Manager Patient Access Oncology Services

Patient Access Manager

Under the supervision of the Director of Patient Access, the Patient Access Manager establishes and coordinates all aspects of the Admission process to facilitate an efficient and customer-friendly atmosphere, in line with the mission and core values of FMOLHS. Patient Access Manager responsibilities may include: inpatient, outpatient, and emergency department registrations; time of service collections; screening for financial assistance; and referral, insurance verification, and pre-certification processes. Assures development of a high-performance work team through coaching, mentoring, and daily briefings. Responsible for analysis of performance metrics to improve process performance. Maintains all levels of the Admission process in conjunction with JCAHO standards and HIPPA regulations. Develops and maintains working relationships with physicians and office staff, as well as other customers within and outside the facility. Will be assigned to manage one of the following areas: Inpatient, Outpatient, and ED registrations for Angels location registrations; Financial Counseling; Pre-Access.

Responsibilities

1. Patient Access -Ensures patients are registered/pre-registered in an efficient and effective manner, according to policies/procedures set forth by FMOLHS. -Ensures that insurance is verified and precerts/authorizations are obtained timely. For the Pre-Access department, ensures that 95% of scheduled patients are pre-registered in advance & insurance verified/auths obtained. -Ensures upfront collections meet monthly targets. -Ensures minimal errors are made by staff. Tracks errors, by team member, provides coaching to those who exceed the threshold, and works with HR regarding staff who cannot reach goals. -Ensures productivity goals are met by staff. Monitors productivity daily, minimizing overtime. Submits monthly productivity outcomes to Senior Director. -Ensures processes are in place to minimize patient wait times. -Ensures patients are screened for charity programs appropriately. Ensures proper documentation has been received to substantiate granting of charity/discounts. Ensures that team members document efforts/activities in Account Notes -Performs random samples of team members work to ensure adherence to standards. Ensures that Account Notes are consistently used as a communication vehicle regarding account activity. -Implement quality improvement initiatives geared at improving customer satisfaction. 2. Collaboration, Partnership and Communication -Promotes and establishes an atmosphere of continued improvement throughout the department by motivating, coaching and staff development, and through evaluation, development and/or revision of department policies and procedures. Works with PFS -Director to suggest/implement procedure and policy changes. -Educates and ensures that all employees understand Compliance and appropriate procedure for reporting compliance issues for State, Federal and HIPAA. Maintains requirements for Joint Commission for scope of department. -Provides leadership in problem identification and resolution and coordinates resolution between departments as needed. -Conducts regular team and departmental meetings for purposes of education, goal monitoring, and feedback inquiries. Submits timely minutes of meetings in accordance with facility requirements. Ensures employees have the tools necessary to achieve goals. -Develops staff appraisals in accordance with FMOLHS policies and productivity metrics. Counsels staff and handles disciplinary action as necessary. Interviews potential candidates for departmental vacancies. -Assists in development of department budgets. Analyzes costs, develop programs to assure compliance with budgetary constraints and provides justifications for budget variances. 3. Other Duties As Assigned -Serves on committees as appropriate. -Performs other duties as assigned or requested.

Qualifications

Experience:

• Bachelor's Degree + 3 years supervisory experience OR
• 4 years professional-level experience/6 years paraprofessional experience (in lieu of degree)+ 3 years supervisory experience OR
• Master's Degree + 2 years supervisory experience.

• Supervisory experience must be in patient registration, large physician group practice, financial counseling or patient accounting in a healthcare setting.

  Education:

  Bachelor's Degree or 6 years experience