Manager, Pre-Access Services

Chesapeake Regional Healthcare • Chesapeake, VA

2d

About The Position

Oversee operations of scheduling, insurance verification, authorization/referrals, and financial clearance departments. Provides day-to-day operational leadership for Pre-Access Services, including staffing, performance management, and employee relations. Oversees hiring, onboarding, training, evaluations, and disciplinary processes. Serves as a liaison between patients, families, providers, and internal teams to ensure coordination of care. Ensures compliance and quality control standards are consistently met across all functions. Acts as a subject matter expert (SME) on diagnostic procedures, workflows, and patient access processes. Leads and supports scheduling operations for multiple tests and procedures to maximize efficiency. Partners with clinical teams to optimize schedules, resource utilization, and revenue outcomes. Maintains and updates scheduling templates, protocols, and workflow instructions. Serves as an SME on insurance, including coverage, authorizations, and payer requirements. Applies knowledge of ICD coding, medical necessity, and patient financial communication (e.g., ABNs). Monitors industry trends and payer changes to ensure ongoing compliance and best practices. Utilizes reporting and dashboards to drive performance, productivity, and ≥96% accuracy standards. Leads customer service and service recovery efforts to enhance patient experience. Provides hands-on support, staff mentoring, cross-coverage, and technical guidance as needed. Drives employee engagement and retention while maintaining a consistently professional presence and communication style. Responsible for the daily operations, quality, and service of the Pre-Access Services department, including but not limited to Central Scheduling, Pre-Registration, Insurance Verification, Authorization/Referral Management, and Financial Clearance for hospital-based services. This role includes oversight of the high-volume Patient Access Contact Center that services patients seeking care with various entities using multiple scheduling/registration/billing platforms. This role also includes all aspects of financial clearance (estimates, insurance verification, auth/referral, pre-service payments, financial assistance, etc.). Ensures the department exemplifies service excellence, professionalism, and responsiveness to both internal and external customers. Provides leadership and administers human resource policies and practices in a multi-skilled, multi-functional environment.

Requirements

• Bachelor’s Degree; Four (4) years of management experience will be considered in lieu of degree.
• 5 years of experience within a healthcare revenue cycle setting required.
• One year experience with Epic EMR is required.
• Professional certification required within one (1) year of hire

Nice To Haves

• Master’s degree
• Certified Healthcare Access Manager (CHAM), Certified Revenue Cycle Representative (CRCR), or Prior Authorization Certified Specialist (PACS) certification preferred.

Responsibilities

• Provides day-to-day operational leadership for Pre-Access Services, including staffing, performance management, and employee relations.
• Oversees hiring, onboarding, training, evaluations, and disciplinary processes.
• Serves as a liaison between patients, families, providers, and internal teams to ensure coordination of care.
• Ensures compliance and quality control standards are consistently met across all functions.
• Acts as a subject matter expert (SME) on diagnostic procedures, workflows, and patient access processes.
• Leads and supports scheduling operations for multiple tests and procedures to maximize efficiency.
• Partners with clinical teams to optimize schedules, resource utilization, and revenue outcomes.
• Maintains and updates scheduling templates, protocols, and workflow instructions.
• Serves as an SME on insurance, including coverage, authorizations, and payer requirements.
• Applies knowledge of ICD coding, medical necessity, and patient financial communication (e.g., ABNs).
• Monitors industry trends and payer changes to ensure ongoing compliance and best practices.
• Utilizes reporting and dashboards to drive performance, productivity, and ≥96% accuracy standards.
• Leads customer service and service recovery efforts to enhance patient experience.
• Provides hands-on support, staff mentoring, cross-coverage, and technical guidance as needed.
• Drives employee engagement and retention while maintaining a consistently professional presence and communication style.
• Responsible for the daily operations, quality, and service of the Pre-Access Services department, including but not limited to Central Scheduling, Pre-Registration, Insurance Verification, Authorization/Referral Management, and Financial Clearance for hospital-based services.
• Includes oversight of the high-volume Patient Access Contact Center that services patients seeking care with various entities using multiple scheduling/registration/billing platforms.
• Includes all aspects of financial clearance (estimates, insurance verification, auth/referral, pre-service payments, financial assistance, etc.).
• Ensures the department exemplifies service excellence, professionalism, and responsiveness to both internal and external customers.
• Provides leadership and administers human resource policies and practices in a multi-skilled, multi-functional environment.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager