Patient Access Manager

WOMENS HEALTH SPECIALISTS SC•Appleton, WI

3d•Onsite

About The Position

Working under the direction of the Practice Administrator and collaboratively with other leaders, this position will oversee the daily operations of the Patient Service Team. Plans, organizes, directs and evaluates activities related to patient service including scheduling and registration. Responsible for effective department operations ensuring requirements for quality, service and value are met. Serves as proactive catalyst for operational change and is instrumental in monitoring the quality and productivity of the department. Responsible for all aspects of team member management and for creating a professional practice environment that focuses on supporting patient access. The goal of this position is to ensure high-quality patient care and accuracy of information affecting both pre-visit and post-visit services.

Requirements

Associate’s degree in accounting, business management, business administration, finance or related field is required.
4 years of progressively more responsible leadership experience required.
4 years patient access, registration OR customer service is required.
This experience level is required in addition to the experience in lieu of education if an individual does not meet the positions degree requirement.
Thorough understanding of medical accounts receivable, billing, insurance verification and authorization, collections, payment posting, revenue cycle, and third-party payers.
Expert level of knowledge regarding insurance benefits, coordination of benefits, insurance verification, benefits investigation and payer network participation.
Knowledge of principles and processes for providing customer and personal services, including customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
Knowledge of administrative and office procedures and systems such as word processing, managing files and records, designing forms, and workplace terminology.
Overall understanding of management and leadership skills and techniques to provide appropriate oversight to staff, as well as promote positive engaging work environment.
Knowledge of HIPAA regulations, clinic policy and the importance of maintaining patient confidentiality, including abiding by the minimum necessary access and disclosure.
Knowledge of principles and methods for training, teaching and instruction for individuals and groups, and the measurement of training effects.
Understanding the implications of new information for both current and future problem-solving and decision-making.
Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
Ability to work independently in high volume, fast-paced, multi-tasking environment.
Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.
Using mathematics to solve problems.
Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
Ability to understand written sentences and paragraphs in work-related documents.
Ability to talk to others to convey information effectively.
Ability to write effectively as appropriate for the needs of the audience.
Coordination, instructing, negotiation, persuasion, service orientation and social perceptiveness.
Managing one's own time and the time of others.
Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
Determining causes of operating errors and deciding what to do about it.
Must be able to work standard office equipment; computers, fax machines, copiers, printers, telephones, etc.
Considering the relative costs and benefits of potential actions to choose the most appropriate one.
Determining how a system should work and how changes in conditions, operations, and the environment will affect outcomes.
Identifying measures or indicators of system performance and the actions needed to improve or correct performance, relative to the goals of the system.
Determining how money will be spent to get the work done, and accounting for these expenditures.
Obtaining and seeing to the appropriate use of equipment, facilities, and materials needed to do certain work.
Ability to read and view fine print.
Ability to reach, stoop, and bend to retrieve files and supplies to complete tasks.
Must be able to lift, carry or otherwise move and position objects weighing 10-20lbs at times.
Continuous use of the telephone to verbally speak to insurance companies and patients.
Must be able to handle high-stress situations with multiple tasks having similar deadlines.

Nice To Haves

Bachelor’s degree in accounting, business management, business administration, finance or related field is preferred.
Epic experience preferred.
Experience in lieu of an Associate’s degree may be considered if the candidate has 4 years of patient access, registration or customer service experience with progressively more responsible leadership experience.

Responsibilities

Oversee the daily operations of the Patient Service Team, including planning, organizing, directing, and evaluating activities related to patient service, scheduling, and registration.
Ensure effective department operations to meet quality, service, and value requirements.
Act as a proactive catalyst for operational change and monitor department quality and productivity.
Manage all aspects of team member management, including interviewing, performance management, staff satisfaction, and conflict management.
Create a professional practice environment focused on supporting patient access.
Ensure high-quality patient care and accuracy of information affecting pre-visit and post-visit services.
Maintain knowledge of revenue cycle functions, registration policies, state and federal laws, and 3rd party payer requirements, holding the team accountable for adherence.
Interact and communicate with patients and staff to enhance the patient experience and promote a positive, welcoming work environment.
Assist with the development of specific department goals, standards, and objectives that support the organization's strategic plan and vision.
Promote and strengthen employee engagement.
Participate in process improvement, patient satisfaction, and workplace safety initiatives.
Determine and justify needs for systems, equipment, supplies, and staffing; monitor usage and oversee proper working order and/or stock supplies.
Develop and maintain interpersonal relationships with team members, other departments, and vendors.
Conduct interviews, meetings, and performance evaluations.
Assist other members of the organization with tasks as needed.
Travel to additional sites when needed.
Utilize critical thinking skills, decisive judgment, and the ability to work with minimal supervision in a fast-paced environment.