Patient Access Lead - Phoenix, AZ

Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity and Rehabilitation units
Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration
Properly identifies the patient to ensure medical record numbers are not duplicated
Responsible for reviewing assigned accounts to ensure accuracy and required documentation is obtained and complete
Meet CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other requirements, as applicable and documenting completion within the hospital's information system for regulatory compliance and audit purposes
Collects and enters required data into the ADT system with emphasis on accuracy of demographic and financial information to ensure appropriate reimbursement
Carefully reviews all information entered in ADT on pre-registered accounts. Verifies all information with patient at time of registration; corrects any errors identified
Identify all forms requiring patient/guarantor signature and obtain signatures
Ensures all required documents are scanned into the appropriate system(s)
Identifies all appropriate printed material hand-outs for the patient and provides them to the patient/guarantor (Patient Rights and Responsibilities, HIPAA Privacy Act notification, Advance Directive, etc.)
Follows "downtime" procedures by manually entering patient information; identifying patient's MRN in the MPI database, assigning a financial number; and, accurately entering all information when the ADT system is live
Follows EMTALA-compliant registration steps for both Emergency Department and Labor and Delivery areas
Assesses self-pay patients for presumptive eligibility and when appropriate, initiates the process
In the Emergency Department follows protocol for special cases, including but not limited to 5150, Sexual Assault Response Team (SART), Domestic Violence patients, Child Protective Services, incarcerated patients, Worker Compensation patients, auto accidents, animal bite reporting, etc. as required
Monitors and addresses tasks associated with the Mede/Analytics PAI tool
Follows approved scripting, verify insurance benefits on all patients registered daily by using electronic verification systems or by contacting payers directly to determine the level of insurance coverage
Thoroughly and accurately documents verification information in the ADT system, identifying deductibles, copayments, coinsurance and policy limitations
Obtains referral, authorization and pre-certification information; documents this information in the ADT system and submits notices of admission when necessary
Verifies medical necessity checks have been completed for outpatient services. If not completed and only when appropriate, uses technology tool to complete medical necessity check and/or notifies patient that an ABN will need to be signed. Identifies payer requirements for medical necessity
Verifies patient liabilities with payers, calculates patient's payment and requests payment at the time of registration
Identifies any outstanding balance due to previous visits, notifies patient and requests patient payment
Sets up payment plans for patients who cannot pay their entire current copayment and/or past balance in one payment
Thoroughly and accurately documents the conversation with the patient regarding financial liabilities and agreement to pay
When collecting patient payments, the department policy and procedure follows regarding applying payment to the patient's account and providing a receipt for payment
Clarifies division of financial responsibility if payment for services is split between a medical group and an insurance company. Ensure this information is clearly documented in the ADT system
When necessary, escalates accounts to appropriate Patient Registration leadership staff, based on outcomes of the verification process and patient's ability to pay clinic(s)

What are the reasons to consider working for UnitedHealth Group? - - Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: -

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:

High School Diploma/GED (or higher)
2+ years of experience analyzing and solving complex customer problems
1+ years of Patient Access and/or Patient Registration experience
Ability to work -100% onsite at 350 W. Thomas Road in Phoenix, AZ
Ability to work Thursday 12am to 6am, Friday-Sunday 6:00PM - 6:00AM, depending on business needs
Must be 18 years of age or older

Preferred Qualifications:

1+ years of experience with prior authorizations
1+ years of team lead experience in patient access
Experience with Microsoft Office products
Experience in requesting and processing financial payments
Experience in insurance reimbursement and financial verification
Working knowledge of medical terminology
Understanding of insurance policies and procedures
Ability to perform basic mathematics for financial payments

Soft Skills:

Strong interpersonal, communication and customer service skills

Physical and Work Environment:

Standing for long periods of time (10 to 12 hours) while using a workstation on wheels and phone/headset - -

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The salary range for this role is $19.86 -to $38.85 -per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. -
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At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
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UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. -
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UnitedHealth Group -is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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#RPO #RED

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