Patient Access Manager

Overview

The Patient Access Manager is responsible for managing and overseeing the efficient functioning of patient access services in a healthcare facility or hospital. The Patient Access Manager works in collaboration with other healthcare professionals to ensure patients receive timely, efficient, and effective services.

• Oversees all registration, pre-registration, scheduling, pre-authorization/pre-certifications, referrals/orders, switchboard, financial counseling, and insurance/benefits eligibility team.
• Develop policies, standards, and procedures for patient access services to ensure compliance with regulatory requirements and best practices.
• Monitor and analyze departmental performance metrics to identify areas for improvement and implement changes to optimize efficiency and quality of services.
• Supervise and train the patient access staff, ensuring they understand policies and procedures and have access to necessary resources for optimal job performance.
• Respond to and resolve patient complaints and inquiries related to patient access services.
• Collaborate with other healthcare professionals to ensure resources are utilized effectively to meet patient needs.
• Completes charge reconciliation, late charge additions, and unfinalized review of billing.
• Completes billing for clients and follows up on these accounts.
• Review denials that are specific to authorizations, eligibility, registration, needing more information, etc. that are assigned by the Central Billing Office and Meditech.
• Complete and track all appeals that are related to front office functions.
• Verify that all scheduled services have authorizations, as needed.
• Establish point-of-service collection goals for the registration staff.
• Resolve assigned tasks.
• Resolved assigned account checks.
• Assist hospital departments with removing and adding charges.
• Work the return to client file as assigned by the Meduit for resolution.
• Check and work mail.
• Quality Assurance checks of consent forms, cards, and insurances are verified.
• Assist other departments as needed with claim resolution.
• Work the assigned PAD functions, as needed.

High School Diploma Required

Bachelor's Degree Business, Finance, or Related Field Preferred

4-6 years experience.

Minimum of 5 years of experience in patient access or related field, with at least 2 years of supervisory or management experience required.

• Knowledge of healthcare regulations, insurance requirements, privacy standards, and facility policies.
• Experience with electronic health record (EHR) systems, practice management software, and patient data management tools.
• Excellent organizational, leadership, communication, problem-solving, and interpersonal skills.
• Ability to work collaboratively with other healthcare professionals, patients, families, and caregivers.
• Strong attention to detail, accuracy, and quality control.