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Patient Access Manager

4 months ago

Macon, United States OrthoGeorgia Full time
Job DescriptionJob Description

JOB SUMMARY:       

The Patient Access Manager is responsible for the ongoing management and daily operations of business functions, which include patient registration, call center, insurance verification, benefits management, point-of-service collections, and problem resolution, ultimately ensuring the success of front-end revenue cycle functions. The Access Manager is responsible for ensuring systems deployed at the front end of the revenue cycle are optimized; staff is trained and supported with quality monitoring and performance improvement as key tenets of the role. The manager plans coordinates, and organizes all business processes and work efforts specific to Patient Access functions at multiple campuses and locations. Under the direction of the Revenue Cycle Director, the manager ensures departmental goals and objectives are developed and met promptly and efficiently while maintaining quality assurance standards and adhering to regulatory requirements. The position requires self-motivation, creativity, and the ability to function in a semi-autonomous role within a fast-paced and dynamic environment.

 

EDUCATION & EXPERIENCE:

A bachelor’s degree in Healthcare Administration or a related field is required. Equivalent work experience may substitute for education requirements. Five years of progressive leadership experience in healthcare operations or finance. Proven patient access responsibility record with a focus on multi-department and site allocation. Demonstrates a high level of proficiency. National certification for Health Access Management (CHAM) is preferred.

 

TRAINING:  MACHINES/TOOLS/EQUIPMENT/WORK AIDS:

Three months to become independently functional.  Athena EPM & EMR, telephone, scanner, facsimile, & copier.  Microsoft Office (Word, Excel, and Outlook).

 

JOB RELATIONSHIPS:

Works under the direct supervision of the Revenue Cycle Director. Has manager responsibilities.  Daily contact with management team members, physicians, employees, and patients.

 

WORKING CONDITIONS:

Walks, sits, and stands intermittently throughout the day.  Works in a clean, well-lit, heated/ cooled, and ventilated office.

Hazardous materials exposure is minimal and limited to normal office supplies.

Physical demands may include lifting 25+ pounds, 0-25% of the time, and/or pushing 25+ pounds.

Additional physical demands include the ability to grasp with both hands, pinch with the thumb or

forefinger; turn with hand/arm; reach above shoulder height; simultaneously speak on the telephone and write.

Vision:  Adequate to perform the job's essential functions, such as reading from a computer terminal. 

Hearing:  Adequate to perform the essential functions of the job.

Speaking:  Adequate to perform the essential functions of the job, such as speaking clearly to co-workers, patients, and visitors.

Dexterity:  Adequate to perform the job's essential functions, such as speaking on the telephone and taking a message simultaneously. 

Mental:  Adequate to perform the essential functions of the job.

 

OTHER:

 The employee must be aware of and fully support OrthoGeorgia’s Customer Service policy and commitment to Customer Service. 

 

MAJOR JOB DUTIES:

 

1. Manage the hiring, training, mentoring, and development of all employees.

2.

Manage the onboarding and 90-day evaluation process to ensure new hires' progress is effective and implement corrective action plans as needed.

3.

Meet and exceed all departmental production and quality performance expectations.

4.

Communicate effectively with all levels of the organization to instill trust in the Patient Access process.

5.

Project and maintain a high level of ethics and personal integrity.

6.

Ability to work in a high-pressure or changing environment and exercise good judgment to resolve problems.

7.

Review daily, weekly, and monthly staff quality and production reports to ensure all areas of operations are performing at the best practice levels and adjust accordingly.

8.

Demonstrates an extensive and functional knowledge of all systems and software utilized within patient access.

9.

Provide constant communication with key leadership regarding quality monitoring results, any identified and/or recommended training needs and deficiencies, and collaborate on strategies for meeting and exceeding customer expectations.

10.

Plan and manage cost-effective use of staff and resources to meet organizational needs and services.

11.

Demonstrates strong independent judgment and analytical skills to recommend improvements/changes in the process.

12.

Ensures that performance management programs are effectively administered and that individuals receive ongoing feedback and coaching on job performance, competencies, values-based behaviors, and developmental needs.

13.

Personally models professional confidentiality and discretion in all communications and exchanges of information.

14.

Accountable for a positive organizational culture in business, decision-making, and performance management to influence work attitudes and enhance job satisfaction.

15.

Ensure staff complete work with a sense of accountability and ownership regarding their work area assignments by closely monitoring department metrics related to productivity and quality.

16.

Serves as liaison to other departments for financial knowledge, training, quality assurance, analytics, and performance improvement.

17.

Maintain a thorough understanding of all core registration processes, point of service collections, financial agreements, various insurance programs, insurance requirements, and payer authorizations to ensure that all financial clearance requirements have been met.

18.

Develops and maintains a culture that promotes service excellence and employee empowerment to act in the best interest of those directly caring for our patients.

19.

Demonstrated critical thinking, creativity, problem-solving, and decision-making skills.

20.

Prepare payroll and complete monthly work schedules as needed to ensure adequate staffing.

 

This job description does not state that these are the only duties to be performed by the employee occupying this position. Employees will be required to follow any other job-related instructions needed to perform any other job-related duties requested by their manager and/or other management as required. OrthoGeorgia reserves the right to revise or change job duties and responsibilities as needed. 

Company DescriptionValue Statements:

• Team Player: We work together to promote a sense of pride and belonging by recognizing the importance of effective communication, cooperation, and commitment to a positive relationship with each other.

• Continuous Improvement: We strive for excellence through training, innovations and resourcefulness.

• Responsiveness: We empower our employees to provide exceptional customer service in a timely and efficient manner.

• Integrity: We demonstrate accountability through professionalism, trust and a strong work ethic.

• Individual Worth: We respect everyone, honor and encourage diversity and promote opportunity for growth.Company DescriptionValue Statements:\r
\r
• Team Player: We work together to promote a sense of pride and belonging by recognizing the importance of effective communication, cooperation, and commitment to a positive relationship with each other.\r
\r
• Continuous Improvement: We strive for excellence through training, innovations and resourcefulness.\r
\r
• Responsiveness: We empower our employees to provide exceptional customer service in a timely and efficient manner.\r
\r
• Integrity: We demonstrate accountability through professionalism, trust and a strong work ethic.\r
\r
• Individual Worth: We respect everyone, honor and encourage diversity and promote opportunity for growth.