Job Description
Job Requisition Number 34257Full-time, 40 hours/week
Monday-Friday 11am-8:30pm
Remote- must be able to work onsite at Mahoning Valley location for 30-60 days
Summary:
The Pre‑Access Lead is responsible for coordinating daily operations within the Pre‑Access department, ensuring timely and accurate completion of pre‑registration, insurance verification, and authorization workflows. Under the direction of leadership, the Pre‑Access Lead provides real‑time support, mentors staff, monitors work queue performance, and ensures adherence to Patient Access standards to support optimal patient readiness and revenue cycle outcomes. This role serves as a critical link between frontline staff and leadership, promoting consistency, quality, and operational efficiency.
Responsibilities:
- Coordinate daily workload distribution and assignment of Pre-Access work queues.
- Monitor and manage work queue volumes, productivity, and timeliness.
- Ensure completion of, Insurance verification and eligibility, prior authorizations and referrals, pre-registration accuracy (demographics, guarantor, COB), Financial clearance and patient estimates.
- Reassign work and adjust staffing to meet volume demands and deadlines.
- Provide real-time guidance and support to staff on workflows and escalations.
- Mentor new and existing team members on workflows and best practices.
- Assist with onboarding and training of new hires.
- Perform daily quality audits to ensure accuracy and compliance.
- Identify trends in errors, denials, or workflow gaps and escalate to leadership.
- Reinforce adherence to regulatory requirements, payer guidelines, and internal workflows.
- Monitor key work queues (e.g. Patient, Authorization, and Estimates)
- Ensure timely handling of urgent and priority cases.
Other information:
Technical Expertise
- Experience in a hospital-based Patient Access, Pre‑Access, or Revenue Cycle role with demonstrated knowledge of pre‑service workflows is required.
- Proven ability to manage and prioritize work queue-driven workflows, including monitoring volumes, assigning work, and ensuring timely completion of tasks.
- Proficiency in Epic or comparable electronic health record (EHR) system, work queue management, documentation standards, patient account maintenance.
- Experience in healthcare, pediatric healthcare access is preferred.
- Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.
- Prior experience with insurance verification preferred
Education and Experience
1. Education: High school diploma or equivalent required. Associate or bachelor's degree preferred.
2. Licensure: NA
3. Certification: Certification in healthcare access (e.g. CHAA or CMAA) preferred
4. Years of relevant experience: Minimum 2 years of Patient Access or Pre-Access experience required
5. Years of supervisory experience: Minimum 2 years leadership or lead experience preferred
Full Time
FTE: 1.000000
Status: Remote
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