Job description

Position Summary The Patient Access Manager will provide effective and efficient management of Insurance Verification, Self-Pay and Call Center operations as well as departmental leadership over any Patient Access related process. The Patient Access Manager will oversee pre-service financial clearance, patient, estimation, scheduling, insurance verification, and referral confirmation of patients as well as coordinate front end denials and quality items. The Manager is expected to identify areas of opportunity as well as develop and execute processes to achieve departmental performance goals. Collaboration and effective communication with revenue cycle colleagues as well as external departments is pertinent in the role.

* Manage departmental work-in-process (Scheduling, Insurance Verification / Eligibility, Authorization, Estimation) ensuring that visits are financially cleared in a timely manner.

* Develop and monitor key performance indicators. Work with staff, unit mangers, and external departments to resolve issues and maintain key performance metrics.

* Identify scheduling, insurance verification, and customer service risks and opportunities. Develop policies, procedure and workflows that will resolve issues and maximize cash flow.

* Introduce best practices and optimize work process to address payer, regulatory, financial, and operational changes as well as emerging industry trends.

* Assist Revenue Cycle Leadership with developing and implementing short and long term goals for the department.

* Collaborate with the patient accounting department to address the root cause of denials stemming from Front End operations.

* Contribute to improving and enforcing internal operational controls.

* Identify functionality issues with Allscript or other business office applications. Conduct preliminary investigation to determine technical versus process and skill issues. Escalate technical issues to the appropriate contact.

* Follow up with appropriate departmental or external leaders to address process and skill issues related to the use of system applications.

* Monitor the department's quality and productivity program. Ensure management and staff participate in department training and development programs.

* Perform data analysis/validation and gather data requirements to produce a variety of departmental reports and rosters.

* Foster a collaborative and team-oriented work environment. Meet regularly with the management team and staff.

* Provide written and verbal department progress updates to Revenue Cycle Leadership.

* Manage work and prioritize assignments/initiatives effectively.

* Knowledge of HMO, MCR, MCD, BC, WC, NF, liability and traditional indemnity third party billing, and payers is a must.

* Oversee staff-level new employee onboarding, ensuring training plans are adhered to and new employee performance meets expectations throughout the probationary period.

* Submits, manages, and resolves technical support tickets with system vendors.

* Advanced knowledge of Microsoft Office products (Excel, Word, PowerPoint, etc.)

* Excellent verbal and written communication skills including the ability to influence and advocate when appropriate.

* Communicates complex information and ideas effectively with technical and non-technical individuals across the organization.

* Excellent interpersonal, analytical, problem solving, and conflict resolution skills.

* Thinks critically and maintains high attention to detail.

* Ability to adapt and respond to unexpected changes.

* Maintain a high degree of professionalism and integrity.

* Perform other duties as required.

Formal Education and Job-Related Experience This position requires a minimum formal education of Bachelor's Degree and a minimum of 3 years job-related experience.

Desired (not required) criteria include: Master's Degree. Knowledge of Allscripts Registration/Scheduling

Comments Prior related Management Experience. Knowledge of Medical Terminology. Competent in use Computers.

Professional appearance and pleasant personality. Congenial manner ability to deal with/assist person under stress. Good telephone personality/manner.

Job Type: Full-time

Pay: $75,000.00 per year

Benefits:

• Disability insurance
• Flexible spending account
• Tuition reimbursement

Schedule:

• 8 hour shift
• Monday to Friday
• On call

Work Location: One location

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