Manager, Patient Access

Hourly Pay Range : $35.16 - $54.50 -

The hourly pay rate offered is determined by a candidate's

expertise and years of experience, among other

factors.

Manager, Patient

Access

Position Highlights :

Position : Manager, Patient Access

• Location : Arlington

Heights, IL

Hours : Monday-Friday, 8 : 30am - 5pm

n / a

Job Summary : Reporting to

the Director of Patient Access oversees patient registration

services, scheduling support, and reimbursement related functions

at the customer point of access. Monitors and oversees the

performance of patient access specialists ensuring complete and

accurate patient registration in compliance with hospital and

regulatory standards. Establishes implements and maintains measures

for appropriate staffing, productivity, compliance, quality,

accuracy, and customer service. Serves as a liaison for patients

with point of service departments, physicians and insurance

carriers to resolve escalated registration

issues.

What you will do :

Manages the effective daily operations of the designated patient

access and call center areas and related services. Oversees the

performance of Patient Access Specialists and determines and

adjusts staff scheduling requirements. Evaluates on-going workflow

of patient registration services including compiling complete

insurance information, scheduling patient services, coordination

with physicians and insurance carriers and compliance with hospital

and regulatory requirements. Monitors customers wait times and

staff productivity to ensure the delivery of quality services that

meet customer expectations and service goals. Ensures standards are

maintained in accordance with departmental policies, procedures and

Medicare guidelines. Responsible for data integrity and accuracy on

all registration systems.

activities to facilitate customer registration / scheduling and

expedite resolution of any related issues. Intercedes in escalated

patient issues and serves as a resource and liaison for patient

access staff, point of service departments, physicians and

insurance carriers to research and resolve registration and

services issues and ensure quality customer outcomes. Promotes

positive relations with patients, visitors, physicians, and staff.

Utilizes the NCH Service Recovery Program to support and maintain

customer good will.

orientation and on-going training programs (i.e. regulations,

technology, customer service skills, policies and procedures, etc.)

for all staff. Modifies training materials / program content and

creates job aids and tools as needed. Ensures staff is properly

trained in all department, hospital and regulatory policies and

procedures. Collaborates with education consultant's

organization-wide to ensure staff learning needs are identified and

addressed.

and physicians on the hospitals managed care contract requirements.

Implements contract requirement changes and trains and monitors

staff to ensure compliance. Remains current with the Center for

Medicare and Medicaid Services (CMS), the Emergency Medical

Treatment and Active Labor Act (EMTALA), the Health Insurance

Portability and Accountability Act (HIPAA), the latest trends in

managed care and other government regulations proactively.

Identifies drafts, seeks approval for, and implements initiatives

to proceduralize changing regulations.

prepares regular and special reports and analyses relating to the

registration process, service and productivity standards,

continuous quality improvement (CQI), department budget and

compliance standards. Reviews ancillary department registration

orders and patient account codes to identify discrepancies that may

impact billing and revises in the registration system as required.

Analyzes and interprets data and recommends process / procedural

improvements. Develops service standards, operational controls, and

performance improvement monitoring tools to measure internal and

external customer satisfaction and reports on progress. Formulates

department policies, securing appropriate approvals, and implements

providing staff with interpretation and guidance to ensure

consistent quality service.

disciplines, and discharges (when necessary) subordinate personnel.

Regularly evaluates staff performance according to the hospital's

performance management system and maintains accurate personnel and

payroll records. Supports development of team member's knowledge

and skills through regular feedback and recognition of positive

accomplishments and coaching opportunities. Organizes monthly staff

meetings to discuss problems identified, system related issues, new

policies, procedures, and training needs.

consultation with the Director of Patient Access, assists in the

development of short and long-term goals. Participates in the

development of annual business plans and budgets. Manages the

registration area budget in a fiscally responsible fashion. Assists

in overseeing on-going department compliance with all hospital,

JCAHO, federal and regulatory agencies standards. Actively

participates in corporate compliance initiatives. Monitors

compliance and initiates corrective action as necessary. Supports

the CQI process by conducting periodic audits and reviews of

policies and procedures. Participates in cross-functional hospital

meetings and committees representing patient

registration.

What you will

need :

Healthcare, Business or a related field required.

Certification : n / a

experience with medical insurance, registration processes, revenue

cycle reimbursement, EMTALA, HIPPA, OIG work plans and other

government and third-party healthcare regulations in a managed care

environment required OR at least 3 years NCH PAS / PES experience

with 1 of those years as a Lead required. Minimum of 2 years of

management experience required for external hires. Prior experience

with registration service related and quality measurement

techniques required.

Excellent oral and written communication skills to effectively

interact and outside agencies individually or in a group setting in

a service-oriented manner. The analytical skills necessary to

collect and analyze data, identify problems, research regulatory

topics, interpret federal regulations, and develop meaningful

recommendations. The leadership skills necessary to motivate

employees, utilizing a team approach, to meet the challenges of the

registration process. The organizational skills to manage daily

registration operations, coordinate multiple projects

simultaneously, implement regulations and guidelines and monitor

actions. Ability to interpret technical instructions and abstract

variables outside of current practices and roles to generate

creative ideas, solutions to problems, and devise new or enhanced

processes. The mathematical skills necessary to comprehend

financial data. Proficiency using a personal computer to create and

manage documents, reports and presentations in Microsoft Word,

Excel, and Power point is required.

Benefits

(For full time or part time positions) :

Pathways to Promote Professional Growth and Development

Various Medical, Dental, Pet and Vision options

Reimbursement

Savings Plan

Retirement Options with Company Match

Holiday Pay

Opportunities

Endeavor Health is a fully

integrated healthcare delivery system committed to providing access

to quality, vibrant, community-connected care, serving an area of

more than 4.2 million residents across six northeast Illinois

counties. Our