Patient Access Manager

Job Description

Job Description

Do you want to make a difference in the community?

Are you looking to further your career in healthcare?

Do you want to be part of a growing organization?

Evara Health has been serving the community for 40 years. We are a not-for-profit health care organization with 14+ locations throughout Pinellas County, FL!

The Patient Access Manager (PAM) is responsible for the supervision of the Evara Health Patient Registration areas, Financial Counselor, and patient access at our operating locations.

The PAM will be accountable for the improved patient experience by ensuring a smooth and timely registration process and hold team members accountable for ensuring Evara strategic goals are being met.

Duties include guidance and coverage for employees, monitoring of Quality Assurance measures, and oversight of ongoing staff training.

The goal of this position is to ensure high quality service for patients and accuracy of information affecting both pre and post visit services.

Provides operational analysis at the operating locations and assists with the implementation and adaptation of techniques, processes, and procedures to improve workflow and patient throughput.

ESSENTIAL DUTIES & RESPONSIBILITIES :

• Ensures the accuracy and completeness of daily registrations and pre-registration
• Ensures a high level of quality service provided to patients
• Responsible for adequate staffing and overage in all Patient Access areas
• Responsible for staff development, including training, reviews of progress and communication of findings
• Monitors all Patient Access processes generally and individual workers specifically to assure compliance with department policies & procedures
• Monitors staff production and work queues
• Monitors scheduling interaction and performance with physicians and patients to ensure appropriateness
• Offers guidance to employees related to Point-of-Service collective activity
• Meets or exceeds goals and objectives set in conjunction with the Director of Patient Access are
• Keeps up to date on changes imposed by Medicare, Medi-Cal, Commercial Insurance as well as Federal and State laws impacting health care
• Ensures appropriate utilization of staff during vacations, illness, or other events that may arise
• In concert with the Director of Patient access, participates in the recruitment, scheduling, and discipline of staff
• Resolves problem situations appropriately and independently
• Sets priorities appropriately
• Ensures Director of Patient Access is informed of any unusual and significant issues that may affect patient satisfaction, timeliness of service or reimbursement or general patient flow
• Must be capable of performing the tasks required of direct reports
• Oversees facility operations of Patient Access functions to include pre-registration, benefit verification, registration, service pre-payment and ensures daily operations are maintained according to standard as established by Evara Health
• Models Evara Health customer care guidelines in all interactions with the patient and ensures staff are adhering to the patient experience expectations and assists with problem resolution
• Reviews Patient Access performance to ensure timeliness, accuracy, compliance, and standards fulfillment as defined in Service Level Agreements and Goals
• Determines best practices, writes processes and procedures, provides training, and coordinates implementation of these items
• Directs and coordinates Access staff to reduce bad debt by supporting up-front cash collection in all areas of Access
• Monitors and evaluates pre bill / registration edits received and addresses deficiencies that allowed denial to occur, if applicable
• Educates staff with the knowledge and tools needed to recognize details needed to allow for a clean bill and smooth financial reimbursement to Evara Health
• Add schedule review for correctness 72 hours out
• Strictly adheres to all Evara Health, HIPAA, HRSA, State, Federal and accreditation agency rules and regulations

These essential job functions are not to be construed as a complete statement of all duties assigned. Employees will be required to perform other job-related duties as required.

EDUCATION AND EXPERIENCE :

• High School Diploma or equivalent required, college degree preferred
• Minimum 5 years healthcare management experience with three of these years in the related area for the position

BENEFITS :

• Up to 18 days of PTO in your first year
• 10 paid holidays
• Pre-Taxed flexible insurance package
• 403B with company contributions
• Tuition reimbursement
• Paid Training
12 days ago