Lead Patient Access

Lead Patient Access - Full-time with Benefits

Job Category: Admin/Clerical

Requisition Number: LEADP
011556

• Posted:
  December 30, 2025
• Full-Time

Showing 1 location

Job Summary:

Support and incorporate into job performance the Frederick Regional Health System (FRHS) compliance program, including all regulatory requirements and the FRHS Standards of Behavior.

Under the direction of the department manager, the team leader provides general oversight and support to the daily workflow of the Patient Access referral and authorization department, contributes to the hiring process, employee evaluations, training and mentoring staff, and performs the same duties and tasks as referral and authorization specialists.

• Accuracy & Quality
  • Consistently produces work that is detailed, accurate, organized, and of high quality.
  • Demonstrates and encourages staff to commit to high standards.
  • Investigates and identifies deficiencies, providing recommendations and resolutions.
  • Creates and/or revises workflows to optimize department quality, productivity, and support to FHMG and FHH.
• Communication
  • Communicates effectively, appropriately, and professionally to all staff and patients in a credible manner.
  • Understands and communicates in both verbal and written form in English.
  • Uses active listening skills while communicating when mentoring/supporting staff and patients.
• Information Management
  • Utilizes technology to manage and report information efficiently.
  • Provides factual verbal, written, and electronic resources of information to make appropriate decisions with good judgment.
• Planning & Scheduling
  • Organizes workflows, processes, and schedules according to department standards while allowing contingencies.
  • Anticipates necessary projects and workflows with forward thinking when events fall outside of usual standards.
• Verifies and documents accurate insurance eligibility, benefits, authorization requirements, and patient cost share estimates in a timely manner.
• Provides Frederick Health’s financial assistance program and contact information to the FA department when applicable.
• Assists department manager in reducing denied claims by reviewing central billing office financial spreadsheets.
• Teamwork
  • Contributes valuable ideas, opinions, and feedback openly.
  • Reliable in commitments made to others.
  • Easily adaptable to change.
  • Displays a positive work attitude and motivates others.
  • Can multitask throughout the day.
  • Trains, assists, and mentors staff willingly and effectively with satisfactory retention outcomes.

• Proficient in hardware (keyboard, fax/copier, 10‑key calculator, printer/scanner, phone, PC) and software (medical, Right Fax, call queue, Teams, Excel, Word, Outlook, PowerPoint, Waystar, Craneware, etc.)
• Meditech capabilities: compose and send workload messages, enter patient and insurance demographics, create referrals and authorizations, scan and upload documents, find referral orders, access clinical information, document while meeting HIPAA guidelines.
• Applications: API, UKG, reporting services, Bswift, Frederick Health website, IPeople downtime, Managed Care Corner, PEP, Isilonnas Folder.
• Professional demeanor: precise verbal and written skills, effective interaction with staff and patients in English.
• Hygiene and sanitation: well‑groomed, maintains cleanliness, and dresses in office‑appropriate attire.
• Personal abilities: detail‑oriented, data analysis, multitasking, prioritization, independent work with minimal supervision, good judgment, HIPAA and state regulation compliance, familiarity with CPT and ICD‑10 codes and medical terminology, understanding of insurance plan types, and written resources to support downtime implementation.
• Referral Specialist Role: perform, train, and mentor in referral order handling, portal use, eligibility checks, referral creation, documentation, and timely presentation.
• Authorization Specialist Role: perform, train, and mentor in eligibility verification, pre‑determination/authorization initiation, code finding, documentation, portal navigation, peer‑to‑peer, and appeal procedures.
• Leadership: maintain and optimize standards, update provider…