Patient Access Manager-Westerville Close to Home

Nationwide Children's Hospital • Westerville, OH

5d • Onsite

About The Position

Manages the day-to-day operation of the Patient Access Department, which includes multiple access areas, PT, OT, Speech Scheduling, and Managed Care Review. The role is responsible for ensuring that registrations are complete, accurate, and timely, and that appointment scheduling adheres to PT, OT, and speech guidelines. It also involves overseeing managed care review documentation of third-party payor coverage and ensuring precertification/authorization information is correctly entered in Epic to optimize and ensure timely reimbursement. The position requires providing excellent customer service to patients, families, physicians, other professionals, Patient Accounts, Payor Relations, and Ambulatory and Inpatient Services. This role collaborates with the director and supervisors to align departmental operations and customer service with Nationwide Children's goals, identifies departmental deficiencies, and actively seeks and initiates solutions for process improvement. Additionally, the role participates in the development of the department budget and is responsible for managing the department efficiently 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 the quality of registrations meets NCH standards and that 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 an annual budget of $3.7 million.
• Establishes, analyzes, monitors, and responds to statistical reports related to productivity and quality standards of work.
• Collaborates 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager