Durham, North Carolina
Los Angeles, California
Remote Montana,
Reading, Pennsylvania
Posted: 02-Apr-25
Location: Greenwood Village, Colorado
Categories:
Internal Number: 25012584
All the benefits and perks you need for you and your family:
- Benefits from Day One
- Paid Days Off from Day One
- Student Loan Repayment Program
- Career Development
- Whole Person Wellbeing Resources
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind, and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Full-time
Shift: Days
Location: 6061 S WILLOW DR, Greenwood Village, 80111
The role you’ll contribute:
The Pre-Access Supervisor directs and manages staff in performing Pre-Access related activities, including ensuring patients are appropriately registered for all service lines, performing eligibility verification obtaining pre-cert and/or authorizations, making financial arrangements, requesting and receiving payments for services, performing cashiering functions, and clearing registration errors and editing pre-bill.
The Supervisor is responsible for region and/or division wide outcomes, the performance of their team and holds each staff member accountable for the performance of assigned day-to-day activities, to include ensuring effective use of computer equipment and materials within departmental budget and quality standards. Engages with staff to ensure AdventHealth is promptly and accurately helping patients with their needs. Monitors staff productivity levels, quality of output, and resolves workplace-related issues in a timely manner to promote a culture of accountability driving towards continuous performance improvement. Ensures Pre-Access functions meet or exceed key performance indicators. Provides training to team and manages team members' schedules. Oversees efficient departmental operations. Is involved with the day-to-day operations of the team. Serves as a liaison to other revenue cycle teams within AdventHealth, as well as external constituents/stakeholders including physician practices and managed care. Participates in enterprise-wide projects, work groups, task forces, councils, and committees. This position may require occasional travel. Adheres to AdventHealth Compliance Plan and to all rules and regulations of all applicable local, state, and federal agencies and accrediting bodies.
The value you’ll bring to the team:
- Accountable for day-to-day functions of assigned area, ensuring all patient accounts for the region and/or division are financially cleared in a timely manner with appropriate follow up for account completion. Stays current with payor guidelines, managed care changes to authorization practices, all relevant payor portals and their third-party vendors to cascade communication to respective team members timely.
- Implements, supervises and monitors region wide processes related to financial clearance including eligibility and verification of benefits, pre-authorization of services, notification of admission and pre-registration call center activities to ensure complete Financial Clearance is achieved 3 to 5 days out from date of service. Works with team to ensure appropriate expectations regarding verification, pre-authorization, and collection standards.
- Serves as single point of contact for initial communication with service partners inclusive of medical group, managed care, ancillary and support departments and is the first stage of the escalation process to leadership. Escalates high-priority accounts with
- Missing authorization or limited benefits to appropriate clinical personnel to determine whether rescheduling is necessary.
The expertise and experiences you’ll need to succeed:
Required qualifications:
- Lead or supervisory experience
- Mature judgement in dealing with patients, physicians, and insurance representatives
- Advanced understanding of insurance authorization and benefits knowledge
- Advanced understanding of hospital electronic medical report (EMR) and telephony system along with technological aptitude to master additional programs and technologies as needed
- Intermediate knowledge of Microsoft programs and familiarity with database programs
Preferred qualifications:
- CHAA - Certified Healthcare Access Associate -NAHAM
- Certified Revenue Cycle Representative (CRCR) – HFMA
- Intermediate medical terminology
- Bilingual – English/Spanish
