Supv, Pre-Access Services

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Position Details

Department: CORP | CBO Financial Clearance
Location: Phoenix
Shift: Mon-Fri, Days, 8am-5pm
Category: Patient Access
Posting #: 894574
Employee Type: Full-Time

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.

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.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

  • Offering the most comprehensive care across ages, communities and specialties
  • Investing in innovative research, including emerging treatments, tools and technologies
  • Advancing education and training to shape the next generation of clinical leaders
  • Advocating for the health and well-being of children and families
Values
  • We place children and families at the center of all we do
  • We deliver exceptional care, every day and in every way
  • We collaborate with colleagues, partners and communities to amplify our impact
  • We set the standards of pediatric healthcare today, and innovate for the future
  • We are accountable for making the highest quality care accessible and affordable

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Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.
Education
 Do you meet this requirement?
1. Associate`s Degree in healthcare, business or related field OR the equivalent combination of education and experience.
Required
Experience
 Do you meet this requirement?
1. Two (2) or more years of experience in a healthcare setting that includes six (6) months of experience with computerized-based Patient Management and/or billing systems.
Required
2. Experience working effectively in a customer-focused, high volume, fast-paced environment with changing priorities.
Required
3. AMPFM, Misys, Chartmaxx or Payer Websites platform experience.
Preferred
4. Previous Supervisory/Management experience.
Preferred
Special Skills
 Do you meet this requirement?
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
5. Follow any payer or governmental requirement as required by the organization.
Required
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
I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply