Patient Access Manager-Westerville Close to Home

Nationwide Children's HospitalWesterville, OH
Onsite

About The Position

Manages the day-to-day operation of the Patient Access Department, which includes multiple access areas such as PT, OT, Speech Scheduling, and Managed Care Review. The role is responsible for ensuring that registrations are complete, accurate, and timely; appointment scheduling is accurate and timely based on PT, OT, and speech guidelines; managed care review documentation of third-party payor coverage; and precertification/authorization information is complete and entered in Epic to ensure optimum and timely reimbursement. This position provides excellent customer service to all customers, including patients, families, physicians, other professionals, Patient Accounts, Payor Relations, and Ambulatory and Inpatient Services. The Manager works with the director and supervisors to ensure departmental operations and customer service align with departmental and Nationwide Children’s goals. The role identifies departmental deficiencies and actively pursues and initiates solutions for process improvement. Additionally, the Manager participates in the development of the department budget and is responsible for efficiently managing the department within budget constraints.

Requirements

  • Bachelor's Degree in Business Administration, required.
  • Five years of experience in managing and supervising staff, required.
  • Five years of experience in health care registration and billing areas, required.
  • Demonstrated history of successful project start-up, planning, organizing, and implementation, required.
  • Excellent communication and customer service skills.
  • Working knowledge of computer systems that support Patient Access applications.
  • Ability to effectively initiate and manage multi-discipline projects.
  • Understanding of billing, fiscal, and physician data requirements.
  • Strong understanding of a managed care environment and its impact on hospital operations.
  • Strong professional demeanor with the inherent quality to rapidly establish credibility and rapport with clinicians, managers, customers, and external groups.
  • Ability to identify opportunities and solutions for process improvement and plan for and implement those same solutions.

Responsibilities

  • Collaborate with Technology Training and Patient Accounts to ensure quality of registrations meet NCH standard and insurance pre-certification is obtained when applicable and documented.
  • Directly responsible for the planning, organizing, staffing, managing, and coordinating for Patient Access areas.
  • Develops, implements, maintains, and monitors departmental policies and procedures.
  • Responsible for annual budget of $3.7 million.
  • Establishes, analyzes, monitors, and responds to statistical reports related to productivity and quality standards of work.
  • Collaborate with IT and peers in the review of adopting Epic Prelude enhancements to maximize efficiencies and customer satisfaction.
  • Develops and implements plans to develop and empower supervisors and assists supervisors in developing plans to develop and empower their staff.
  • Strives to find solutions to hospital-wide and department-wide operational issues affecting accounts receivable and/or customer service.
  • Hires, trains, supervises, evaluates, counsels, and disciplines assigned staff.
  • Establishes and maintains a feedback mechanism to ensure physicians, patients, and staff needs are met.
  • Identifies and implements staff training/development needs and programs.

Benefits

  • Nationwide Children’s Hospital, Where Passion Meets Purpose.
  • Diversity, Equity and Inclusion are integrated into our core values and practices.
  • Seeking individuals who live these values and want to share their experiences and efforts in support of our collective mission.
  • Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research.
  • More Than a Job. It’s a calling. It’s a chance to use and grow your talent to make an impact that truly matters.
  • A Place to Be Proud.
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