Manager, Patient Access

Primary Purpose

The Primary Purpose of this position is patient facing in clinical nature. Manages and controls all processes related to Patient Registration and Financial Counseling in the Inpatient, Outpatient, and Emergency areas and, Financial Screening operations and support functions of the Patient Access business unit within Patient Financial Services.

MINIMUM SPECIFICATIONS

Education

• Must have a Bachelor's degree in Business Administration, Finance, Healthcare Administration, or a related field.

Experience

• Must have eight (8) years of medical business office or hospital patient access experience, to include two (2) years of experience as a supervisor or manager.
• Must have experience working with a major patient accounting system.

Equivalent Education and/or Experience

• May have an equivalent combination of education and experience to substitute for both the education and the experience requirements.

Skills or Special Abilities

• Must demonstrate a thorough knowledge of healthcare management.
• Must be able to think creatively and strategically in developing and implementing management procedures, goals and objectives.
• Must have strong diplomacy skills and the ability to communicate with all levels of employees including senior management.
• Must have strong customer service skills.
• Must have proven organization and time management skills.
• Must be able to demonstrate initiative, independent problem solving skills and attention to details.
• Must have knowledge of Medicare/Medicaid Guidelines, JCAHO guidelines as it relates to registration/admitting.
• Must have knowledge of insurance verification procedures and payor guidelines regarding inpatient notification, precertification and pre-authorization.
• Must have knowledge of coordination of benefits rules and MSP rules.
• Must have knowledge of qualifying patients for funding sources.

Responsibilities

• Manages the daily activities of staff in the inpatient and outpatient admitting/registration areas, to ensure timely registration of patients, accurate data entry of patient demographic and financial information and provide supervision of the cashiering process.
• Ensures that established Electronic Eligibility processes are in place, monitored, reviewed, and coverage updates are completed in a timely manner.
• Monitors and tracks staff productivity and quality through routine productivity and quality assurance audits and initiatives. Provides guidance, coaching, mentoring and feedback to ensure successful operations.
• Serves as a team member to provide appropriate feedback, interface, communication, problem solving, issue resolution and timely processing throughout Patient Financial Services Departments, clinical areas, and external organizations. Ensures the cooperation of other departments to resolve problems.
• Maintains a positive working relationship with employees, management, co-workers, vendors, other hospitals and government agencies to promote teamwork and cooperation and a positive public image. Accepts constructive criticism and integrates suggestions in an effective way. Appropriately responds to inquiries and challenges as referred by the department staff or other Parkland employees.
• Responsible for the on-going training and communication of changes in policies and procedures through feedback to staff via regular meetings.
• Identifies and analyzes the design of jobs, work processes, work flows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the department and Parkland.
• Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.
• Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.
• Develops and monitors annual budgets that ensure the department has the necessary funds to carry out the goals and objectives that have been established for the department.
• Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of Parkland.
• Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge.
• Contribute to A/R goals and seek ways to control costs without compromising safety or quality of care.

Job Accountabilities

• Identifies and analyzes the design of jobs, work processes, work flows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the department and Parkland.
• Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.
• Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.
• Develops and monitors annual budgets that ensure the department has the necessary funds to carry out the goals and objectives that have been established for the department.
• Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of Parkland.
• Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge.