Manager Patient Access-CHI Health St Elizabeth-Ne Heart

Where Youll Work

Job Summary and Responsibilities

As our Manager Patient Access you will oversee the comprehensive management of scheduling insurance authorization and referral services for assigned facilities.

Every day you will ensure meticulous collection of patient demographic and financial data compliance of orders with guidelines and timely processing of authorizations and referrals across all facilities and Physician Enterprise specialty practices. You will provide first-level application support manage and assess staffing and ensure efficient scheduling pre-registration and authorization workflows. Your responsibilities include coordinating processes acting as a liaison for key applications maintaining deep knowledge of all relevant systems and payer guidelines and reviewing patient orders for compliance. You will also develop and deliver staff training provide direct supervision (including hiring coaching and mentoring) establish performance objectives manage staffing schedules participate in inter-departmental initiatives and maintain statistical data.

To be successful in this role you will demonstrate exceptional leadership organizational acumen and meticulous attention to detail in managing complex patient access operations. Your ability to cultivate strong professional relationships with hospital and medical group leadership staff and external partners (HIM PFS IT payers) will be essential. You will ensure data integrity drive consistent operating practices and competently manage all department operations including assuming full responsibility in the Market Managers absence.

• Analyze and refine patient access workflows to maximize operational efficiency.
• Implement industry-leading best practices to reduce wait times and elevate the overall patient experience.
• Engage with administrative and physician champions contact centers and other key stakeholders to educate foster learning and expertly address escalated issues.
• Develop comprehensive patient journey maps with a strategic and operational focus identifying and proactively addressing challenges operational inefficiencies needs gaps and improvement plans.
• Design and drive alignment to scheduling management best practice e.g. prospective review of schedules.
• Monitor and optimize practices concerning wait lists bumped appointment rates and the management of patient no-shows.

Job Requirements

• Masters Other in healthcare related field
• Masters Other in Business Administration or with healthcare experience or a combination of education and experience.
• Project Management experience in a healthcare environment.
• Experience working with budgets creation of action plans interpersonal communication and influencing skillsability to manage multiple projects and time demonstrated ability to execute.

Preferred

• 7-9 years Minimum of 8 years of experience in healthcare administration with a proven track record of leadership and process improvement; equivalent experience acceptable.

Required Experience:

Manager