Dynamic Patient Access Supervisor
Conifer Health
Proven track record in enhancing departmental efficiency and reducing turnover through effective team management. Adept at leading teams to optimize patient access processes, ensuring seamless operations, and fostering a high level of patient satisfaction. Skilled in HIPAA compliance, insurance verification, and building strong relationships with key stakeholders to drive continuous improvements in patient care and operational efficiency.
Possess in-depth knowledge of healthcare regulations and industry standards, including EMTALA (Emergency Medical Treatment and Labor Act) and COS (Conditions of Participation). Experienced in managing both government and commercial insurance plans, such as Medicare, Medicaid, Medicare Advantage, BCBS, United Healthcare, Aetna, Ambetter, and Cigna. Proficient in navigating deductibles, out-of-pocket expenses, and the billing process for inpatient and outpatient accounts. Proven ability to create and manage patient accounts while ensuring accuracy and compliance with various insurance requirements.
Personable, organized, and an effective problem solver, with a strong leadership presence and the ability to manage patient access operations efficiently. A background in critical thinking, customer service, and operational oversight allows for the continuous improvement of patient experience and departmental performance. Committed to excellence in healthcare service delivery and optimizing operational workflows
Enhanced Team Efficiency: Spearheaded initiatives that improved departmental efficiency by 25%, reducing patient wait times and streamlining registration and insurance verification processes.
Reduced Employee Turnover: Implemented a comprehensive team training program and recognition system, resulting in a 15% reduction in staff turnover over a 12-month period.
Improved Patient Access Metrics: Led a project that increased the accuracy of insurance verification by 30%, ensuring more timely billing and reducing claim denials.
Compliance and Risk Management: Successfully maintained 100% HIPAA compliance across all patient interactions and data handling, reducing audit risks and ensuring adherence to healthcare regulations.
Cross-functional Collaboration: Developed and nurtured relationships with key stakeholders, including insurance companies (Medicare, Medicaid, BCBS, United Healthcare, Aetna, Cigna, etc.), resulting in a 20% improvement in claims resolution time.
Cost Reduction Initiatives: Identified opportunities within patient access operations that led to a 10% reduction in departmental costs through process optimization and resource allocation.
Leadership in Crisis Management: Led the department through periods of high-volume patient admissions, ensuring that staffing levels and operational processes were adjusted to maintain service quality without compromising on patient care.
Enhanced Patient Experience: Introduced patient-centered improvements that resulted in a 15% increase in patient satisfaction scores, focusing on reducing wait times and improving communication during the registration process.
Training and Development: Trained and mentored a team of 20+ staff members, contributing to higher employee engagement and a significant increase in overall department performance.
Technology Implementation: Managed the transition to new patient management software, improving the overall workflow and reducing administrative tasks by 20%, allowing staff to focus on more critical patient access responsibilities.
Revenue Cycle Management: Worked closely with the billing department to ensure a smoother revenue cycle, contributing to a 12% increase in the timely collection of patient payments and insurance reimbursements.
Data-Driven Decision Making: Leveraged performance data to identify areas of improvement within the department, implementing actionable strategies that resulted in a 10% increase in operational efficiency.
Process Improvement Leadership: Led continuous improvement efforts that successfully reduced patient account discrepancies by 18%, ensuring billing accuracy and minimizing patient complaints.
Staff Performance and Morale: Developed a mentorship program that increased employee engagement, improving overall team morale and performance by 20%.