Patient Access Manager

Duties and Responsibilities

• Manages department work schedules of all registration staff to ensure proper coverage is maintained 24/7.
• Makes sure quality assurance standards are met by performing random audits of registration staff to ensure quality and governmental compliances are rendered.
• Hires new staff and provides one-on-one training with all new employees.
• Ensures that all pre-certification requirements are met by staff prior to the patient service.
• Responsible for the completion of employee performance evaluations for the Admitting Lead and Registrar positions in a timely manner.
• Educates all departmental employees on procedural changes and conducts monthly meetings for proper feedback.
• Develops and implements processes to ensure all staff are equipped with the tools necessary to provide high quality outcomes and services.
• Monitors staff to ensure all Insight patients and their families receive excellent customer service.
• Ensures excellent communication with all Insight Managers, Directors, Physicians and staff.
• Participates on committee work groups and other task teams to enhance the development of improved processes and efficiencies.
• Remains current with the Self Pay screening requirements as outlined by Insight policies.
• Ensures information remains current with Insight’s HMO/PPO list of contracts and service requirements.
• Manages the budget process and ensures that registration is within 2% of the operating budget.
• Remains current with registration requirements and best practices.
• Responsible for submitting a monthly productivity report by employee and department to the Director, Revenue Cycle.
• Responsible for monitoring and evaluating wait times in high volume departments monthly.
• Develops procedures to decrease wait times.
• Understands the bed placement requirements as established by nursing criteria.
• Responsible for training registration staff during disaster drills and events to ensure patients are accounted for and receive timely treatment.
• Develops inter and intra departmental systems that promote efficient patient flow.
• Formulates, distributes, interprets, revises, and assesses all departmental policies and procedures.
• Conducts STI (System Testing Issues) upgrades to Star Database.
• Understands the basic needs of the practice management system.
• Updates the AMP work list and reviews productivity results with staff and Director, Revenue Cycle monthly.
• Makes sure the top five billing errors are monitored and reviewed and develops an action plan to decrease registration errors.
• Updates the ABN (Advanced Beneficiary Notice) profiles as needed to ensure Medicare requirements are met.

Job Specifications

• Required Knowledge, Skills and Abilities: High School Diploma required. Bachelor’s Degree preferred. Three years' experience in patient access/registration required. Five to eight years of management or supervisory experience in the healthcare areas of Patient Access, Pre-Certification/Pre-Registration or Revenue Cycle preferred. Strong Operational background required. Knowledge of Medicare, Medicaid and Commercial insurance required. Proficient in the use of Microsoft programs: Excel, Word and PowerPoint required. Familiar with Insurance Eligibility Online Systems required. Excellent oral and written communication skills required. Knowledge of medical and insurance terminology required. Ability to multi-task and work in a fast-paced environment required. Excellent phone and communication skills required. Ability to prioritize and follow up on issues and concerns required. Ability to provide excellent customer service at all times required.