Program Manager Patient Access - Admitting

Summary:

The Assistant Manager of Patient Access - Clinic is considered a leadership position that provides support, direction, and focus for the staff involved in all areas of patient access. The Assistant Manager of Patient Access - Clinic works collaboratively with the Director, Patient Access Services along with facility and clinic service departments, referring providers, and patients to facilitate ease of access to services provided by the clinics. This position is responsible for the quality and accuracy and co-shared management of daily activities to produce successful outcomes of all patient encounters. The Assistant Manager is expected to monitor adherence and compliance to CHRISTUS standards, directives, regulatory requirements and other guidance that mandates requirements governing such processes. This position also works to ensure that financial performance objectives are achieved that are related to revenue cycle initiatives. The Assistant Manager of Patient Access - Clinic is expected to maintain effective professional relationships with other department leadership, share ideas, and implement actions related to the patient access functions. The ability to communicate effectively with all types of people at all levels is critical. This position is expected to provide the leadership needed to promote a team work environment.

Patient Access is responsible for encounter creation management to include registration, insurance verification, ensure encounter pre-certification and authorization is noted, calculation of reimbursement and patient responsibility, collection, posting, reconciliation, and successful billing. Numerous regulatory requirements are included in all these process and Management is expected to monitor for compliance.

Responsibilities:

• Performs duties and job responsibilities in a manner consistent with the management philosophy of Patient Access Services including demonstration of impeccable customer service skills towards patients, visitors, staff, peers, physicians and other departments within the hospital.
• Monitors and enforces the established department and hospital policies and procedures related to revenue cycle, cash collections, and balancing. Monitors safety, environment of care and infection control standards.
• Monitors staffing levels and patient flow. Coordinates workflow in the Patient Access Services areas 24 hours a day, 7 days a week to meet the department performance requirements.
• Works with Director, Patient Access Services on ensuring all established and implemented performance measures for all Patient Access Services functions. To include, establishing stability and reducing variance in the operations of all departmental functions.
• Monitors consistent quality and performance reviews on all data collected and entered into the hospital EMR system to ensure accuracy and completeness. Provide timely feedback to staff on performance issues and conduct timely monthly Associate Scorecards.
• Develops and maintains collaborative relationships with all external customers of Registration, including but not limited to Patient's, Peers, Payers, Physician offices, and other outside professional organizations.
• Monitors point of service co-pay collections and establishes continuing education for staff related to this function.
• Works with Director, Patient Access Services to establish and implement quarterly and annual goals and objectives for the Patient Access Services.
• Prepares weekly/monthly Revenue Cycle related reports as requested to be reviewed by Director, Patient Access Services.
• Participates in educational programs and in-service meetings, as an attendee or participant.
• Actively participates with Revenue Cycle Training in identifying staff training needs regarding information systems, third party payor and/or regulatory updates, enhancements, and/or revisions and ensure that staff are appropriately trained.
• Works with the Director, Patient Access Services on the selection and hire individuals possessing appropriate credentials and who demonstrate experience, initiative, innovation, self-direction and enthusiasm for their respective roles.
• Creates an environment of clear responsibility, authority, autonomy, and accountability that energizes and encourages the staff to perform at their personal best creating and building teamwork and personal development for staff to promote advancement and retention within the organization.

Requirements:

Education:

• High school graduate. Associate or Bachelor's Degree preferred.

Experience:

• Two years of leadership experience required. Health Care experience is required. Two years supporting revenue cycle to include patient access processes is required. Six months to one year of clinic scheduling experience required.
• Must have in-depth knowledge of medical terminology
• Must possess strong technical and analytical skills
• Must have demonstrated the ability to communicate well both orally and in writing
• Must demonstrate the ability to handle issues with diplomacy and professionalism
• Must be able to establish priorities, effectively problem solve, and use good judgment and decision making in day-to-day operations
• Must have demonstrated the ability to oversee individuals with diverse skills and responsibilities
• Must have ability to work well in stressful situations
• Must have demonstrated a leadership role in collaborative teamwork
• Must possess knowledge of process improvement methodologies
• Knowledge of third party payer billing guidelines, reimbursement practices, and regulatory guidelines required.

Certifications, Registrations, or Licenses:

• N/A

Work Schedule:

MULTIPLE SHIFTS AVAILABLE

Work Type:

Full Time