Manager, Patient Access

Manager, Patient Access

40 hours per week, day shift

JOB SUMMARY:  Plans, organizes, directs, staffs and controls a wide range of operations and activities pertaining to financial clearance or registration, including patient registration, insurance verification, authorizations, point of service collection and financial counseling referrals.  Provides daily direction and leadership to supervisors and staff and is responsible for developing and administering new programs and services to support the goals and objectives of the organization. 

EDUCATION/EXPERIENCE:  Bachelor's degree in Healthcare Management or related field with three (3) years' experience in ambulatory or acute healthcare revenue cycle operations or similar environment; or, an equivalent combination of education and experience. MBA, MHA, MPH, MS degree preferred. Experience working as a Manager or Supervisor preferred. NAHAM or HFMA certification preferred. 

LICENSURE, CERTIFICATION, and/or REGISTRATION:  N/A

ESSENTIAL FUNCTIONS:

1.         Effectively functions as a liaison to Clinic Operations leaders in coordinating and addressing overall revenue cycle workflows and performance to include - patient access, scheduling, financial clearance, customer service, billing and denials.

2.         Maintains a high performance work environment characterized by positive relationships and a strong orientation to quality patient care.

3.         Partners with Sr. HR Consultant to accomplish the department's talent acquisition objectives by recruiting, selecting, orienting, training, assigning, scheduling, communicating job expectations;

4.         Partners with HRBP (Human Resource Business Partner) to implement corrective performance improvement documents through coaching, counseling, and disciplining employees. Planning, monitoring, appraising, and reviewing job contributions; planning and reviewing compensation actions; enforcing policies and procedures.

5.         Achieves operational objectives by contributing information and analysis to functional strategic plans; preparing and completing action plans; implementing productivity, quality, and customer-service standards; identifying and resolving problems; completing audits; determining system improvements; implementing change.

  6.         Monitor staff performance and quality and address any training or performance issues.

7.         Partners with the Customer Quality Coordinator (CQC) team to provide quality assessments and performance reports/scorecards and provides feedback, coaching, reporting and trending.

8.         Contributes to coaching and developing teammates within the department to enhance overall revenue cycle performance.

9.         Meets or exceeds goals of quality standards by designing, establishing, and maintaining procedures and policies to assure leading practice in the revenue cycle.

10.       Assures accuracy of patient data and fiscal information by reviewing the QCAR (quality cash analysis report) and DSR (denials statistic reports) and other available reports of patient data and fiscal information.

11.       Identifies pertinent revenue cycle trends by maintaining various categories of utilization of statistical data within internal reporting systems.

12.       Keeps patients, relatives, visitors, staff and other key stakeholders informed by interpreting and communicating admitting rules, regulations, policies, and procedures.

13.       Serves and protects the hospital community by ensuring adherence to professional standards, hospital policies and procedures, federal, state, and local requirements, and Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards.

14.       Maintains professional and technical knowledge by attending educational workshops and conferences, reviews professional publications; establishes personal networks, and participates in professional societies.

SKILLS/QUALIFICATIONS:

• Excellent interpersonal skills to communicate effectively with patients, physicians and other hospital staff members, exercising a high degree of tact and poise
• Ability to direct activities of the department by motivating and facilitating staff professional growth and development successfully
• Analytical skills
• Ability to facilitate data collection, communicate policies and procedures, interpret and relate federal and state regulatory changes
• Knowledge of continuous quality improvement and customer focus methods and processes
• Ability to establish priorities and make decisions quickly under pressure
• Proficient in Microsoft Office applications and ADT

WORK ENVIRONMENT:

• Clean, well-lit, comfortable, office environment
• May involve dealing with angry or upset people
• Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergencies
• Able to manage exposure to potentially infectious material per OSHA guidelines effectively

PHYSICAL REQUIREMENTS:

0%       35%     65%                

to         to         to                    

35%     65%     100%   N/A     Activity

            X                                  Standing

X                                              Walking

            X                                  Sitting

X                                              Bending

X                                              Reaching with arms

                        X                      Finger and hand dexterity

                        X                      Talking

                        X                      Hearing

                        X                      Seeing

                                                Lifting, carrying, pushing and or pulling:

X                                              20 lbs. maximum

                                    X          50 lbs. maximum

                                    X          100 lbs. maximum