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Lead Patient Access Services Representative
Lead Patient Access Services Representative-March 2024
Lake Success
Mar 19, 2025
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At Northwell Health, our 80,000+ Health Raisers are raising the standard of care for all in the New York metro area.
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About Lead Patient Access Services Representative

  Req Number 110173

  Job Description

  Team leads responsibilities include reviewing insurance benefits, validating authorizations, communicating authorization statuses with physician offices, and assisting with daily team needs/training. Below outlines a more detailed job description.

  Job Responsibility

  Communicates professionally and courteously with patients and physician offices while obtaining or clarifying insurance information and authorization requirements.

  Utilizes PAI system to complete complex elective procedural accounts.

  Contacts insurers to verify patients' insurance benefits, utilizes insurance websites and other means of electronic insurance verification (HDX) to obtain all information necessary for securing patient accounts. (Coordination of benefits, benefit coverage, limits, copay / deductible amounts, and authorization)

  Secures authorizations for admissions and procedures when necessary.

  Ensures high quality information is always recorded in systems.

  Works on problems of diverse scope and complexity ranging from moderate to substantial.

  Coordinates and provides input into work schedules; monitors adherence to schedules and reports absences.

  Makes decisions regarding daily priorities for a workgroup/function; provides guidance to and/or assists team members on non-routine or escalated issues

  Regularly models/mentors and trains team members on technical skills

  Provides work guidance, including checking and assigning work, to ensure accurate and timely completion of tasks

  Identifying training needs for staff and update action plan.

  Attend Meetings - Rounding, Forums, and Huddles/ Management meetings.

  Creating a supportive trusting working relationship with management team and staff members

  Reinforce a culture of care within the team

  Being pro - active to support the needs of the department.

  Assist Leadership Team with Daily Reports and Quality Reviews

  Partner and collaborate with Management to assist in our day-to-day duties conveying staff's questions, arranging work assignments, delegating task, website administrator, they are also responsible to completer 35-45 cases daily for scheduled procedures.

  Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

  Job Qualification

  Associate's Degree required, or equivalent combination of education and related experience.

  5-7 years of relevant experience, required.

  *Additional Salary Detail

  The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

  The salary range for this position is $41,780-$64,340/year

  It is Northwell Health’s policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.

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