Patient Access Manager

Nationwide Children's Hospital•Columbus, OH

3d•Onsite

About The Position

This position will oversee Patient Access staff and daily operations for the front office/desk and administrative duties at the 14 NCH Primary Care clinic locations. The Patient Access Manager manages the day to day operation of Patient Access Department, which is comprised of multiple Access areas, PT, OT, Speech Scheduling and Managed Care Review. Responsible for overseeing that registrations are complete, accurate and timely; scheduling of appointments is accurate and timely based on PT, OT and speech guidelines; managed care review documentation of third party payors coverage; precertification/authorization information is complete and entered in Epic, to ensure optimum and timely reimbursement. Provides excellent customer service to all of its customers including, but not limited to, patients, families, physicians, other professionals, Patient Accounts, Payor Relations, Ambulatory and In Patient Services. Works with director and supervisors to ensure that departmental operations and customer service is in accordance with departmental and Nationwide Children’s goals. Identifies departmental deficiencies and actively pursues and initiates solutions for process improvement. Participates in the development of the department budget and is responsible for efficiently managing the department within the budget constraints.

Requirements

Valid Ohio driver’s license and proof of auto insurance is required by hospital policy.
Must pass a motor vehicle background inspection, insurance eligibility, driving qualifications and training set forth by Nationwide Children’s Hospital and must maintain qualification of insurance guidelines.
Bachelor's Degree in Business Administration, 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.
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.

Responsibilities

Oversee Patient Access staff and daily operations for the front office/desk and administrative duties at the 14 NCH Primary Care clinic locations.
Manage the day to day operation of Patient Access Department, which is comprised of multiple Access areas, PT, OT, Speech Scheduling and Managed Care Review.
Oversee that registrations are complete, accurate and timely.
Ensure scheduling of appointments is accurate and timely based on PT, OT and speech guidelines.
Ensure managed care review documentation of third party payors coverage.
Ensure precertification/authorization information is complete and entered in Epic, to ensure optimum and timely reimbursement.
Provide excellent customer service to all of its customers including, but not limited to, patients, families, physicians, other professionals, Patient Accounts, Payor Relations, Ambulatory and In Patient Services.
Work with director and supervisors to ensure that departmental operations and customer service is in accordance with departmental and Nationwide Children’s goals.
Identify departmental deficiencies and actively pursues and initiates solutions for process improvement.
Participate in the development of the department budget and is responsible for efficiently managing the department within the budget constraints.
Collaborate with Technology Training and Patient Accounts to ensure quality of registrations meet NCH standard, insurance pre-certification is obtained when applicable and documented.
Directly responsible for the planning, organizing, staffing, managing and coordinating for Patient Access areas.
Develop, implement, maintain and monitor departmental policies and procedures.
Establish, analyze, monitor and respond 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 customers satisfaction.
Develop and implement plans to develop and empower supervisors and assists supervisors in developing plans to develop and empower their staff.
Strive to find solutions to hospital wide and department wide operational issues effecting accounts receivable and/or customer service.
Hire, train, supervise, evaluate, counsel, and discipline assigned staff.
Establish and maintain a feedback mechanism to ensure physicians, patients and staff needs are met.
Identify and implement staff training/development needs and programs.