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Position Details

Department: Pre Access Services
Category: Patient Access
Location: Phoenix
Posting #: 427483
Date Posted: 12/11/2018
Employee Type: Regular

Position Summary

Under the direction of the Manager, this position is responsible for the oversight of the day-to-day activities of the department. This position maintains appropriate staffing levels and monitors the daily productivity of the staff to ensure the timely completion of pre-registrations, insurance verifications and authorizations.

PCH Values

  • Family-Centered care that focuses on the need of the child first and values the family as an important member of the care team
  • Excellence in clinical care, service and communication
  • Collaborative within our institution and with others who share our mission and goals
  • Leadership that set the standard for pediatric health care today and innovations of the future
  • Accountability to our patients, community and each other for providing the best in the most cost-effective way.

Position Duties

  1. Actively participates in overseeing and guiding the department staff to include employee selection, training, development, performance evaluations and discipline.
  2. Is the subject matter expert, assists the Pre-Access Specialists in calculating deductible, co-pay, lifetime maximum, pre-existing condition restrictions or other out-of-pocket expenses.
  3. Acts as role model by displaying exemplary, compassionate and professional behavior and motivates staff to provide excellent, patient-focused service.
    • Builds relationships and maintains ongoing positive communication with patients, staff, DES, physicians and payers to provide information and/or resolve issues.
  4. Identifies opportunities for departmental process improvements.
  5. Oversees the daily operational activities of the department and assumes responsibility when Manager is not available.
    • Attends and actively participates in staff and interdepartmental meetings.
  6. Participates in a variety of departmental and hospital edicational programs to maintain current skill and competency levels and demonstrates commitment to ongoing personal and professional development.
  7. Plans and schedules work for the group ensuring proper distribution and completion of assignments. Maintains staff schedules to ensure adequate coverage.
  8. Provides information for reporting by compiling department statistics, generating productivity reports, performing QA audits to assess accuracy and compliance, and monitoring KPI's.
  9. Responds to patient fluctuations and assists staff in daily needs; performs the duties of a Pre-Access Specialist, as needed.
  10. Performs miscellaneous job related duties as requested.

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Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.
Do you meet this requirement?
Education
1. Associate's Degree in healthcare, business or related field OR the equivalent combination of education and experience. Required
Do you meet this requirement?
Experience
1. Experience working effectively in a customer-focused, high volume, fast-paced environment with changing priorities. Required
2. Two or more years previous experience in a healthcare setting that includes six months experience with computerized-based Patient Management and/or billing systems. Required
3. AMPFM, Misys, Chartmaxx or Payer Websites platform experience. Preferred
4. Previous Supervisory/Management experience. Preferred
Do you meet this requirement?
Special Skills
1. Analytical skills with strong attention to detail and a high degree of accuracy. Required
2. Excellent communication, leadership and problem solving skills. Required
3. Knowledge of Medical Terminology and ICD-9 & 10/CPT codes and an understanding of HIPAA privacy laws. Required
4. Bilingual (Spanish) Preferred
Physical Requirements & Occupational Exposure/Risk Potential
1. Physical Requirement - Climbing Occasionally
2. Physical Requirement - Feeling (sensing textures and temperatures) Occasionally
3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) Occasionally
4. Physical Requirement - Hearing Frequently
5. Physical Requirement - Pushing/pulling Occasionally
6. Physical Requirement - Reaching Occasionally
7. Physical Requirement - Sitting Frequently
8. Physical Requirement - Standing Occasionally
9. Physical Requirement - Stooping/crouching/kneeling/crawling Occasionally
10. Physical Requirement - Talking Frequently
11. Physical Requirement - Tasting/smelling Occasionally
12. Physical Requirement - Walking Frequently
13. Physical Requirement - Near Vision Occasionally
14. Physical Requirement - Far Vision Occasionally
15. Physical Requirement - Color Discrimination Occasionally
16. Physical Requirement - Use of keyboard, mouse and/or computer equipment Constantly
17. Physical Requirement - Lift up to 35 pounds without assistance Occasionally
18. Physical Requirement - Lift more than 35 pounds without assistance Occasionally
internal/external
I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply