Manager of Patient Access Full Time - 1.0

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Manager of Patient Access (Full Time - 1.0)

Department:

Patient Financial Services

Location:

Rio Rancho, NM

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Job Summary

Directly Manage, Financial Counselors, Supervisors and Leads of Patient Access assuring that the admission/registration of Inpatients, Outpatients and Emergency Department Patients, as well as the Financial Counselors, auth PARS and PBX operators at Sandoval Regional Medical Center meet established standards.

Train and support Staff in their duties. Verify through direct observation and systematic reporting that duties are carried out accurately across the patient access spectrum

Advise, inform and assist patients before, during and after their date of service. Ensure adherence to Hospitals and departmental policies and procedures. Responsible for coordinating the planning, implementation and evaluation of Patient Access functions at SRMC.

Responsible for partaking in the ongoing development across the Patient Access Spectrum monitoring and evaluation of project outcomes, and effectively communicating and integrating the mission, values, and strategic initiatives of the hospital.

Ensure compliance with the Joint Commission requirements and other governmental requirement as applicable for the department. No patient care assignments

Job Duties and Responsibilities

POLICIES AND PROCEDURES - Maintain established departmental policies and procedures, objectives, and quality assurance programs

PROFESSIONAL DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops.

SUPERVISION - Oversee the work of department personnel by training, allocating and monitoring work; evaluate performance and take disciplinary personnel action; oversees staff hours to best suit departmental and organizational needs

LEADERSHIP - Provide leadership through identification of problems, opportunities for improvement, action planning, and implementation. Make personnel decisions to include interviewing, hiring, supervising, training, evaluating, disciplining department personnel

CUSTOMER SERVICE - Respond to customer inquiries regarding Admitting, PFS, Registration, and PBX. Assure phones are answered timely and within guidelines, and staff responds to customers appropriately.

OPERATIONS - Develop plans and make recommendations relative to organizational and departmental operations such as organizational structure, space and layout, equipment use, work flow, and staffing

DEVELOPMENT - Maintain general knowledge of all areas of the department and develop expertise in assigned areas; stay informed of regulations; develop and maintain relationships with payers, other departments, state offices, and other teams as needed.

ADMISSIONS REVIEW - Review Hospital admissions/registrations to ensure accurate financial and demographic data and documentation are obtained and properly entered into the Hospitals records

COMPLIANCE - Review Department operations to ensure compliance with Joint Commission, CMS, and State DOH as well as any other regulatory bodies that have hospital over sight.

REPORTS - Generate reports including statistical and ad hoc reports as necessary

VERIFICATION OF INSURANCE - Assure verification of all insurance benefits assigned to the Hospitals to determine if insurance coverage meets the standards of admission.

Indigent Care: Maintain policies rules and regulations across the indigent care spectrum.

WORK ASSIGNMENTS – As needed prepare work schedules, assign personnel, and evaluate work performance

TRAINING - Provide in-service, continuing education for the clerical staff, being certain that they are made aware of changes in policies and procedures and regulations pertaining to their area

PROJECTS – maintain roll as a lean coach and takes on Projects as needed.

Perform miscellaneous job-related duties as assigned.

SRMC Core Values

Integrity:

Our words and actions match our values

To Serve:

We put the needs of others before our own

Excellence:

We strive to exceed expectations and/or standards in every activity, every encounter, and every initiative

Safety/Quality:

We provide evidence based care, programs, services, and an environment that achieves the best outcomes

Teamwork:

We enjoy the ability and power to work collaboratively to deliver exceptional service

Minimum Qualifications/Requirements

Education:

Associates Degree with 7 to 9 years’ experience in the Health Care revenue cycle. Must obtain a Bachelors within 24 months of starting the position.

Licenses/Certifications:

FEMA: Incident command certification. SOAR SSI/SSDI certification. Health Exchange Certification (all within 18 months of starting positon). Medicaid PE certification (within 12 months of starting positon). Notary Public (within 6 months of starting position)

Work Experience:

8 years in

patient access ,

registration, admitting, financial aid, hospital billing, private practice management or related experience including minimum of 4 years of health care supervisory/management experience

Preferred Qualifications/Requirements

Education:

Bachelor’s Degree with 5 years’ experience in the health care revenue cycle

Work Experience:

5-10 years’

work experience in various areas of the Medical Revenue Cycle including supervisory/management experience; Bilingual English/Spanish preferred.

Required Knowledge/Skills/Abilities

Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, transcription, designing forms, and other office procedures and terminology.

Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.

Knowledge of business and management principles involved in strategic planning, resource allocation, human resources, and coordination of people and resources

Knowledge of arithmetic, statistics and their applications

Effective verbal and written communication skills

Effective time-management skills

Critical thinking skills

Keyboarding (computer) proficiency.

Problem solving abilities

Ability to effectively interact with customers and co-workers

Conditions of Employment

Must pass a pre-employment criminal background check and a post offer drug screen.

Must be employment eligible as verified by the U.S. Dept. of Health and Human Services Office of Inspector General (OIG) and the Government Services Administration (GSA).

Tuberculin Skin Test required annually

Working Conditions

Typical office and/or patient care, acute care hospital environment.

Must be able to travel locally between facilities and within the surrounding community.

Occasional exposure to minimal physical risk

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Company info

Sandoval Regional Medical Center