Patient Access & RCM Training Manager (71566)

Women's Care•Tampa, FL

About The Position

Women’s Care, founded in 1998, is a leading women’s healthcare group in the United States, dedicated to providing the highest quality of care for women through their reproductive years and beyond. With 100+ locations and over 400 OB/GYNs and specialists across the country, Women’s Care provides comprehensive patient care in obstetrics, gynecology, gynecologic oncology, urogynecology, gynecologic pathology, breast surgery, genetic counseling, maternal fetal medicine, laboratory services, and fertility. The Patient Access & RCM Training Manager plays a crucial role in overseeing and optimizing the patient access process within the organization. This role involves strategic leadership, operational management, RCM pre access function optimization, training of New Employees in RCM/Insurance Verification and collaboration across departments to ensure efficient and effective patient registration, scheduling, insurance verification, and financial counseling. This role is responsible for driving process improvement initiatives, training all related functions as needed, ensuring compliance with regulations, improving and optimizing workflow to support accurate and compliant collections and capture of financial information and to support excellent patient financial experience. Lead, manage, and support the Authorization team in streamlining authorization processes, overseeing daily operations to ensure compliance with organizational policies and regulatory requirements, conducting regular audits to promote accuracy and quality, and serving as operational support to units as needed. Develop, create, and maintain New Employee RCM and Insurance Verification training programs; deliver training on the established onboarding cadence and provide additional sessions as needed or requested. Lead, support, and participate in the development and delivery of training materials for all Patient Access functions, ensuring timely communication, knowledge transfer, and consistent implementation across Units. Partner with the Director of Patient Access to support Unit needs, provide operational guidance, and align Patient Access strategies with organizational goals. Oversee, catalog, and continuously improve all Patient Access workflows, including scheduling, registration, insurance verification, authorization, check-in/check-out, time-of-service (TOS) collections, and Phreesia workflows. Establish, maintain, and update all policies and standardized workflows related to Patient Access functions, ensuring alignment with best practices and industry standards. Monitor and analyze key performance indicators (KPIs) related to patient access, insurance verification, authorization accuracy, denials, patient complaints, and TOS collections; implement action plans to improve operational performance and financial outcomes. Establish and implement quality assurance and productivity audit programs to ensure data integrity, financial accuracy, regulatory compliance, and adherence to established workflows for Patient Access workflows. Conduct site visits and collaborate with RCM leaders, RCM Liaisons, Operations partners, Customer Service, and Unit staff to identify root cause issues, resolve workflow gaps, reduce patient complaints, and drive continuous improvement initiatives. Monitor expenditures to ensure budget alignment. Demonstrate commitment to the organization's mission and core values. Ensure compliance with HIPAA rules and guidelines. Other duties as assigned.

Requirements

Bachelor’s degree in business, education, healthcare or related field, experience may be considered in lieu of degree.
5+ years of progressive experience related to patient access in a healthcare setting.
2 + years of process management required.
Must have experience working with electronic medical records systems, preferably eClinicalWorks (eCW).
Proficient in MS Office.
Strong ability to drive improvement through influence and relationship building without direct authority.
Exhibit a passion for quality patient care and patient access.
Extremely polished, professional, and strong team leader.
Strong customer focus and management of customer expectations; ability to establish and maintain a high level of user trust and confidence in a variety of groups.
Strong analytical and problem-solving abilities.
Excellent interpersonal and communication skills with all levels in the organization.
Must be dependable, reliable, and punctual.

Nice To Haves

Experience with Phreesia is preferred

Responsibilities

Lead, manage, and support the Authorization team in streamlining authorization processes, overseeing daily operations to ensure compliance with organizational policies and regulatory requirements, conducting regular audits to promote accuracy and quality, and serving as operational support to units as needed.
Develop, create, and maintain New Employee RCM and Insurance Verification training programs; deliver training on the established onboarding cadence and provide additional sessions as needed or requested.
Lead, support, and participate in the development and delivery of training materials for all Patient Access functions, ensuring timely communication, knowledge transfer, and consistent implementation across Units.
Partner with the Director of Patient Access to support Unit needs, provide operational guidance, and align Patient Access strategies with organizational goals.
Oversee, catalog, and continuously improve all Patient Access workflows, including scheduling, registration, insurance verification, authorization, check-in/check-out, time-of-service (TOS) collections, and Phreesia workflows.
Establish, maintain, and update all policies and standardized workflows related to Patient Access functions, ensuring alignment with best practices and industry standards.
Monitor and analyze key performance indicators (KPIs) related to patient access, insurance verification, authorization accuracy, denials, patient complaints, and TOS collections; implement action plans to improve operational performance and financial outcomes.
Establish and implement quality assurance and productivity audit programs to ensure data integrity, financial accuracy, regulatory compliance, and adherence to established workflows for Patient Access workflows.
Conduct site visits and collaborate with RCM leaders, RCM Liaisons, Operations partners, Customer Service, and Unit staff to identify root cause issues, resolve workflow gaps, reduce patient complaints, and drive continuous improvement initiatives.
Monitor expenditures to ensure budget alignment.
Demonstrate commitment to the organization's mission and core values.
Ensure compliance with HIPAA rules and guidelines.
Other duties as assigned.