Patient Access Manager

Under the leadership of the Director of Patient Access will be responsible for successfully managing the organizational and administrative operations of the 24/7 Patient Access Department. Performs supervisory duties including hiring, training, evaluating and the day-to-day management of the Patient Access team. (Admissions, Emergency Department, Laboratory and Radiology Registration and Scheduling, and Financial Counseling). Emphasis is placed on customer services, patient satisfaction, staff development and fiscal goals. Responsible for assisting in the managing the financial aspects of the department and the quality assurance activities. Works with medical, nursing and accounting staff to ensure appropriate patient placement. This position will rotate call, weekend and shift coverage as needed. In addition, will float between the different locations within Patient Access (SZ Campus, United Medical Center and Off-site Ancillary locations) as needed.

Minimum Education

Bachelor's Degree (Required)

Minimum Work Experience

5 years (Required)

At least 5 years of healthcare experience along with 4 years of leadership experience (strongly preferred)

Required Skills/Knowledge

Excellent interpersonal and written communication skills required.

Ability to delegate assignments and follow through on details is essential.

Excellent consumer relations skills required.

Knowledge of physician, hospital based billing practices preferred.

Knowledge of hospital scheduling and billing systems.

Strong analytical problem solving skills and ability to work with information systems.

Outstanding project management and task prioritization abilities; ability to meet pre-determined deadlines.

Ability to supervise, counsel, train, and develop staff Advanced technical skills, as appropriate.

Must possess ability to be effective and efficient in a fast paced environment, managing multiple competing tasks and priorities.

Proficient in Microsoft products.

Bilingual a plus

Functional Accountabilities

Grow

Encourage and share new ways of making the right work easier to do

Recognize and share incremental improvements in operations

Promote the success of organizational and department initiatives by clearly aligning programs to the mission

Human Resource Management

Participates in the implementation and evaluation of services, programs, and performance standards to achieve departmental goals

Coordinates daily activities of support staff with regard to workload requirements and available resources.

Provide ongoing feedback with staff to include rounding, meetings and staff huddles

Monitors appointment and registration quality, call quality reporting problems and recommending solutions to ensure standards are met.

Monitors department flow, implementing performance improvement initiatives to ensure physician and staff productivity .

Monitor time and attendance work quality and behavior and address accordingly

Compliance / Facility Management

Promotes awareness of and adherence to organizational, state and federal regulatory standards to ensure quality of patient service delivery

Participates in the ongoing assessment of Practice Operations policies and procedures to establish continued feasibility

Responsible for the provision of a safe, secure, clean work and patient care environment including the full functionality of equipment and interacting with the applicable business contacts/service vendors to ensure the availability of services at all times

Monitors space utilization to ensure proper use of space and expansion needs are met.

Budget and Financial Analysis / Planning Revenue Enhancement

Prepares documentation and projections to support the operating and capital budget planning process.

Evaluates and recommends purchase of new equipment needed to maximize productivity and quality of care.

Implements actions to facilitate meeting budget requirements and administers programs within budgetary guidelines.

Provides monthly reports to leadership identifying outcomes and opportunities for improvement

Maintains effective working relationships with hospital departments and ROCs and represents CNMC in professional groups and community outreach activities

Participates in the planning for new business opportunities and services in support of the CNMC mission.

Charge / Data Entry Processing

Ensures that daily reconciliation of schedules and charge documents occurs, that charge documents are complete with CPT and ICD-9 coding, that demographic changes have been made in the system, and that appropriate referrals are attached.

Works all established charge reports to correct billing errors and identify staff training needs. Maintains/coordinates filing system of all charge documents

Ensure timeliness and accuracy of billing. Responds to inquiries and complaints regarding Charging and data entry

Participates in the establishment and revision of procedures, performance standards and productivity targets for staff

Organizational Accountabilities

Registration and Scheduling Processing

Works with staff to ensure accurate and timely registration, insurance verification and copay collection.

Monitors the admission processes for compliance according to hospital guidelines and ensure verification of insurance eligibility and coverage and authorization as needed.

Ensures accurate and timely scheduling of patient appointments. Routinely monitors customer call quality, compliance and reports trending and corrective actions as needed

Organizational Accountabilities (Leader)

Deliver

Set and clearly communicate team goals and priorities in alignment with departmental goals and budgets

Develop the budget and assign resources to meet the team goals

Provide the resources and guidance required for employees to perform effectively

Develop procedures to ensure high safety and quality, and course-correct as needed

Identify customers’ needs and ensure service excellence in meeting those needs

Engage

Be the link between the department and the team in defining the strategies to meet team goals

Provide prompt and clear feedback to staff and support their performance

Ensure team adherence to organizational regulations

Manage the working environment to promote productivity and motivation

Represent the team in clearing obstacles to high performance

Hire staff and develop their capabilities

Monitor and promote strong employee engagement

Grow

Encourage and share new ways of making the right work easier to do

Recognize and share incremental improvements in operations

Promote the success of organizational and department initiatives by clearly aligning programs to the mission