We are looking for Patient Access Leader candidates for a project delivered through Mercor.
What you'll do
- Lead end-to-end patient access operations including pre-registration, registration, scheduling, and intake workflows across inpatient and outpatient settings.
- Evaluate AI-generated outputs related to patient access processes, identifying errors and providing structured, actionable feedback.
- Develop and enforce policies and procedures for registration accuracy, demographic capture, and point-of-service collections.
- Monitor KPIs including registration error rates, pre-registration completion rates, insurance verification accuracy, and front-end denial rates.
- Ensure clean claim submission from point of entry by identifying and resolving front-end deficiencies.
- Collaborate with billing, clinical, and IT teams to streamline patient access workflows and reduce downstream claim errors.
- Train and mentor staff on registration best practices, compliance requirements, and system usage.
- Ensure compliance with HIPAA, CMS guidelines, and payer-specific requirements at the point of service.
- Document observations, annotate AI outputs, and provide structured feedback to support AI training datasets.
What you need
- 5+ years of experience in patient access, patient registration, or front-end revenue cycle management, with at least 2 years in a manager or director-level role.
- Deep knowledge of pre-registration, insurance verification, scheduling intake, and point-of-service collections.
- Strong understanding of HIPAA, CMS regulations, and commercial and government payer requirements.
- Proficiency with Epic, Cerner, Meditech, or similar EHR and registration systems.
- Exceptional written and verbal English communication skills.
- High attention to detail and ability to identify inconsistencies in workflows, data, or AI-generated outputs.
- Comfortable working independently in a fully remote environment.
- Strong organisational skills with the ability to manage multiple priorities simultaneously.
Nice to have
- NAHAM Certified Healthcare Access Manager (CHAM) or Certified Healthcare Access Associate (CHAA) credential.
- Experience with denial prevention strategies at the point of registration.
- Familiarity with AI tools such as ChatGPT, Claude, or similar systems.
- Background in health system, hospital, or large physician group settings.
- Experience developing SOPs and training materials for patient access teams.
Who you work with
Project and contracting process: Mercor. Applications continue on the provider's website.