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Patient Access Manager
4 months ago
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.**
The Patient Access Manager is Responsible for the 24/7 operations of all Patient Access Service areas. The Manager will guide revenue cycle team members supporting registration, pre-registration and overall financial clearance for both scheduled and unscheduled services.
Strong operational knowledge and performance of revenue cycle processes to include DNFB, POS, MS4 host system, JCAHO, CDPH and CMS regulations allowing for compliant and timely release of claims for billing. A leader with strong communication and team building skills responsible for sustaining both team member and patient satisfaction metrics. Ability to interact and be the face of Optum with client in day-to-day operations.
Responsible for effectively assisting the Facility Director with the work of assigned staff within the parameters of designated performance standards and metrics. The Facility Manager is expected to motivate Supervisors and Managed staff to achieve the highest levels of customer satisfaction and to meet the organization goals for customer service and financial performance. The Facility Manager interacts with other departments within the assigned client site(s) and serves as a representative of the corporate Patient Access Revenue Cycle Operations department. The incumbent attends managerial meetings as required and supports the core values of Optum360, which is an integral part of this position.
Although this position is primarily focused upon the provision of services at the Facilities, (St John Regional Medical Center and St John Hospital Camarillo) the position directly reports to the Facility Director and has frequent contact with Regional Patient Registration Leaders, as well as facility-based clinical and administrative leadership. Primary focus is the leadership, training, and mentoring of all registration staff.
**Primary Responsibilities**:
- Effectively Manage Supervisors, monitor / assure positive accountability culture between Managed staff and Management
- Effectively conduct mentorship and training for Supervisors and Team Leads
- Ability and available to cover Supervisor duties & work any shift when needed to improve process in patient access areas
- Assist Director to provide system level oversight for the development of processes and initiatives designed to improve Revenue Cycle performance in assigned areas
- Assist Director to provide system level oversight for Optum360 client improvement programs and initiatives related to assigned Patient Access activities, working with the department’s Director, Senior Directors, Regional Patient Registration Directors, Corporate Directors and Managers, and Facility leadership, as warranted
- Effectively participate in Patient Access Quality Assurance, Patient Satisfaction, Client Satisfaction, Employee Engagement and Process Improvement activities, ensuring associate understanding and commitment, as well as expected process improvement outcomes
- Lead by example promotes teamwork and operational relationships by fostering a positive, transparent and focused working environment which achieves maximum results
- Know, understand, incorporate, and demonstrate the Optum360 Mission, Vision, and Values in behaviors, practices, and decisions
- Serve in a leadership role and promotes positive Human Resource Management skills
- Provide leadership for departmental services through collaboration with customers, employees, physicians, clinics, other Optum360 / client departments and services, vendors, etc.
- Manage assigned staff in order to ensure steady workflow balance and high-quality outcomes
- Educate physicians, physician office staff, and organizational associates regarding assigned Patient Access requirements
- Identify action plans to improve the quality of services in a cost-efficient manner and facilitates plan implementation
- Prepare required reports using statistically sound information, displaying content in easily understandable format; escalates to the Facility Director any unfavorable trends
- Maintain professional development and growth through journals, professional affiliations, seminars, and workshops to keep abreast of trends in revenue cycle operations and healthcare in general
- Perform other duties as needed and assigned by the Facility Director or in coordination with other Optum360 Patient Access or Revenue Cycle Leadership, including but not limited to
