Navigant Admissions Team Lead - Navigant Cymetrix - Birmingham, AL in Lewisville, Texas

Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global professional services firm that helps clients take control of their future. Navigant’s professionals apply deep industry knowledge, substantive technical expertise, and an enterprising approach to help clients build, manage and/or protect their business interests. With a focus on markets and clients facing transformational change and significant regulatory or legal pressures, the Firm primarily serves clients in the healthcare, energy and financial services industries. Across a range of advisory, consulting, outsourcing, and technology/analytics services, Navigant’s practitioners bring sharp insight that pinpoints opportunities and delivers powerful results. More information about Navigant can be found at navigant.com.

Navigant Cymetrix unites the strengths of four category-leading companies to address the complexities of today’s healthcare system. We design, develop and implement integrated, patient-centered solutions for sustained improvements in performance and profitability, working collaboratively across a spectrum of customers that encompasses hospitals, health systems, physician practice groups and payers.

The Patient Access Team Lead is responsible for customer service, accurate registrations, accurate insurance, Point of Service Collections, Authorization/Pre-Certification, Uninsured Discounts, Education/competency. This includes:

  • Customer Service: Ensures that all patients with a satisfying registration experience and are provided with choices, options and counseling to assist them in making their healthcare decisions.

  • Accurate Registrations: Performs comprehensive registrations all of patients

  • Accurate Insurance: assist in answering coworkers to ensure that patient insurance information is recorded accurately including verification of eligibility and benefits as needed.

  • Point of Service collections: Identifies patient financial responsibility(co-pays, deductibles and collects at or before the time of service)

  • Authorization/Pre-Certification: Completes insurance authorization/pre-certification to ensure correct payments from the health plans.

  • Uninsured Discounts- Aware of patients who qualify for uninsured discount are provided with cash quotes and addresses any Financial Counseling is provided for qualifying linkage programs are provided.

  • Education/Competency: Assists in education needed to maintain compliance according to HIPPA, EMTALA and all governmental regulations.

The Patient Access Team Lead supports an effective department that achieves positive financial impact for the organization along with adhering to joint commission standards (JCAHO) and EMTALA guidelines. This position will perform any and all related job duties.

Essential Job Functions

  • Demonstrates an advanced knowledge of insurances, including eligibility, benefit coverage, authorization/pre-certification and other relevant information.

  • Provides interface between admitting and medical staff, patients and other departments.

  • Demonstrates proficiency and expertise with various uninsured patient linage programs.

  • Provides interface between admitting and medical staff, patients and other departments.

  • Maintains and manages a professional staff to achieve effective delivery of services

  • Assists Admitting Supervisor in coordinating area functions for the clinical and administrative staff as a whole

  • Assurance/ Quality Control program

Duties and Responsibilities

  • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.

  • Assists in training new team members and assists in department orientation sessions related to department processes and communicates with Supervisors of any training needs of coworkers in order to maintain knowledge base levels of staff.

  • Provides knowledge base assistance to department coworkers and proficiently performs patient registrations as needed.

  • Ensures all reports assigned are completed on a daily basis including reports from the graveyard shifts and handed off to Day Crew for completion.

  • Coordinates and assists other staff in ensuring that all patients are registered in a timely manner in the area assigned.

  • Ensures that all staff adhere to break schedule, providing coverage for the area as needed in order to comply with Meal Period policies.

  • Reviews and assigns daily work desk assignments for staff according to the area duties and schedule.

  • Ensures all area team members are knowledgeable and maintain competency and adheres to all procedures within the Daily Deposit and Safe Policy and Procedure and participates in the daily rotation duty.

  • Monitors and assists in collections of co-pays/deductibles based on insurance eligibility information and/or EMC uninsured Cash Discount quotes for emergency and outpatient services.

  • Communicates daily with Supervisors and new shift Leads, regarding previous shifts status reports and any areas needing to be addressed.

  • Develops and discusses with area Supervisor any opportunities to improve daily processes and problem solves according to the situation.

  • Reviews and maintains daily Nextel sign out logs, ensures that all phones are accounted for and charged for next shift usage.

  • Attends and participates in all staff meetings, reviews department schedule to assist in coverage for all department staff to attend.

  • Maintains open communication with all co-workers, physicians, other Hospital Departments and works to improve interdepartmental relationships.

  • Demonstrates a professional attitude with co-workers and physicians and maintains a productive work environment within the department at all times.

  • Responsible for ensuring that all equipment is working properly and maintaining the Equipment log of any failed equipment that has been called into 8585 and a trouble ticket has been issued.

  • Acts as Supervisor – On Duty when area Supervisor is not available.

  • Is not responsible for disciplinary counseling.

  • Participates on special committees or projects as assigned.

  • High School Diploma required, BA / BS Degree preferred.

  • Minimum of 1 year healthcare(Admitting experience) or outsource supervision, or 2-3 years other supervisory-leadership experience.

  • Minimum of 2-3 years billing, follow-up, Admitting/Registration experience required in Healthcare field.

  • Knowledge of State and Federal Compliance Laws and Guidelines.

  • Excellent organizational and analytical skills.

  • PC skills in a Windows environment are required. Knowledge and utilization of desktop applications to include Word and Excel is essential.

  • Strong interpersonal, verbal, and written communication skills.

  • Ability to initiate and follow through on projects and work independently with minimal supervision required.

  • Strong conceptual, as well as quantitative and qualitative analytical skills

  • Work as a member of a team as well as be a self-motivator with ability to work independently

  • Constantly operates a computer and other office equipment to coordinate work

  • Frequently travels by airplane, train or car as necessary to perform work at another location

  • Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data

  • Generally works in an office environment

Navigant Cymetrix is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information or any other basis protected by law, ordinance, or regulation.

Navigant will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.