Patient Access Manager

Nationwide Children's Hospital•Columbus, OH

23h•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 the Patient Access Department, which is comprised of multiple Access areas, PT, OT, Speech Scheduling and Managed Care Review. This role is 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; and precertification/authorization information is complete and entered in Epic, to ensure optimum and timely reimbursement. The manager 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. This role works with the director and supervisors to ensure that departmental operations and customer service are in accordance with departmental and Nationwide Children’s goals. The manager identifies departmental deficiencies and actively pursues and initiates solutions for process improvement. This role 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.
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 the Patient Access Department, including PT, OT, Speech Scheduling and Managed Care Review.
Ensure registrations are complete, accurate, and timely.
Ensure appointment scheduling is accurate and timely based on PT, OT, and speech guidelines.
Oversee managed care review documentation of third-party payors coverage.
Ensure precertification/authorization information is complete and entered in Epic for optimum and timely reimbursement.
Provide excellent customer service to patients, families, physicians, other professionals, Patient Accounts, Payor Relations, Ambulatory and In Patient Services.
Collaborate with the director and supervisors to align departmental operations and customer service with departmental and Nationwide Children’s goals.
Identify departmental deficiencies and initiate solutions for process improvement.
Participate in the development of the department budget and manage the department within budget constraints.
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.
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 customer satisfaction.
Develop and implement plans to develop and empower supervisors and assist supervisors in developing plans to develop and empower their staff.
Strive to find solutions to hospital-wide and department-wide operational issues affecting 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.