Patient Access Manager

WVU MedicineCadiz, OH
2d

About The Position

Manages activities and employees related to all patient access processing including: registration, scheduling, and insurance verification, of patients within the healthcare system to ensure the financial viability of the clinical and business enterprise.

Requirements

  • High school diploma or equivalent.
  • Obtain HFMA Certified Revenue Cycle Representative (CRCR) Certification within one (1) year of hire.
  • Five (5) years of experience in registration and/or patient access with two (2) years of management or supervisory experience.

Nice To Haves

  • Bachelor’s degree in general business, accounting, finance or a closely related field.

Responsibilities

  • Interviews, selects, directs departmental training and orientation, and assign departmental staff.
  • Develops and maintains standards of performance for criteria based position descriptions and performance appraisals with Management.
  • Makes recommendations for personnel actions such as merit increases, promotions and disciplinary actions.
  • Develops, implements and maintains a process for measuring competencies of departmental personnel with Management. Evaluates competencies on ongoing basis.
  • Provides timely feedback on performance and appropriate counseling for improvement when necessary.
  • Conducts monthly staff meetings to communicate information, to develop departmental goals, to solve patient care and departmental problems, and to encourage cooperative, collaborative relationships and promote team efforts.
  • Schedules and adjusts staff to meet facility needs considering staff competency, established standards and regulatory requirements, including appropriate supervision, and wage and hour law.
  • Is timely and responsive to staff, managers, patients and other employees and follows up with clear and concise communication as appropriate via e-mail, telecommunication and direct personal response.
  • Monitors and maintains the operating budget within the specified limits through the initiation of efforts which promote efficiency and reduce waste.
  • Actively seek ways to control costs without compromising patient safety, service or quality of care.
  • Maintains and reports departmental information and statistics for administrative and regulatory purposes meeting the required time standards.
  • Develops, implements, maintains and interprets to staff, and when appropriate to others, policies, procedures, standards of care and practice for the department regarding budget and financial issues.
  • Flexing of staff schedules to maintain budget based on fluctuations of patient census.
  • Exercises proper stewardship through the appropriate use of supplies, equipment, and time.
  • Monitors payroll time system to maintain accurate employee pay data.
  • Works with all Patient Access departments to ensure proper data capture and copay collection to drive financial performance to meet and/or exceed financial goals.
  • Follows hospital, state and federal guidelines for ensuring safe environment for workers, patients and public.
  • Ensures compliance by staff to hospital, governmental and insurance regulations.
  • Ensures the facilities and equipment for patient services is maintained to promote comfort, efficiency and safety for patients and staff.
  • Provides direct patient access customer service when necessary.
  • Communicates and interacts with clients, families, visitors, physicians, departmental and hospital staff and the public in general in a manner that demonstrates professionalism and concern for the individuals' need(s).
  • Remains current and responsive to changes in healthcare delivery, standards established by professional organizations, regulatory and accrediting bodies and the needs of the organization.
  • Stays involved in identifying education needs with front-line staff to identify process improvement.
  • Participates and encourages the participation of staff in work groups and teams for the improvement of departmental processes.
  • Coordinates the educational needs and teaching methods of all departmental personnel.
  • Ensures that educational needs and teaching methods meet the needs of departmental staff and the business needs of University Healthcare.
  • Assists with training development, testing and implementation with any and all system changes and integrate and apply specific knowledge to staff.
  • Develops and implements processes to assess and improve the services provided and compliance with regulatory requirements.
  • Reports results assessment and improvement processes to the appropriate administrative levels.
  • Participates, encourages and facilitates the participation of staff, in hospital-wide process improvement efforts as needed.
  • Assists the IT department with all computer and Electronic Medical Record (EMR) and patient billing upgrades and module enhancement, as they relate to Patient access
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