Patient Access and Revenue Cycle Manager Job Description

West Suburban Medical Center•Oak Park, IL

About The Position

For over 100 years, West Suburban Medical Center has supported generations of families in the Oak Park and surrounding areas. Our kind, caring hospital staff have a passion to heal and make a difference in our community. We understand that our employees are the heart of our facility. If you are looking for a family atmosphere, a company committed to professional growth and a culture that embraces our five core values of Quality. Innovation. Service. Integrity. Transparency. JOB SUMMARY The position is responsible for strategic leadership, operational oversight, and continuous improvement of Patient Access and Revenue Cycle functions. This role ensures high-quality service delivery, financial performance, regulatory compliance, and collaborative partnership with clinical, operational, and administrative teams. The position maintains 24-hour accountability for departmental performance, staff development, and service excellence. JOB QUALIFICATIONS

Responsibilities

Demonstrates and models the Resilience Healthcare Customer Service Values , ensuring exceptional experiences for patients, staff, and community partners.
Develops short- and long‑term departmental goals in collaboration with the Chief Executive Officer.
Help shape the organization’s strategic plan and contribute creative insights for business development initiatives.
Directs the creation of departmental objectives, annual budgets, and performance standards across assigned areas.
Maintains 24‑hour accountability for department operations, staffing, and service delivery.
Hires, mentors, and evaluate subordinate managers, supporting them in meeting established goals.
Establishes and maintains reporting mechanisms to ensure accurate and timely patient registration.
Ensures development, approval, and maintenance of departmental policies and procedures.
Participate in Market-level weekly Revenue Cycle Meetings.
Maintains excellence in customer service when engaging with facility leadership, physicians, staff, and external partners.
Serves as a member of the Quality Team , supporting continuous process improvement initiatives across the facility.
Provide oversight to ensure smooth Patient Access process and coordinate patient registration functions.
Achieves facility financial goals for point-of-service collections.
Works proactively to resolve reimbursement issues that may delay payment.
Assists in developing and monitoring annual budgets, recommending appropriate adjustments based on forecasted trends and prior-year performance.
Assists in reviewing reimbursement and variance reports to identify discrepancies in allowed amounts.
Supports the preparation of reports for payers when reimbursement discrepancies are identified.
Assists in reviewing reports to ensure timely payment from managed care partners according to contractual terms.
Prepares and distributes loss-of-discount reports to enforce timely payment by contracted payers.
Assists in establishing audit trails to support investigation of adjustments, refunds, write-offs, and collection activity for internal and external audits.
Supports preparation of payer scorecards for use in contract renegotiations.
Reviews and maintains denial reports to support root cause analysis and determine sources of denials.
Prepares reports and presentations to communicate denial trends and outcomes to impacted departments.
Assists in researching and analyzing potential process improvements related to denial reductions and workflow optimization.
Prepares monthly adjustment reports for Clinical areas to support ongoing education.
Distribute monthly denial reports to Clinical partners for follow-up and resolution activities.