Job Summary

Serves as a lead team member while participating in revenue cycle activities to include obtaining and entering accurate patient demographics, insurance verification, charge capture and collections. This role also includes quality monitoring to ensure clean claim processing. The PAS Team Lead is integral to the overall patient experience by facilitating patient through-put, ensuring exceptional customer service and handling conflict resolution within the assigned department(s). May assist in the hiring and orientation of new employees and may assist in the annual evaluation process. Works collaboratively with members of team to provide quality services to proactively support the efforts that ensure delivery of safe patient care and services.

Minimum Job Qualifications

• Licensure or other certifications:

• Educational Requirements: High School Diploma or GED.

• Minimum Experience: Two (2) years previous hospital registration/business office experience required, previous team lead experience desirable.

• Other:

Preferred Job Qualifications

• Preferred Licensure or other certifications:

• Preferred Educational Requirements: Two (2) years of additional experience in accounting or business administration.

• Preferred Experience:

• Other:

NGHS Core Competencies

1. I Show Vulnerability when I:

• trust others and assume positive intent.

• am emotionally accessible and transparent without hidden agendas.

• acknowledge weaknesses and accept responsibility for mistakes.

• am comfortable saying "I don't know" and asking for help.

• seek and accept feedback in a non-defensive manner.

• forgive others and give the benefit of the doubt.

2. I Display Empathy when I:

• seek to know others on a deeper level.

• work to ensure others feel included.

• accept others for who they are without judgment.

• show concern for the well-being and challenges of others.

• consider the human impact before making decisions.

3. I Demonstrate Courage when I:

• do not hold back on anything that needs to be said.

• do the right thing even when that is difficult.

• speak my own truth, even when that means standing alone.

• address potential conflict quickly and directly.

• commit to seeing a difficult conversation through to the end.

4. I Demonstrate Radical Listening when I:

• seek to understand the other person's viewpoint first, before expressing my own viewpoint.

• listen for the unsaid.

• ask questions to confirm understanding.

• accept others' perceptions as their truth.

• take action to help others feel fully heard and seen.

• pursue as many different viewpoints as possible and embrace the bearer of bad news.

5. I Promote Teamwork when I:

• treat others in a respectful manner, regardless of their position, identity, and background.

• encourage and support my coworkers.

• value and acknowledge others for their contributions to the success of the team and NGHS.

• put the good of the team and NGHS first.

• strive to find common ground to solve problems for the good of NGHS.

• cut across boundaries to get things done.

6. I Hold Others Accountable when I:

• provide clear, consistent, and frequent communication about what is most important.

• clarify what is less important to establish clear priorities.

• help others see their blind spots.

• look for every opportunity to provide reinforcing feedback.

• provide immediate and actionable corrective feedback.

7. I Strive for Continuous Improvement when I:

• hold myself personally responsible to seek improvements every day.

• experiment regularly with new ideas and approaches.

• demonstrate initiative and perseverance to overcome obstacles and resistance to change.

• embrace mistakes and pivot quickly if a new approach fails.

• seek to always be better tomorrow than today.

Organization Expectations

• Quest: Demonstrates/utilizes Quest tools in department.

• Talent Development: Coaches and develops staff.

• Safety: Promotes patient, visitor and staff safety and effectively manages hazards that lead to injury or harm.

• Productivity: Meets productivity expectations.

• Regulatory Compliance: Ensures department's compliance with all regulatory, DNV, mandatory education, and similar requirements.

Key Performance Indicators (KPI)

Identifies unit/department level goals that align with the organization's Key Performance Indicators.

HIPAA (Health Insurance Portability and Accountability Act)

If, in the normal course of my duties and responsibilities, I am required to access protected health information (PHI) and electronic protected health information (EPHI) for the purposes of treatment, payment and operations within Northeast Georgia Health System, I will limit such access to only the minimum necessary amount of PHI and EPHI necessary to perform the functions of my job. If access is not required in the normal course of my duties and responsibilities, I will not access PHI or EPHI.

Job Specific and Unique Knowledge, Skills and Abilities

• Ability to test, analyze, troubleshoot and isolate complex problems

• Ability to work tactfully and effectively with team members, physicians, and other clients

• Detail oriented and ability to multi-task

• Ability to prioritize, organize, and coordinate daily work load

• Excellent written and oral communication skills

Essential Tasks and Responsibilities

• Contributes to the productive and effective operations of the assigned registration areas to enhance the success of the department and the organization.

• Performs quality audits on PAS team to ensure registration accuracy.

• Confirms insurance coverage and may obtain authorizations if applicable. Explains regulatory financial requirements to the patients or responsible party and collects deposits or deductible amounts as required.

• May act as a Supervisor, as required, or upon absence of supervisor.

• Orients new employees to the department and acts as a resource for staff to resolve/handle difficult situations or answer questions.

• May provide feedback for performance evaluations of staff, provide input into hiring and disciplinary actions.

• Assists in maintaining proper staffing levels by managing department schedules.

• Working knowledge of all areas of responsibility.

• Participates in meetings and may serve on committees representing the department which could include multi-disciplinary quality and service improvement teams.

• Enters data into system for registration, pre-certification, financial counseling, billing, and patient tracking.

• Works according to standard operating procedures during system downtimes. Serves as the point person during scheduled downtimes.

• May have additional department specific duties assigned as necessary.

• Responsible for batching monies for deposits, updating, and maintaining payment logs.

• Ensures and provides communication to departments, patients, physicians, offices personnel, and management; Provides communication immediately to management regarding concerns and anomalies.

• Demonstrates excellent detail management as well as possesses strong self-motivational skills; demonstrating consistent, reliable, credible, respectful, and timely service to patients, physicians, offices, and other clients.

• Understands and is able to utilize all PAS systems accurately and efficiently.

• Proactively responds to safety, security issues/incidents, and disaster management.

• In addition to the above criteria, the PAS Lead will be responsible for and must be proficient in ALL job duties of a Patient Access Representative. These duties include, but are not limited to: the accurate capturing and documenting of all pertinent patient demographics, subscriber, and insurance information i.e.: patient Policy ID numbers, subscribers, guarantor, payer address, phone number, contact information etc., obtaining copay, deductible, out of pocket, co-insurance amounts as deemed necessary by the insurance company and hospital policy; ensuring that all necessary questionnaires and forms are completed according to pre-determined requirements by government or regulatory agencies.

Physical Demands

• Weight Lifted: Up to 20 lbs, Frequently 31-65% of time

• Weight Carried: Up to 20 lbs, Frequently 31-65% of time

• Vision: Moderate, Constantly 66-100% of time

• Kneeling/Stooping/Bending: Occasionally 0-30%

• Standing/Walking: Occasionally 0-30%

• Pushing/Pulling: Occasionally 0-30%

• Intensity of Work: Occasionally 0-30%

• Job Requires: Reading, Writing, Reasoning, Talking, Keyboardin

Environment and Working Conditions

• OSHA Category III: Job classifications in which the normal duties do not entail predictable or unpredictable contact with blood or other potentially infectious or hazardous materials.