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Remote- must be able to work onsite at Mahoning Valley location for 30-60 days
Summary:
The Pre?Access Lead is responsible for coordinating daily operations within the Pre?Access department, ensuring timely and accurate completion of pre?registration, insurance verification, and authorization workflows. Under the direction of leadership, the Pre?Access Lead provides real?time support, mentors staff, monitors work queue performance, and ensures adherence to Patient Access standards to support optimal patient readiness and revenue cycle outcomes. This role serves as a critical link between frontline staff and leadership, promoting consistency, quality, and operational efficiency.
Responsibilities:
Coordinate daily workload distribution and assignment of Pre-Access work queues.
Monitor and manage work queue volumes, productivity, and timeliness.
Ensure completion of, Insurance verification and eligibility, prior authorizations and referrals, pre-registration accuracy (demographics, guarantor, COB), Financial clearance and patient estimates.
Reassign work and adjust staffing to meet volume demands and deadlines.
Provide real-time guidance and support to staff on workflows and escalations.
Mentor new and existing team members on workflows and best practices.
Assist with onboarding and training of new hires.
Perform daily quality audits to ensure accuracy and compliance.
Identify trends in errors, denials, or workflow gaps and escalate to leadership.
Reinforce adherence to regulatory requirements, payer guidelines, and internal workflows.
Monitor key work queues (e.g. Patient, Authorization, and Estimates)
Ensure timely handling of urgent and priority cases.
Other information:
Technical Expertise
Experience in a hospital-based Patient Access, Pre?Access, or Revenue Cycle role with demonstrated knowledge of pre?service workflows is required.
Proven ability to manage and prioritize work queue-driven workflows, including monitoring volumes, assigning work, and ensuring timely completion of tasks.
Proficiency in Epic or comparable electronic health record (EHR) system, work queue management, documentation standards, patient account maintenance.
Experience in healthcare, pediatric healthcare access is preferred.
Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.
Prior experience with insurance verification preferred
Education and Experience
1. Education: High school diploma or equivalent required. Associate or bachelor's degree preferred. 2. Licensure: NA 3. Certification: Certification in healthcare access (e.g. CHAA or CMAA) preferred 4. Years of relevant experience: Minimum 2 years of Patient Access or Pre-Access experience required 5. Years of supervisory experience: Minimum 2 years leadership or lead experience preferred
More Than a Job. It’s loving what you do - and why you do it. Akron Children’s Hospital is ranked among the best pediatric hospitals by U.S. News & World Report, but it’s our compassionate approach to treatment that sets us apart. It’s creating special high-fives. Thinking of new ways to spark a smile. Holding hands to offer comfort. And working to get a giggle that brightens a room. The minute you walk into Akron Children’s, you can sense that people here love what they do. From visits with the Doggie Brigade, to the balloons and smiles in the halls, the sights and sounds are all about one thing: the children. We are the largest pediatric healthcare system in Northern Ohio and one of the fastest growing in the country. Akron Children’s has two hospital campuses in Northeast Ohio: one in Akron and the other in Boardman in the Mahoning Valley. With two hospital campuses, regional health centers and more than 50 primary and specialty care locations throughout Ohio, we’re making it easier for today’s busy families - regardless of where they live - to find the high-quality care they need. No matter which of our locations you choose, you’ll see that when you give the most, you get more—...support, rewards and satisfaction. CAREER OPPORTUNITIES: It’s making the most of your days. Our passion is felt every day in the way people care at every level. Whether you are working with children face-to-face, or behind the scenes supporting the care and services we deliver, you impact futures. Visit us and see why it’s more than just a place to work. It’s a family. Apply today at careers.akronchildrens.org.