Appalachian Regional Healthcare-posted 7 days ago
Manager
Hazard, KY
5,001-10,000 employees

The Patient Access Manager is responsible for managing and overseeing the efficient functioning of patient access services in a healthcare facility or hospital. The Patient Access Manager works in collaboration with other healthcare professionals to ensure patients receive timely, efficient, and effective services.

  • Oversees all registration, pre-registration, scheduling, pre-authorization/pre-certifications, referrals/orders, switchboard, financial counseling, and insurance/benefits eligibility team.
  • Develop policies, standards, and procedures for patient access services to ensure compliance with regulatory requirements and best practices.
  • Monitor and analyze departmental performance metrics to identify areas for improvement and implement changes to optimize efficiency and quality of services.
  • Supervise and train the patient access staff, ensuring they understand policies and procedures and have access to necessary resources for optimal job performance.
  • Respond to and resolve patient complaints and inquiries related to patient access services.
  • Collaborate with other healthcare professionals to ensure resources are utilized effectively to meet patient needs.
  • Completes charge reconciliation, late charge additions, and unfinalized review of billing.
  • Completes billing for clients and follows up on these accounts.
  • Review denials that are specific to authorizations, eligibility, registration, needing more information, etc. that are assigned by the Central Billing Office and Meditech.
  • Complete and track all appeals that are related to front office functions.
  • Verify that all scheduled services have authorizations, as needed.
  • Establish point-of-service collection goals for the registration staff.
  • Resolve assigned tasks.
  • Resolved assigned account checks.
  • Assist hospital departments with removing and adding charges.
  • Work the return to client file as assigned by the Meduit for resolution.
  • Check and work mail.
  • Quality Assurance checks of consent forms, cards, and insurances are verified.
  • Assist other departments as needed with claim resolution.
  • Work the assigned PAD functions, as needed.
  • High School Diploma Required
  • 4-6 years experience.
  • Minimum of 5 years of experience in patient access or related field, with at least 2 years of supervisory or management experience required.
  • Knowledge of healthcare regulations, insurance requirements, privacy standards, and facility policies.
  • Experience with electronic health record (EHR) systems, practice management software, and patient data management tools.
  • Excellent organizational, leadership, communication, problem-solving, and interpersonal skills.
  • Ability to work collaboratively with other healthcare professionals, patients, families, and caregivers.
  • Strong attention to detail, accuracy, and quality control.
  • Bachelor's Degree Business, Finance, or Related Field Preferred
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