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Mgr Patient Access Services

Mgr Patient Access Services

Wellstar Health SystemDouglasville, GA, US
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WellStar Patient Access Services Manager

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful : to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Job Summary

Under the leadership of the WellStar AVP, Executive Director and Director of Patient Access Services, plans, coordinates and controls the staff and activities to promote the highest level of effectiveness in meeting established goals and objectives. Responsible for performing a wide variety of clerical procedures that requires independent judgment, ingenuity, and initiative. Ensures adherence to policies and procedures, improvement in employee engagement, quality and excellence of work performed, world class customer service, and continual staff education. In lieu of Director, the Manager will continually monitor Key Performance Indicators as established for PAS and ensure PAS is meeting or exceeding each goal. When goals are not met, the Manager is responsible for developing corrective action plans and communicating them to the Patient Access Services Director. The Manager is responsible for supporting the development of a compliance with the annual operating and capital plans. The Manager is responsible for maintaining positive working relationships with key PAS stakeholders. Demonstrates professionalism, effective communication skills and active listening skills.

Core Responsibilities and Essential Functions

Leading, Planning, and Human Resources :

  • Demonstrates effective leadership skills, providing direction to the Supervisors and Team Leads in the performance of their supervisory functions.
  • Collaborates with Administrators, Executive Directors, and Directors to design and implement services that facilitate the vision of WellStar and facility-specific objectives.
  • Motivates employees to excel. Contributes to cohesive group relations, cooperation, and teamwork.
  • Holds management staff accountable for meeting Key Performance Indicators (example below) relating to POS cash collections, customer service, initial denials as a result of registration, patient throughput, and quantity and quality of registrations.
  • Collaborates with PAS Revenue Cycle leadership to develop and implement goals, objectives and 90 day Action Plans for the department.
  • Represents the department at various WHS PAS meetings and functions.
  • Participates in special projects. Assumes accountability.
  • Responsible for the ongoing management of daily operational functions of the department
  • Completes and coordinates employee performance reviews and annual evaluations.
  • Works closely with management team in the hiring, counseling, dismissals, promotions and transfer of employees.
  • Mentors and coaches team to promote effective and productive leadership within the department and culture of accountability.
  • Monitors absenteeism and ensure that counseling is consistently given for noncompliance with WellStar Health System policies and procedures.
  • Maintains updated PAS personnel files
  • Maintains orderly and clean work environment, commensurate with the public expectations of a healthcare organization.
  • Assures PAS team is enforcing WellStar / department dress code.
  • Assures PAS has appropriate equipment and supplies to perform job duties.
  • Available to assist staff needs 24 / 7.

Preferred Leadership Qualities :

  • Drive : Capacity to channel energy to achieve personal and professional goals with a focus on continual innovation and improvement.
  • Intellectual Acumen : Strong desire to continually search for new information and the ability to adapt to new situations. Desire for continuous learning and has the ability to think in a multi-faceted way to achieve results.
  • Relationships : Ability to establish and develop relationships and understand the value of effective communication. Courage to seek and ask the right questions and to recognize and understand the importance of listening and building trust.
  • Focus : Ability to work in a fast-paced environment that requires results. Ability to accept, adapt, and drive continuous improvement, change, and innovation.
  • Communication, Collaboration, Partnership and Customer Service :

  • Maintain courteous, cooperative, flexible and positive working relationships with all levels of management, employees, physicians, customers and the general public.
  • Responsible for ensuring that high quality, customer-driven services are provided.
  • Maintains ongoing communication with other departments, keeping the PAS Director aware of more complex problems and opportunities.
  • Conducts regular meetings with staff. Ensures information is disseminated to staff.
  • Reviews and analyzes departmental reports regarding productivity, quality and performance measures. Implements appropriate action to ensure data is within acceptable limits.
  • Interacts with Directors and Managers from many departments regarding a myriad of issues.
  • Resolves patient, physician, interdepartmental and other customer issues in a timely and appropriate manner. Demonstrates ability to tactfully handle difficult situations through an approach that reflects consistency and fairness.
  • Monitors facility and area customer service scores, taking appropriate action to stay within acceptable limits.
  • Maintains positive relationships with other department personnel.
  • Pursues excellence in all areas related to customer service, including service recovery.
  • Works collaboratively and as a team member with hospital leadership.
  • Partners with Human Resources to achieve desired organizational culture, staffing and workforce metrics.
  • Fosters positive working relationships between staff and physicians across the Health System.
  • Fosters a culture that focuses on patient satisfaction, safety, customer service, staff participation, collaboration, motivation, and effective communication.
  • Budget / Financial and Quality / Safety :

  • Responsible for assisting in the development and monitoring of the facility PAS budgets and in the financial contribution of all supervised departments.
  • Develops and monitors the departmental budget. Ensures monthly variance reports are accurate and thorough.
  • Responsible for monitoring and maintaining collections at time of service at acceptable levels.
  • Collaborates effectively with other department Managers to maximize cash flow and minimize wait times.
  • Conducts studies to improve productivity, streamline operations and reduce error rates.
  • Manages resources and supplies efficiently to administer cost effective services to the community.
  • Resolves errors and applicable Claim, DNB and Patient WorkQueues.
  • Monitors and ensures maintenance of accounts, DNB / Denials, claim, patient, and other related Workqueues that impact the Revenue Cycle.
  • Coordinates monthly Denial resolution for respective facility.
  • Ensures quality and drives resolution of initiatives which impact the overall health of the Revenue Cycle.
  • Monitors processes to adhere to any regulatory requirements set by state, federal and / or governing bodies.
  • Performance Improvement, Compliance / Regulatory, Trust / Engagement, Staff development, Results Oriented :

  • Supports and participates in department and facility performance improvement efforts.
  • Ensures appropriate participation and management of area and department involvement in performance improvement projects.
  • Analyzes results of PI projects and implements changes for improvement.
  • Collaborates with direct reports to implement and complete appropriate PI projects in support of WHS vision and mission.
  • Facilitates intra-department coordination, standardization and outcome targets for key access processes including : scheduling, data collection, insurance verification, authorization, registration, admitting and bed control.
  • Coordinates with outpatient clinics and ancillary services, physician practices, referral hospitals, community and public agencies, and WellStar Health Systems bed control staff to streamline patient access procedures.
  • Assists with the development and maintenance of the department Policy & Procedure.
  • Develops and monitors appropriate policies to ensure compliance to continually improve PAS services.
  • Respects and maintains the privacy of patients personal / protected health information.
  • Adheres to and educates staff about the importance of HIPAA and patients personal health information.
  • Assures that all PAS personnel are trained in corporate compliance, Fraud and Abuse, including maintaining the integrity of billing and coding related activities.
  • Builds a culture of trust and engagement as reflected in the Great Place to Work Trust Index Survey at a direct report, workgroup and hospital / entity level.
  • Holds leaders accountable for behaviors that create trust and engagement.
  • Performs all duties and responsibilities of this position in a manner that reflects the values of WellStar.
  • Maintains and strengthens relationships with physicians and
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