Manager Patient Access Pre Service

Mount Nittany Health•State College, PA

About The Position

The Patient Access Manager - Pre-Service provides operational leadership and oversight for pre-service functions, ensuring accurate and timely scheduling, pre-registration, insurance verification, referral management, prior authorization, and financial clearance for scheduled services. This role focuses on delivering a consistent, best practice, patient-centered experience while supporting revenue cycle goals and compliance standards. The manager supervises front-end pre-service teams, monitors performance, and drives process improvements to enhance efficiency and reduce access barriers. The Manager is accountable for: Operational Planning Implementing short- and mid-term strategies for pre-service workflows, staffing, and resource allocation to meet organizational goals. Standards and Compliance Maintaining policies and procedures for pre-service operations, ensuring accuracy, accountability, and adherence to payer and regulatory requirements. Team Engagement and Development Fostering a culture of collaboration, courtesy, and continuous improvement through staff education, coaching, and performance feedback. Performance and Financial Metrics Monitoring productivity and quality KPIs associated with pre-service functions; identifying opportunities for improvement and implementing corrective actions. Regulatory and Policy Adherence Ensuring compliance with HIPAA, applicable law, payer guidelines, and internal standards across all pre-service activities. Collaboration Partnering with clinical, and revenue cycle teams to streamline workflows, promote patient safety, and improve patient access and satisfaction.

Requirements

High school diploma or GED required.
5 years of health care/patient access experience required
3 years must be management/leadership experience required
Advanced knowledge of scheduling, pre-registration, insurance verification, prior authorization, financial clearance, and registration processes.
Microsoft Word, Excel and PowerPoint experience required.
Statistical reporting experience required.
Expertise in the best practices of patient access workflows.
Demonstrated ability to work under stressful situations.
Functional understanding of health care operations and physician practices.
Leadership skills to motivate cross-functional teams to strive for excellence while utilizing a consensus-building management style.
Comprehensive knowledge of regulatory requirements and the ability to provide documentation of such requirements when needed.
Possesses a strong understanding of various reimbursement methodologies with knowledge of the requirements for hospital and professional billing across payers.
Strong quantitative, analytic, and problem-solving skills to evaluate all aspects of a problem or opportunity and draw valid conclusions to make or facilitate appropriate and timely decisions.
Strong organizational skills to manage multiple diverse priorities with high visibility and extremely detailed information.
Ability to present and communicate complex information effectively in both written and oral forms to a variety of audiences, including hospital and physician leadership.
Uses tact, sensitivity, sound judgment, and a professional attitude constantly.
Conducts business in a professional and cordial manner that upholds the integrity and reputation of Mount Nittany Health.
Knowledge of human resource laws and regulations as they relate to the management of staff.

Nice To Haves

Bachelor’s degree preferred (preferably in business, healthcare or public administration, management, accounting, finance or a related field)
Master's degree preferred.
Meditech and/or Epic System experience is preferred.
HFMA CHFP, AAHAM, CHAA, CHAM or equivalent Revenue Cycle Certifications preferred.

Responsibilities

Operational Planning
Implementing short- and mid-term strategies for pre-service workflows, staffing, and resource allocation to meet organizational goals.
Standards and Compliance
Maintaining policies and procedures for pre-service operations, ensuring accuracy, accountability, and adherence to payer and regulatory requirements.
Team Engagement and Development
Fostering a culture of collaboration, courtesy, and continuous improvement through staff education, coaching, and performance feedback.
Performance and Financial Metrics
Monitoring productivity and quality KPIs associated with pre-service functions; identifying opportunities for improvement and implementing corrective actions.
Regulatory and Policy Adherence
Ensuring compliance with HIPAA, applicable law, payer guidelines, and internal standards across all pre-service activities.
Collaboration
Partnering with clinical, and revenue cycle teams to streamline workflows, promote patient safety, and improve patient access and satisfaction.