Manages the day-to-day operation of Patient Access Department which is comprised of multiple Access areas PT OT Speech Scheduling and Managed Care Review. Responsible for overseeing that registrations are complete accurate and timely; scheduling of appointments is accurate and timely based on PT OT and speech guidelines; managed care review documentation of third party payors coverage; precertification/authorization information is complete and entered in Epic to ensure optimum and timely reimbursement. Provides excellent customer service to all of its customers including but not limited to patients families physicians other professionals Patient Accounts Payor Relations Ambulatory and In Patient Services. Works with director and supervisors to ensure that departmental operations and customer service is in accordance with departmental and Nationwide Childrens goals. Identifies departmental deficiencies and actively pursues and initiates solutions for process improvement. Participates in the development of the department budget and is responsible for efficiently managing the department within the budget constraints.
Essential Functions:
- Collaborate with Technology Training and Patient Accounts to ensure quality of registrations meet NCH standard insurance pre-certification is obtained when applicable and documented.
- Directly responsible for the planning organizing staffing managing and coordinating for Patient Access areas.
- Develops implements maintains and monitors departmental policies and procedures
- Responsible for annual budget of $3.7 million
- Establishes analyzes monitors and responds to statistical reports related to productivity and quality standards of work.
- Collaborate with IT and peers in the review of adopting Epic Prelude enhancements to maximize efficiencies and customers satisfaction.
- Develops and implements plans to develop and empower supervisors and assists supervisors in developing plans to develop and empower their staff
- Strives to find solutions to hospital wide and department wide operational issues effecting accounts receivable and/or customer service
- Hires trains supervises evaluates counsels and disciplines assigned staff.
- Establishes and maintains a feedback mechanism to ensure physicians patients and staff needs are met.
- Identifies and implements staff training/development needs and programs.
Education Requirement:
Bachelors Degree in Business Administration required.
Licensure Requirement:
(not specified)
Certifications:
(not specified)
Skills:
- Excellent communication and customer service skills.
- Working knowledge of computer systems that support Patient Access applications.
- Ability to effectively initiate and manage multi-discipline projects.
- Understanding of billing fiscal and physician data requirements.
- Strong understanding of a managed care environment and its impact on hospital operations.
- Strong professional demeanor with the inherent quality to rapidly establish credibility and rapport with clinicians managers customers and external groups.
- Ability to identify opportunities and solutions for process improvement and plan for and implement those same solutions.
Experience:
- Five years of experience in managing and supervising staff required.
- Five years of experience in health care registration and billing areas required.
- Demonstrated history of successful project start-up planning organizing and implementation required.
Physical Requirements:
OCCASIONALLY 1-33% of time (0.5-2.5 hours): Bend/twist Squat/kneel Climb stairs/ladder Standing Lifting / Carrying: 0-10 lbs Lifting / Carrying: 11-20 lbs Decision making
FREQUENTLY 34-66% of time (2.6-5 hours): Walking Sitting Hand use: grasping gripping turning Repetitive hand/arm use Computer skills Problem solving
CONTINUOUSLY 67-100% of time (5.1-12 hours ): Audible speech Hearing acuity Seeing Far/near Interpreting Data
Additional Physical Requirements performed but not listed above:
(not specified)
The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified nor is it intended to limit or modify the right of any supervisor to assign direct and control the work of employees under their supervision. EOE M/F/Disability/Vet
Required Experience:
Manager
Overview:Job Description Summary:Manages the day-to-day operation of Patient Access Department which is comprised of multiple Access areas PT OT Speech Scheduling and Managed Care Review. Responsible for overseeing that registrations are complete accurate and timely; scheduling of appointments is ac...
Manages the day-to-day operation of Patient Access Department which is comprised of multiple Access areas PT OT Speech Scheduling and Managed Care Review. Responsible for overseeing that registrations are complete accurate and timely; scheduling of appointments is accurate and timely based on PT OT and speech guidelines; managed care review documentation of third party payors coverage; precertification/authorization information is complete and entered in Epic to ensure optimum and timely reimbursement. Provides excellent customer service to all of its customers including but not limited to patients families physicians other professionals Patient Accounts Payor Relations Ambulatory and In Patient Services. Works with director and supervisors to ensure that departmental operations and customer service is in accordance with departmental and Nationwide Childrens goals. Identifies departmental deficiencies and actively pursues and initiates solutions for process improvement. Participates in the development of the department budget and is responsible for efficiently managing the department within the budget constraints.
Essential Functions:
- Collaborate with Technology Training and Patient Accounts to ensure quality of registrations meet NCH standard insurance pre-certification is obtained when applicable and documented.
- Directly responsible for the planning organizing staffing managing and coordinating for Patient Access areas.
- Develops implements maintains and monitors departmental policies and procedures
- Responsible for annual budget of $3.7 million
- Establishes analyzes monitors and responds to statistical reports related to productivity and quality standards of work.
- Collaborate with IT and peers in the review of adopting Epic Prelude enhancements to maximize efficiencies and customers satisfaction.
- Develops and implements plans to develop and empower supervisors and assists supervisors in developing plans to develop and empower their staff
- Strives to find solutions to hospital wide and department wide operational issues effecting accounts receivable and/or customer service
- Hires trains supervises evaluates counsels and disciplines assigned staff.
- Establishes and maintains a feedback mechanism to ensure physicians patients and staff needs are met.
- Identifies and implements staff training/development needs and programs.
Education Requirement:
Bachelors Degree in Business Administration required.
Licensure Requirement:
(not specified)
Certifications:
(not specified)
Skills:
- Excellent communication and customer service skills.
- Working knowledge of computer systems that support Patient Access applications.
- Ability to effectively initiate and manage multi-discipline projects.
- Understanding of billing fiscal and physician data requirements.
- Strong understanding of a managed care environment and its impact on hospital operations.
- Strong professional demeanor with the inherent quality to rapidly establish credibility and rapport with clinicians managers customers and external groups.
- Ability to identify opportunities and solutions for process improvement and plan for and implement those same solutions.
Experience:
- Five years of experience in managing and supervising staff required.
- Five years of experience in health care registration and billing areas required.
- Demonstrated history of successful project start-up planning organizing and implementation required.
Physical Requirements:
OCCASIONALLY 1-33% of time (0.5-2.5 hours): Bend/twist Squat/kneel Climb stairs/ladder Standing Lifting / Carrying: 0-10 lbs Lifting / Carrying: 11-20 lbs Decision making
FREQUENTLY 34-66% of time (2.6-5 hours): Walking Sitting Hand use: grasping gripping turning Repetitive hand/arm use Computer skills Problem solving
CONTINUOUSLY 67-100% of time (5.1-12 hours ): Audible speech Hearing acuity Seeing Far/near Interpreting Data
Additional Physical Requirements performed but not listed above:
(not specified)
The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified nor is it intended to limit or modify the right of any supervisor to assign direct and control the work of employees under their supervision. EOE M/F/Disability/Vet
Required Experience:
Manager
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