MANAGER - PATIENT ACCESS

The Manager, Patient Access, oversees the daily functions and operation of pre-registration, insurance verification, scheduling, authorization and financial counseling for both inpatient and for outpatient services. The Patient Access Manager is responsible for the successful implementation of policy, ongoing management, and process improvement, integrating, developing policy, and the overall success of the patient access functions.

Responsibilities

• Responsible for all administrative functions that contribute to the management and execution of insurance verification, authorization, scheduling, pre-registration and financial counseling of inpatient and outpatient services.
• Manages non-clinical staff in a manner that promotes optimal productivity, achieves patient and physician satisfaction and engages employees to perform at their highest level, all consistent with the Westchester Medical Health System.
• Provides on-site direct leadership and management, by coaching, developing and empowering direct reports.
• Develops and implements processes for responding to patient and employee concerns and issues. Serves as a liaison between physician practices, management, and supporting departments.
• Utilizes education, experience and analytical judgment to perform critical job elements, ensuring patient and physician satisfaction, fostering positive relationships.
• Coordinates process improvement and daily quality monitoring of key performance metrics and accuracy of accounts. Establishes a monitoring system to understand trends, system issues and make appropriate recommendations for process improvement, proactively developing and focusing on implementation of changes.
• Coordinate the integration of pre-registration, pre-certification insurance verification, and medical necessity checks for all patients at each facility with Scheduling to ensure resolution of relevant matters.
• Various personnel actions, including but not limited to hiring, performance evaluations, schedules, and termination and weekly time cards.
• Ensures adequate professional staffing levels. Responsible for the coordination of staffing needs to support accurate completion of all scheduled patients prior to the date of service.

Additional Responsibilities

• Train new employees on all applications associated with registration, eligibility and benefits, authorizations and financial counseling, including post-follow-up updates and education.
• Resolve duplicate MRN, resolve charity email, dashboards and work lists associated with the financial clearance functions.
• Attend meetings and conferences related to job functions and responsibilities.

Requirements EXPERIENCE:

• 2-3 years supervisory experience in a hospital-based setting required

Education

• Bachelor’s Degree or equivalent in experience