Manager Of Patient Access

Job Summary:

The Manager of Patient Access oversees the Patient Access and insurance verification departments, ensuring efficient operations and optimizing the patient financial experience. This role involves managing staff, coordinating functions related to pre-registration, registration, insurance verification, and financial collections, and maintaining compliance with billing requirements and regulations. The ideal candidate will have strong leadership skills, experience in Patient Access management, and a commitment to delivering excellent customer service.

Key Responsibilities:

• Manage, supervise, and coordinate all functions within Patient Access Services, including pre-registration, registration, financial collections, and insurance verification.
• Ensure accurate collection and verification of demographic, financial, and clinical information for account maintenance.
• Coordinate scheduling and admitting processes to ensure compliance with third-party payers and regulations.
• Foster relationships with medical, nursing, and administrative staff to resolve issues and improve processes.
• Liaise with third-party payers to obtain verification data and pre-certification approval for services rendered.
• Provide training to staff on policies, procedures, and system functionality.
• Evaluate the quality and quantity of Patient Access services and establish monitoring and reporting mechanisms.
• Involve staff in planning, developing, and implementing policies and procedures, and conduct regular staff meetings.
• Educate staff on customer service expectations and monitor feedback.
• Address opportunities for improvement professionally and tactfully, using incidents as learning opportunities for staff.
• Prepare and control the annual departmental budget.
• Standardize processes and systems across the organization.
• Implement performance improvement activities to enhance upfront co-pay collections, customer service, and patient wait time.
• Inform and educate staff on relevant changes in payer requirements.
• Ensure staff practice excellent customer service while supporting organizational values and policies.
• Collaborate with CFO on relevant matters as directed.
• Perform other duties as assigned.

Qualifications:

Education:

• Bachelor's degree in Healthcare Administration, Business Administration, or related field preferred.
• Associates Degree with 3 years relevant experience required.

Experience:

• Supervisory or management experience plus a minimum of five years in Patient Access performing significant responsibilities in Registration required.
• Related certifications preferred.

Required Skills and Abilities:

• Strong leadership and supervisory skills.
• Excellent communication and interpersonal skills.
• Knowledge of billing requirements and state reporting mandates.
• Familiarity with Patient Access systems and procedures.
• Proficiency in budget management and performance monitoring.
• Ability to adapt to changing requirements and implement process improvements.

Physical Requirements:

• The work environment may involve prolonged periods of sitting, standing, and computer use.
• Must have the ability to communicate effectively with staff and external stakeholders.