Patient Access Clerk
$14.75 - $19.75/hr
Description DEPARTMENT Revenue Cycle Management REPORTS TO Patient Access Supervisor Director ... Coordinates determination of eligibility and benefits and ensures insurance precertification ...
Patient Access Clerk
$14.75 - $19.75/hr
Description DEPARTMENT Revenue Cycle Management REPORTS TO Patient Access Supervisor Director ... Coordinates determination of eligibility and benefits and ensures insurance precertification ...
Patient Access Clerk
Richmond, MO · On-site
$14.75 - $19.75/hr
DEPARTMENT Revenue Cycle Management REPORTS TO Patient Access Supervisor Director Revenue Cycle ... Coordinates determination of eligibility and benefits and ensures insurance precertification ...
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Patient Access Clerk
Richmond, MO · On-site
$14.75 - $19.75/hr
DEPARTMENT Revenue Cycle Management REPORTS TO Patient Access Supervisor Director Revenue Cycle ... Coordinates determination of eligibility and benefits and ensures insurance precertification ...
Patient Access Clerk
Richmond, MO · On-site
$14.75 - $19.75/hr
... Supervisor Director Revenue Cycle GENERAL DESCRIPTION * Responsible for greeting incoming patients ... Coordinates determination of eligibility and benefits and ensures insurance precertification ...
Patient Access Clerk
Richmond, MO · On-site
$14.75 - $19.75/hr
... Supervisor Director Revenue Cycle GENERAL DESCRIPTION * Responsible for greeting incoming patients ... Coordinates determination of eligibility and benefits and ensures insurance precertification ...
Patient Access Clerk
Richmond, MO · On-site
Coordinates determination of eligibility and benefits and ensures insurance precertification, referral, and authorization requirements have been met for all payers. Completes all necessary follow-up ...
Patient Access Clerk
Richmond, MO · On-site
Coordinates determination of eligibility and benefits and ensures insurance precertification, referral, and authorization requirements have been met for all payers. Completes all necessary follow-up ...
Patient Access Clerk
Richmond, MO · On-site
$14.75 - $19.75/hr
... Supervisor Director Revenue Cycle GENERAL DESCRIPTION * Responsible for greeting incoming patients ... Coordinates determination of eligibility and benefits and ensures insurance precertification ...
Patient Access Clerk
Richmond, MO · On-site
$14.75 - $19.75/hr
... Supervisor Director Revenue Cycle GENERAL DESCRIPTION * Responsible for greeting incoming patients ... Coordinates determination of eligibility and benefits and ensures insurance precertification ...
Precertification Supervisor information
What is a precertification supervisor?
Precertification Supervisors are healthcare professionals who oversee the precertification process, ensuring that medical procedures, treatments, and hospital admissions are authorized by insurance providers before they occur. They manage a team of precertification specialists, review complex cases, ensure compliance with insurance guidelines, and collaborate with healthcare providers to gather necessary documentation. Their main goal is to streamline the authorization process, minimize claim denials, and support patient care by ensuring timely approvals.
How does a precertification supervisor typically collaborate with clinical and administrative teams to ensure timely approvals?
A Precertification Supervisor plays a key role in bridging communication between clinical staff, such as nurses and physicians, and administrative teams like billing and insurance coordinators. They coordinate workflows to ensure that documentation is complete and submitted promptly for insurance preauthorizations, minimizing treatment delays for patients. Regular meetings and process updates with both clinical and administrative staff are common, allowing the supervisor to address bottlenecks and implement improvements. This collaborative approach is essential for maintaining compliance and achieving efficient patient care delivery.
What are the key skills and qualifications needed to thrive as a precertification supervisor, and why are they important?
A Precertification Supervisor needs a deep understanding of insurance authorization processes, medical terminology, and healthcare regulations, typically backed by a healthcare-related degree and relevant experience. Familiarity with precertification software, electronic health record (EHR) systems, and payer portals is essential, and certifications such as Certified Professional in Healthcare Quality (CPHQ) can be advantageous. Strong leadership, attention to detail, and effective communication are crucial for managing teams and ensuring accurate, timely approvals. These skills ensure that patients receive necessary care without delays, reduce claim denials, and support organizational compliance.
What is the difference between Precertification Supervisor vs Preauthorization Coordinator?
| Aspect | Precertification Supervisor | Preauthorization Coordinator |
|---|---|---|
| Credentials | Typically requires relevant healthcare certifications, experience in insurance or medical billing | Often requires similar certifications, with a focus on insurance verification and authorization procedures |
| Work Environment | Supervises team members in healthcare or insurance settings, overseeing precertification processes | Handles day-to-day authorization requests, working closely with providers and insurance companies |
| Employer & Industry | Hospitals, insurance companies, healthcare providers | Medical offices, clinics, insurance firms |
The Precertification Supervisor oversees the precertification process and manages staff, while the Preauthorization Coordinator handles the direct authorization requests. Both roles require similar credentials and work within healthcare and insurance environments, but differ in scope and responsibilities.
Patient Access Clerk
Richmond, MO
Ray County Hospital & Healthcare
$14.75 - $19.75/hr
Other
Re-posted 11 days ago
Job description
Description
DEPARTMENT
Revenue Cycle Management
REPORTS TO
Patient Access Supervisor
Director Revenue Cycle
GENERAL DESCRIPTION
- Responsible for greeting incoming patients, distributing paperwork, entering in pertinent information, including insurance and demographics
OVERALL RESPONSIBILITY AND ACCOUNTABILITY
- Registers and/or preregister patients conducting patient interviews within the HIPAA standards and guidelines to obtain and verify demographic, employment, retirement, accident, and insurance information.
- Obtains and verifies Insurance cards & Picture ID and scans into EMR.
- Runs Eligibility for every patient at the time of check in.
- Confirms accuracy of required data obtained to complete patient accounts.
- Coordinates determination of eligibility and benefits and ensures insurance precertification, referral, and authorization requirements have been met for all payers.
- Completes all necessary follow-up by obtaining any required information that is unavailable at the time of registration.
- Obtains electronic signatures for consent of treatment, release of information and billing insurance assignment of benefits from the patient.
- Presents patients with necessary information and informs patient of their rights and responsibilities.
- Assures accuracy in the patient identification process and applies patients ID bracelet
- Work flexible shifts if needed and occasionally work a Saturday and Holidays
- Other duties as assigned including but not limited to; filing, sorting & alphabetizing, etc.
- Help cover Switchboard/ER Admissions as needed. This includes an occasional night shift.
Requirements
QUALIFICATIONS
- Able to work independently with little oversight and direction
- Able to work well with others
- Strong sense of work ethic and customer service
- Ability to multitask
- Knowledge of Insurance preferable
- Able to do 12 hour shifts
- Able to work night shift
- Able to work weekend/holiday shift
- Take call one weekend every 6th week
SKILLS
- Computer literate
- Use of 10 key
- Proficient in Math and reconciliation
- Ability to use office equipment to include but not limited to; postage machine, copy machine & fax
EDUCATION
- High School graduate with emphasis on Business Courses
PHYSICAL DEMANDS
For physical demands of position including vision, hearing, repetitive motion and environment, see following description.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.