Manager, Pre-Access Services

Essential Duties And Responsibilities

• Provides day-to-day operational leadership for Pre-Access Services, including staffing, performance management, and employee relations.
• Serves as a liaison between patients, families, providers, and internal teams to ensure coordination of care.
• Ensures compliance and quality control standards are consistently met across all functions.
• Acts as a subject matter expert (SME) on diagnostic procedures, workflows, and patient access processes.
• Leads and supports scheduling operations for multiple tests and procedures to maximize efficiency.
• PARTNERS WITH CLINICAL TEAMS TO OPTIMIZE SCHEDULES, RESOURCE UTILIZATION, AND REVENUE OUTCOMES.
• Maintains and updates scheduling templates, protocols, and workflow instructions.
• Serves as an SME on insurance, including coverage, authorizations, and payer requirements.
• APPLIES KNOWLEDGE OF ICD CODING, MEDICAL NECESSITY, AND PATIENT FINANCIAL COMMUNICATION (E.G., ABNs).
• MONITORS INDUSTRY TRENDS AND PAYER CHANGES TO ENSURE ONGOING COMPLIANCE AND BEST PRACTICES.
• UTILIZES REPORTING AND DASHBOARDS TO DRIVE PERFORMANCE, PRODUCTIVITY, AND ≥96% ACCURACY STANDARDS.
• LEADS CUSTOMER SERVICE AND SERVICE RECOVERY EFFORTS TO ENHANCE PATIENT EXPERIENCE.
• PROVIDES HANDS-ON SUPPORT, STAFF MENTORING, CROSS-COVERAGE, AND TECHNICAL GUIDANCE AS NEEDED.
• DRIVES EMPLOYEE ENGAGEMENT AND RETENTION WHILE MAINTAINING A CONSISTENTLY PROFESSIONAL PRESENCE AND COMMUNICATION STYLE.

Qualifications

• Minimum Required Education: Bachelor’s Degree; Four (4) years of management experience will be considered in lieu of degree.
• Preferred Education: Master’s degree
• Experience: 5 years of experience within a healthcare revenue cycle setting required. One year experience with Epic EMR is required.
• Certificates, Licenses, Registrations: Professional certification required within one (1) year of hire; Certified Healthcare Access Manager (CHAM), Certified Revenue Cycle Representative (CRCR), or Prior Authorization Certified Specialist (PACS) certification preferred.