Patient Access Manager

As a vital part of the Agencies’ Revenue Cycle and patient experience, the Patient Access Manager is responsible, oversees and directs the daily activities of Patient Access areas. This includes monitoring the operational standards of scheduling, insurance verification, pre-registration, registration, financial counseling and cashiering.

The manager complies with all applicable policies, procedures, laws, regulations that ensure the effective and efficient operation of the activities within the departments at competitive levels and ensures that the established corporate, client and divisional goals are met or exceeded. The manager also develops and proposes strategies for operational improvement projects and supports the development and motivation of unit employees.

The Patient Access Manager manages and directs the daily activities of the agency to ensure compliance with all applicable policies, procedures, laws, and regulations and ensure that established corporate, client and divisional goals are met or exceeded. Develop and propose strategies, policies and procedures that ensure the effective and efficient operation of the activities within the department at competitive levels. Oversee and support the supervision, development and motivation of unit employees.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Manage and coordinate the work flow of patient access staff and supervise the functioning of an assigned area
• Ensure that the patient access staff is operating in accordance with policies and procedures of the department as well as within the organization
• Work with operations manager to ensure good client relationships
• Mentor new employees, implement industry changes within the patient access department, recruit qualified PAS staff and review monthly performance of assigned staff
• Ensuring the PAS staff are verifying insurances and contacting patients who have procedures scheduled, but have not had those procedures yet
• Ability to effectively manage and motivate and support staff
• Must be able to handle multiple clients and administer/manage to their expectations
• Work as a team to provide floor coverage and assist staff with questions
• Develop, recommend, and implement plans to increase recoveries and reduce expenses including specific campaigns, schedules, personnel, strategies and collection techniques
• Self-motivated with strong organizational and communication skills
• Determine staffing needs to adequately cover inventory and telephone activity and establish schedules within department to accommodate those needs
• Work with operations manager to perform client analysis, process bi-monthly reports and plan strategy to increase revenue
• Ability to utilize multiple tools to analyze the business and make recommendations for improvement
• Candidate must have a strong work ethic and a strong desire to achieve individual and team goals
• Working knowledge of the HIPAA, Pre-Certification of mostly surgical procedures, Verification of Insurance, and soft self-pay collections.

KNOWLEDGE, SKILLS AND ABILITIES

• Working knowledge or FACS or other nationally recognized collection software
• Strong knowledge of federal, state and local laws, regulations and rules concerning collections
• Effective skills in communication, negotiation, decision making, good management, and skills to tackle emergencies
• Ability to provide excellent customer service while understanding the client service aspects of business
• Exceptional organizational skills and attention to detail required
• Experience with managing a team of 10 or more employees
• Intermediate to advanced computer skills using Microsoft Word, Excel and Power Point software

EDUCATION AND EXPERIENCE

• High school diploma or equivalent; Bachelor’s degree preferred
• 2+ plus years of Patient Access Management experience
• 2+ years in healthcare registration, collections, billing, pre-certifications (surgery procedures preferred) and customer service
• Previous experience working with medical collections or major hospital systems such as Epic, Star, Sorrian etc