Patient Access Manager at APPALACHIAN REGIONAL HEALTHCARE INC

Harlan, Kentucky, United States -

Full Time

Start Date

Immediate

Expiry Date

13 Jan, 26

Salary

0.0

Posted On

15 Oct, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Healthcare Regulations, Insurance Requirements, Privacy Standards, Facility Policies, Electronic Health Record Systems, Practice Management Software, Patient Data Management Tools, Organizational Skills, Leadership Skills, Communication Skills, Problem-Solving Skills, Interpersonal Skills, Attention to Detail, Accuracy, Quality Control

Industry

Hospitals and Health Care

Description

Overview The Patient Access Manager is responsible for managing and overseeing the efficient functioning of patientaccess services in a healthcare facility or hospital. The Patient Access Manager works in collaboration with otherhealthcare professionals to ensure patients receive timely, efficient, and effective services. Responsibilities Oversees all registration, pre-registration, scheduling, pre-authorization/pre-certifications, referrals/orders,switchboard, financial counseling, and insurance/benefits eligibility team.Develop policies, standards, and procedures for patient access services to ensure compliance with regulatoryrequirements and best practices.Monitor and analyze departmental performance metrics to identify areas for improvement and implementchanges to optimize efficiency and quality of services.Supervise and train the patient access staff, ensuring they understand policies and procedures and have accessto necessary resources for optimal job performance.Respond to and resolve patient complaints and inquiries related to patient access services.Collaborate with other healthcare professionals to ensure resources are utilized effectively to meet patient needs.Completes charge reconciliation, late charge additions, and unfinalized review of billing.Completes billing for clients and follows up on these accounts.Review denials that are specific to authorizations, eligibility, registration, needing more information, etc. that areassigned by the Central Billing Office and Meditech.Complete and track all appeals that are related to front office functions.Verify that all scheduled services have authorizations, as needed.Establish point-of-service collection goals for the registration staff.Resolve assigned tasks.Resolved assigned account checks.Assist hospital departments with removing and adding charges.Work the return to client file as assigned by the Meduit for resolution.Check and work mail.Quality Assurance checks of consent forms, cards, and insurances are verified.Assist other departments as needed with claim resolution.Work the assigned PAD functions, as needed. Qualifications EDUCATION High School Diploma RequiredBachelor's Degree Business, Finance, or Related Field Preferred EXPERIENCE 4-6 years experience. Minimum of 5 years of experience in patient access or related field, with at least 2 years of supervisory or management experience required. KNOWLEDGE, SKILLS, & ABILITIES Knowledge of healthcare regulations, insurance requirements, privacy standards,and facility policies.Experience with electronic health record (EHR) systems, practice managementsoftware, and patient data management tools.Excellent organizational, leadership, communication, problem-solving, andinterpersonal skills.Ability to work collaboratively with other healthcare professionals, patients,families, and caregivers.Strong attention to detail, accuracy, and quality control.

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Responsibilities

The Patient Access Manager oversees all patient access services, ensuring efficient registration, scheduling, and financial counseling. They also monitor departmental performance and collaborate with healthcare professionals to optimize patient services.