Manages operations and services associated with Patient Access Services (PAS) in accordance with organization, compliance, and regulatory requirements. Accountable for patient management for all pre-encounter, encounter and post-encounter needs, for planned, emergent/urgent, and direct patients. Innovates, collaborates and supports clinical service lines, and is accountable for optimizing revenue cycle as it pertains to patient access. Optimizes integrated revenue cycle services and industry best practices. Essential Functions Plans, organizes, delegates, and controls the operations involving patient access services, including scheduling, pre-registration, procedure cost estimation, collection and entry of patient, insurance and diagnostic service information, verification of insurance plans and benefits, collection of authorizations for medical services, order entry/updating, patient payment estimates/collections/posting, financial counseling (including screening for charity care, development of payment plans, referrals to outside services, and collections). Oversees the initiation and management of patient encounter, establishing the correct identification and encounter to support accurate clinical care and revenue/reimbursement. Develops policies and procedures to optimize these services. Performs technical analysis and planning regarding system selection, modification, updates and changes. Collaborates with Information Services (IS) department to achieve optimum performance in achieving departmental goals and objectives. Manages the activities of employees who are engaged in 24/7 patient access services. Facilitates the training and continuing education of employees. Provides direction and support to subordinate employees to ensure effectiveness and efficiency. Selects, trains, develops, and evaluates subordinates and initiates personnel actions in accordance with departmental policies and organization philosophy. Prepares annual budget for areas of responsibility and performs ongoing monitoring and evaluation of budget throughout the year.
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Job Type
Full-time
Career Level
Manager