for insurance verification, authorization, and HMO-related workflows that support timely patient access, accurate financial clearance, and optimal reimbursement. This role serves as a key connection point between Patient Access, clinical teams, insurance companies, and Revenue Cycle partners, ensuring that complex issues are identified, communicated, and resolved efficiently.
The Supervisor works both independently and collaboratively to oversee daily operations, monitor workflow performance, address payer and authorization barriers, and ensure staff have the guidance and resources needed to perform their responsibilities effectively. This role requires strong knowledge of insurance requirements, authorization processes, HMO workflows, and revenue cycle workflows across front, middle and back, along with the ability to interpret payer guidelines and translate them into consistent operational practices.
A critical component of the position is building and maintaining effective relationships with clinicians, staff, payers, and Revenue Cycle stakeholders. The Supervisor proactively identifies opportunities to improve workflows, reduce authorization delays, prevent avoidable denials and write-offs, and support timely reimbursement while maintaining a patient-centered approach. Through hands-on leadership, problem-solving, staff coaching, and cross-functional collaboration, the Supervisor helps ensure that Patient Access processes are accurate, efficient, compliant, and aligned with organizational revenue cycle goals
Essential Functions
• Provides direct leadership and operational oversight for staff, including daily work assignment, coaching, performance management, training, and ongoing development Ensure staff have the knowledge, resources, and support necessary to effectively manage complex insurance verification, authorization, and HMO workflows while maintaining high standards of service, compliance, and revenue cycle performance.
• Demonstrates advanced knowledge of health insurance plans, payer requirements, benefit structures, and authorization guidelines, with proficiency in utilizing available payer tools and systems to accurately verify eligibility, benefits, network status, and authorization requirements
• Serves as escalation point for complex or high-risk cases, resolving payer disputes and time-sensitive precertification and insurance verifications issues that staff are unable to resolve independently, often requiring direct payer contact as well as service recovery with patients and our clinical stakeholders
• Oversees Out-of-Network (OON) plans including insurance verification, benefit analysis, OON case review, coordination with providers, clinic administrators and Clinical Review teams
• Establishes clear performance expectations, monitors productivity, quality, accuracy, and adherence to established workflows, and proactively addresses performance or operational issues
• Develops departmental workflows, policies, standard operating procedures, and staff education programs to support evolving payer requirements, regulatory changes, and organizational initiatives
• Performs additional leadership responsibilities, special projects, reporting, and other duties as assigned.

Preferred Qualifications
• Medicaid Experience

Required Qualifications
• Certified Revenue Cycle Representative (CRCR) preferred. Education: High school diploma required; Associates degree in a business or accounting function, or the equivalent is preferred. Experience: A minimum of 1-3 years of supervisory experience. Additionally, a minimum of 2 years.

Position Details
• Job Type/FTE: Full Time (1.0 FTE)
• Shift: Days, Monday-Friday
• Unit/Department: Revenue Cycle
• Work Location: Flexible Remote (Will need to commit to being onsite when needed)
• CBA Code: Non-union