Coordinator, Pre - service

Patient Access Authorization Lead

M-F 9a-5p

Mission Statement

We, St Joseph's Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

Vision

To be world-renowned for passionate patient care and outstanding clinical outcomes.

Core Values

In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are.

Position Summary

The Patient Access Authorization Lead directly impacts the revenue cycle by accurately processing data relating to insurance, authorization and demographic information following unit specific policies while maintaining current knowledge of payor insurance requirements. The Authorization Lead may initiate the processes and assesses surgical and diagnostic patient information to be systematically available hospital wide. The Authorization Lead meets established quality and productivity standards and interacts professionally with MD's, MD office staff, employees, outside vendors, patients, and patient representatives. The Authorization Lead identifies workflow changes to assist in the reduction of authorization denials for the organization. This role works closely with the surgical HUB to make certain that specific procedure codes are appropriately aligned with the authorization being obtained by the payer. The Authorization Lead will assist in training and putting standard work in place with the authorization team to be certain we are paid for all procedures being performed.

Education, Training, Experience, Certification and Licensure

This position requires two years of medical office or customer service experience. Participates in orientation, patient access training program and continuing education. Updates and maintains knowledge and skills related to specific areas of expertise.

Participates in orientation and continuing education and updates and maintains knowledge and skills related to specific areas of expertise.

Special Equipment, Skills or Other Requirements

Word processing skills required along with PC experience; basic mathematical skills, effective verbal and written communication and human relations skills. Related experience in hospital registration, Eclipsys or PHS/HPF and knowledge of medical terminology preferred.

Work Environment and Hazards

Clinical Setting. Exposure Class I or II; service specific.

Physical Demands

Sedentary work: standing, walking and sitting for prolonged periods of time; repetitive motion of hands, fingers, and wrists.

Work Contact Group

All services, employees, medical staff, patients, visitors, vendors, and regulatory agencies.

Supervised By

Patient Access Coordinator

Supervises

Not applicable.

Career Path

Level 2, Level 3 Patient Access Representative; Coordinator, Manager

Pay Range: $19.64-27.85

Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.