Job Details

Description

JOB SUMMARY:

The Patient Access Manager is responsible for the supervision of the Hospital's Patient Access areas, Inpatient and Outpatient, the Financial Counseling Division, Central Scheduling, and the PBX department. Duties include guidance and coverage for employees, monitoring of Quality Assurance measures, and oversight in 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.

Also responsible for posting payments from patients and health plans, processing credit card payments, reconciling client direct deposits with electronic remittance programs, making contractual or regulatory adjustments when required, and posting a zero pay with a denial message code.

DESCRIPTION OF DUTIES:

PATIENT ACCESS

1. Ensures the accuracy and completeness of daily registrations.
2. Ensures a high level of quality service and courtesy is provided to patients.
3. Responsible for scheduling staffing and coverage in all Patient Access areas.
4. Responsible for staff development, training, reviews of progress and communication of findings
5. Consult with Medical Records as necessary for coding diagnosis problems.
6. Ensures proper maintenance and utilization of purchased software for staff utilization when registering patients.
7. Goals and objective in conjunction with the Director of Revenue Cycle are expected to be met or exceeded.
8. Offers advice and approval to employees related to Point -of- Service collections activity.
9. Ensures Patient Access Staff run daily "Quality "reports and correct errors prior to end of shift.
10. Monitor Productivity and errors. Reviews errors with staff and provides additional training as necessary.
11. Ensures Pre-certifications are obtained timely.
12. Responsible for keeping switch board/lobby staffed properly.

COLLECTIONS/POSTING

1. Establish EFT deposits with new payers as required.
2. Responsible for managing posting all payments, electronic and paper checks
3. Maintains the Unidentified Cash account.
4. Close the Month in system once all charges and payments are entered for the month.
5. Process credit balances approved for payment.
6. Other duties as assigned.

Requirements

1. Previous Experience Required:Minimum of three-years management experience and working knowledge of hospital Patient Access and payment posting.

2. Specialized or Technical Education Required:High school diploma, working knowledge of the CMS 1500 billing guidelines, CPT codes, HCPCS codes, Modifiers, ICD-9 Diagnosis Codes, Correct Coding Initiative (CCI) edits and Medical Necessity edits that are needed to ensure proper billing, collections, and compliance guidelines.