Mercyhealth Wisconsin and Illinois
Patient Access Supervisor
Mercyhealth Wisconsin and Illinois, Janesville, Wisconsin, United States, 53546
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Patient Access Supervisor
role at
Mercyhealth Wisconsin and Illinois
Overview The Patient Access Supervisor is responsible for coordinating and supervising partners within the Office of Patient Access Management and other designated areas within Revenue Cycle. The role covers all access areas including Hospital Registration, Financial Resource Specialists, Registration Specialists, Precertification Specialists, Patient Access Specialists, Training Specialists, Senior Program Coordinators, and others. The supervisor also provides dotted‑line oversight to front‑end operations such as reception and patient service representatives in conjunction with clinic and hospital leadership.
This position requires a detailed knowledge base in registration, emergency department, clinic, and hospital access, insurance authorization and benefit determinations, scheduling protocols, and billing practices. The supervisor develops and enforces policies and procedures, monitors the accuracy of registration, scheduling, and adherence to financial and access protocols, and ensures patient experience protocols are followed. Responsibilities include monitoring work queues, clearing issues, managing training and coordination of work, preparing staffing schedules, recommending process improvements, and participating in interdepartmental process improvement teams.
Responsibilities
In-depth knowledge of all applications used in Patient Access and Revenue Cycle operations (e.g., EPIC, RTE, Scheduling).
Ensures staffing needs are met while maintaining budgeted staffing levels and implements alternative staffing patterns as needed.
Reviews and processes timecards accurately and promptly.
Maintains accurate employee attendance files.
Interviews and hires applicants to maintain adequate staffing levels.
Provides orientation and training to new hires, completing required competency/orientation checklists.
Actively seeks and schedules staff development opportunities.
Supervises partners and ensures workload is distributed equitably.
Conducts team meetings to apprise staff of changes and address program area issues and initiatives.
Assists staff with complex work situations.
Performs audits on partner performance to ensure policies and procedures are followed and addresses any issues.
Provides timely performance improvement feedback and coaching.
Evaluates partners by conducting training assessment and performance reviews.
Monitors and maintains reports and dashboards to track productivity.
Tracks volume of work assigned to set goals and monitor trends.
Monitors accuracy of demographic and insurance data entry and adherence to policies.
Develops, recommends, and implements department policies and procedures.
Enforces established policies, safety procedures, confidentiality standards, and CMS/IAS/JCAHO standards.
Monitors scheduling accuracy and recommends provider template changes to enhance patient satisfaction.
Monitors work queues and reports to ensure accurate and timely registration, scheduling, and claims submission.
Coordinates functions within the work group and collaborates with other supervisors for timely processing of claims.
Maintains a solid understanding of payer requirements and referral, registration, and scheduling workflows.
Reviews and analyzes new government billing regulations, contracts, and industry publications to advise senior leadership.
Ensures the department follows cash and checks handling policies and posting of payments.
Monitors and reviews precertification and referral authorization workflows for maximum reimbursement.
Works collaboratively with Patient Financial Services and other departments on registration, scheduling, verification, referral, and reimbursement issues.
Serves as the knowledge expert and information source for staff.
Keeps up to date on insurance, referral, and billing requirements.
Provides ancillary providers with accurate information related to insurance determination and financial compliance.
Assists with application implementation, upgrades, enhancements, and usability testing.
Provides education and training to clinic leadership and partners regarding financial policies.
Reviews registration or authorization denials and provides education to reduce write‑offs.
Performs other duties as assigned.
Education and Experience High school diploma or equivalent preferred. Associates degree in a business or healthcare field required (or equivalent experience, certification, and years of service). Four years of patient access, revenue cycle, or other healthcare experience required, with emphasis in access services, POS collections, registration, scheduling, insurance verifications/authorizations, billing, or customer service preferred. Two years of prior leadership related experience required.
Certification and Licensure Healthcare revenue cycle related certification or an equivalently designated certification approved by management required within 1 year.
Benefits
Comprehensive Benefits Package: retirement plan with matching contribution, medical, dental, vision, life and disability coverage, flexible spending plans, and other discounted voluntary benefits.
Competitive Compensation: market‑competitive rates of pay, shift differentials, and special pay incentive programs.
Paid Time Off: generous paid time off plan that increases with milestone anniversaries.
Career Advancement: educational assistance programs and career ladders.
Employee Wellbeing: tools and resources including a health risk assessment and a wellbeing mobile application.
Additional Benefits: employee assistance programs, discount packages, paid parental and caregiver leaves, on‑demand pay, special payment programs, and financial education for retirement planning.
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Patient Access Supervisor
role at
Mercyhealth Wisconsin and Illinois
Overview The Patient Access Supervisor is responsible for coordinating and supervising partners within the Office of Patient Access Management and other designated areas within Revenue Cycle. The role covers all access areas including Hospital Registration, Financial Resource Specialists, Registration Specialists, Precertification Specialists, Patient Access Specialists, Training Specialists, Senior Program Coordinators, and others. The supervisor also provides dotted‑line oversight to front‑end operations such as reception and patient service representatives in conjunction with clinic and hospital leadership.
This position requires a detailed knowledge base in registration, emergency department, clinic, and hospital access, insurance authorization and benefit determinations, scheduling protocols, and billing practices. The supervisor develops and enforces policies and procedures, monitors the accuracy of registration, scheduling, and adherence to financial and access protocols, and ensures patient experience protocols are followed. Responsibilities include monitoring work queues, clearing issues, managing training and coordination of work, preparing staffing schedules, recommending process improvements, and participating in interdepartmental process improvement teams.
Responsibilities
In-depth knowledge of all applications used in Patient Access and Revenue Cycle operations (e.g., EPIC, RTE, Scheduling).
Ensures staffing needs are met while maintaining budgeted staffing levels and implements alternative staffing patterns as needed.
Reviews and processes timecards accurately and promptly.
Maintains accurate employee attendance files.
Interviews and hires applicants to maintain adequate staffing levels.
Provides orientation and training to new hires, completing required competency/orientation checklists.
Actively seeks and schedules staff development opportunities.
Supervises partners and ensures workload is distributed equitably.
Conducts team meetings to apprise staff of changes and address program area issues and initiatives.
Assists staff with complex work situations.
Performs audits on partner performance to ensure policies and procedures are followed and addresses any issues.
Provides timely performance improvement feedback and coaching.
Evaluates partners by conducting training assessment and performance reviews.
Monitors and maintains reports and dashboards to track productivity.
Tracks volume of work assigned to set goals and monitor trends.
Monitors accuracy of demographic and insurance data entry and adherence to policies.
Develops, recommends, and implements department policies and procedures.
Enforces established policies, safety procedures, confidentiality standards, and CMS/IAS/JCAHO standards.
Monitors scheduling accuracy and recommends provider template changes to enhance patient satisfaction.
Monitors work queues and reports to ensure accurate and timely registration, scheduling, and claims submission.
Coordinates functions within the work group and collaborates with other supervisors for timely processing of claims.
Maintains a solid understanding of payer requirements and referral, registration, and scheduling workflows.
Reviews and analyzes new government billing regulations, contracts, and industry publications to advise senior leadership.
Ensures the department follows cash and checks handling policies and posting of payments.
Monitors and reviews precertification and referral authorization workflows for maximum reimbursement.
Works collaboratively with Patient Financial Services and other departments on registration, scheduling, verification, referral, and reimbursement issues.
Serves as the knowledge expert and information source for staff.
Keeps up to date on insurance, referral, and billing requirements.
Provides ancillary providers with accurate information related to insurance determination and financial compliance.
Assists with application implementation, upgrades, enhancements, and usability testing.
Provides education and training to clinic leadership and partners regarding financial policies.
Reviews registration or authorization denials and provides education to reduce write‑offs.
Performs other duties as assigned.
Education and Experience High school diploma or equivalent preferred. Associates degree in a business or healthcare field required (or equivalent experience, certification, and years of service). Four years of patient access, revenue cycle, or other healthcare experience required, with emphasis in access services, POS collections, registration, scheduling, insurance verifications/authorizations, billing, or customer service preferred. Two years of prior leadership related experience required.
Certification and Licensure Healthcare revenue cycle related certification or an equivalently designated certification approved by management required within 1 year.
Benefits
Comprehensive Benefits Package: retirement plan with matching contribution, medical, dental, vision, life and disability coverage, flexible spending plans, and other discounted voluntary benefits.
Competitive Compensation: market‑competitive rates of pay, shift differentials, and special pay incentive programs.
Paid Time Off: generous paid time off plan that increases with milestone anniversaries.
Career Advancement: educational assistance programs and career ladders.
Employee Wellbeing: tools and resources including a health risk assessment and a wellbeing mobile application.
Additional Benefits: employee assistance programs, discount packages, paid parental and caregiver leaves, on‑demand pay, special payment programs, and financial education for retirement planning.
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