PATIENT ACCESS - LEAD / SUPERVISOR
Company: Confidential Hiring
Location: Bridgetowne, Quezon City
Work Setup: Onsite
Schedule: Mid Shift
We are looking for an experienced Patient Account Specialist Supervisor to oversee the daily operations, performance, quality, and development of the Account Specialist team under Patient Access – Benefits & Authorization.
Key Responsibilities:
- Supervise daily operations involving insurance verification, benefits review, package registration, referrals, authorization support, and patient financial responsibility workflows.
- Monitor team productivity, quality, turnaround times, and service levels.
- Serve as a subject matter expert on payer requirements, eligibility tools, benefit interpretation, referrals, authorizations, network status, and provider participation.
- Review team documentation to ensure accuracy and compliance with established standards.
- Provide coaching, training, feedback, and performance development to team members.
- Handle escalated patient, provider, payer, and internal inquiries.
- Collaborate with Front Office, Clinical, Contact Center, Revenue Cycle, and leadership teams to resolve issues and improve workflows.
- Support staffing coordination, workload balancing, process improvement, and quality assurance initiatives.
- Prepare and communicate operational and performance reports to leadership.
- Ensure compliance with departmental policies, payer requirements, privacy standards, and applicable regulations.
Qualifications:
- High School Diploma or equivalent required; Associate's or Bachelor's degree in Healthcare Administration, Business, or a related field is preferred.
- At least 3–5 years of experience in Patient Access, Insurance Verification, Benefits, Referrals, Authorizations, Revenue Cycle, physician office, or hospital environments.
- At least 1 year of experience in a lead, supervisory, training, quality review, or workflow coordination capacity is preferred.
- Strong knowledge of insurance verification, benefit interpretation, prior authorization, referral processes, payer requirements, and patient financial responsibility.
- Familiarity with CPT, ICD-10, medical terminology, clinical documentation, and payer medical necessity guidelines.
- Proficiency in EHR systems, eligibility tools, pre-certification platforms, payer portals, Microsoft Office, and reporting tools.
- Strong leadership, communication, organizational, analytical, problem-solving, coaching, and conflict-resolution skills.
- Ability to manage workloads, analyze trends, identify root causes, and implement workflow improvements.
- Orthopedic experience is strongly preferred.
What We Offer:
- Onsite work environment in Bridgetowne, Quezon City
- Mid-shift schedule
- Opportunity to lead and develop a healthcare-focused Patient Access team
- Career growth and professional development opportunities
