Team Lead, Patient Access - Hybrid, 847 Rogers St, Lowell

Hours: 40 hours per week - Monday through Friday from 8:00 AM to 4:30 PM or 8:30 AM to 5:00 PM. Must be available to be on-call on the weekends.

Location: Hybrid working model. Required to work onsite once per week at 847 Rogers St. Lowell, Massachusetts.

Requirements: 3-4 weeks of onsite training required to start.

Job Profile Summary

This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Patient Access duties: Performs the administrative and financial-clearance duties necessary to facilitate the procurement of clinical services by patients. Collects patient's necessary demographic and financial information from physician offices, acute-care entities, or the patients themselves, schedules services for patients, and handles referrals from primary care doctors to ensure patients are scheduled for recommended appointments/procedures, etc. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment. The majority of time is spent in the delivery of support services or activities, typically under supervision. A specialist level role that requires very advanced knowledge of operational procedures and tools obtained through extensive work experience and may require vocational or technical education. Works under limited supervision for non-routine situations and may be responsible for leading daily operations, and trains, delegates and reviews the work of lower level employees, and problems are typically difficult and non-routine but not complex.

Job Overview

The position is responsible for assisting the Manager of Patient Access, Utilization Review, Accounts Receivable and Medical Records/Health Information Management Departments staff and helping the manager with running the day-to-day functions of the Patient Access department run efficiently and productively with high quality results.

Job Description

Minimum Qualifications:

1. High school diploma or equivalent

2. Three (3) years of experience in patient access

3.

Preferred Qualifications:

1. Supervisory/management experience

2. Five (5) years of experience in patient access

Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.

1.Instructs, problem solves and assists in monitoring employee's workload to ensure even distribution among staff.

2.Assigns tasks and schedules for team members

3.Creates and distributes reports around the team's progress and projects

4.Provides training of all (new and existing) employees along with the manager.

5.Ensures customer satisfaction through effective communication patterns.

6.Assists in developing, reviewing and revising policies and procedures.

7.Assists in providing in-services and training based on assessment of need.

8.Participates in the ongoing evaluation of department functioning and makes recommendations and implementations for change.

9.Actively participates in interviewing candidates.

10.Assists manager in preparing goals and objectives for department reviews.

11.Assists with orientation of new staff.

12.Orders department supplies as needed.

13.Takes initiative in problem solving and notifies manager appropriately.

14.Works with and supports other teams within the organization to optimize organizational success.

15.Demonstrates a knowledge and understanding of what to report to the CEO or Chief Compliance Officer when concerns of corporate compliance arise.

16.Ensures compliance within guidelines set forth by regulatory agencies (DPH, ERISA etc.) and demonstrates compliance with Home Health Foundation policies and procedures.

17.Practices confidentiality principles set by the agency and federal HIPAA/HITECH guidelines.

18.Participates in all mandatory in-services and management required courses.

19.Develops and reviews/audits records/tasks completed by teams' members for completion, accuracy, timeliness, and compliance to regulations.

20.Holds team members accountable by reviewing Epic reporting, overall job reliability, and monthly feedback to each employee

21.Provides or get resources to train and educate employees who need assistance in meeting their goals

22.Provides recommendations to strengthen internal contracts within the application department processes.

23.Makes certain that all applicable department work queues in the current EMR (Epic) are assigned and being worked timely and accurately.

24.Uses current EMR (Epic) and agency-created report tools to manage timeliness of referrals, UR authorizations, and expose areas of opportunity to avoid timeliness of care issues, claim denials, and other issues that affect other outcomes.

25.Updates and maintains Patient Access, referrals, and insurance changes

26.Communicates required changes to other departments' staff regarding need for precertification/pre-authorization of services.

27.Understands and able to explain the eligibility process including nuances that are specifics to home health and hospice

28.Makes certain the Patient Access team is working eligibility issues and work queues in a timely manner (within one business day of identification)

29.Reviews current EMR (Epic) payer set up is correct to reflect whether authorization, face to face or any other payer requirements

30.Works directly with IT Analyst team and others Epic teams to make sure provider data base is correct permanently.

Physical Requirements:

1.Frequently required to move about inside the office to access file cabinets, office machinery, etc.

2.Must be able to remain in a stationary position 90% of the time.

3.May need to occasionally lift and/or move up to 10-25 pounds.

4.Constantly operates a computer and other standard office equipment such as copy machine, phones, photocopier, fax machines and computer printers.

5.Specific vision abilities apply including close vision, distance vision and ability to adjust focus.

6. The noise level in the work environment is usually moderate

Skills & Abilities:

1.Ability to problem solve.

2.Ability to adhere to deadlines.

3.Works efficiently and accurately and is detail oriented.

4.Knowledge of computers, computer applications/software.

5.Customer satisfaction oriented.

6.Excellent verbal, written, organizational, interpersonal and analytical skills.

7.Ability to read/write and communicate in English.

8.Excellent interpersonal skills.

9.Ability to function well in very busy situations.

10.Responsible and reliable.

11.Good organization skills.

Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at careers@tuftsmedicine.org.