Patient Access & Financial Services Manager

Genesis Healthcare System•Moline, IL

1d•Onsite

About The Position

This position is responsible for leading and directing the work of pre-registration, registration, central scheduling, insurance verification, and resource counseling. Continually seeks process improvement through maximizing the utilization of current technology and the exploration of new technology. The incumbent optimizes staff performance through process redesign, policy/procedure implementation, communications, and outcome feedback. Must interact with Patient Accounts leadership and the denials team to understand the requirements needed for a claim to bill and pay timely and appropriately. Effective utilization of Epic to improve process efficiency and reduce operational costs is imperative.

Requirements

Bachelors degree preferred.
In lieu of degree, 3-5 years of supervisory and field related experience is required, along with certification of achievement obtained within the first 18 months of employment.
Ability to motivate and organize people efficiently.
Excellent computer system knowledge and PC skills.
Ability to work under pressure and promote a positive working atmosphere.
Ability to lead and manage diverse staff in a learning environment with frequent changes in department priorities. Ability to recognize necessary changes in priority of tasks and allocation of resources, and act upon them as required to meet workload balance.
Possess good communication skills both verbally and written.
Excellent critical thinking, decision-making, problem solving, and analytical skills required.

Responsibilities

Manages and controls the daily operations of the department and staff.
Provides leadership for departmental services through collaboration with customers, employees, physicians, clinics, other internal departments, vendors, etc.
Oversees training/education process within the departments and works in cooperation with Training and Education Services Department to conduct needs assessments, documents QA/training strategy, and develops learning objectives, structure, and cross-training opportunities. Verifies compliance and understanding following training.
Manages pre-service/financial clearance issues, including pre-registration, medical necessity screening, insurance eligibility/benefit verification, service authorization, pre-service collections, pre-service financial counseling and pre-service eligibility assistance.
Determines proper central scheduling processes and procedures.
Leads the redesign of pre-service/financial clearance and central scheduling processes and systems to improve service, data integrity, and staff productivity/quality.
Monitors timely registration of patients within established guidelines, and maintains established accuracy rate. Verifies staff receives proper documentation from physician offices to accurately register patients.
Manages assigned staff in order to ensure steady workflow balance and high quality outcomes. This includes, interviewing, selecting and training/developing, and evaluating staff; scheduling staff to meet work demands.
Manages ongoing performance feedback based on error reporting, call monitoring, and observation. Provides feedback in a prompt, direct and positive manner; mentors and coaches associates to ensure positive outcomes. Conducts performance evaluations. Provides counseling and/or conflict resolution regarding unresolved performance issues, demonstrating effective use of the disciplinary process and establishes a written developmental plan with clear expectations, follow up and subsequent consequences.
Ensures adequate staffing and proper scheduling to match patient flows.
Monitors overall system/process performance for delays, downtime, errors and other related problems. Provides support to staff by coordinating with the IT help desk as necessary to resolve issues.
Creates a culture within the department that is supportive of personnel. Fosters teamwork, high performance and individual accountability with the expectation that staff will effectively collaborate with all departments.
Identifies action plans to improve the quality of services in a cost efficient manner and facilitates plan implementation. Establishes implements and evaluates on-going performance improvement programs, utilizing an interdisciplinary approach.
Leads staff with the focus of ensuring job performance supports the goals of the revenue cycle overall, and especially the ensuring submission of clean claims to third-party payers to ensure accurate and timely payment.
Communicates regularly and effectively with team members to ensure they are well informed of changes, issues and priorities.
Provides consultative services for workflow and systems process issues. Assists in the design and development of system enhancements while monitoring congruency with process goals and regulatory mandates. Performs functional or integrated testing of application updates and provides feedback of findings.
Maintains professional development and growth through journals, professional affiliations and workshops to keep abreast of trends revenue cycle operations, specifically healthcare. Creates and implements an annual plan of personal and professional development.
Maintains a working knowledge of applicable federal, state, and local laws and regulations, and internal policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
Develops project work plans, executes project tasks and obtains assistance from other resources, as required.