Position Overview: Reporting to the Director of Centralized Insurance Verification – Enterprise RCM, the Patient Access Manager will provide training, instruction, and guidance to the Enterprise VOB team. The role is responsible for ensuring best practice and optimal revenue cycle results for CBO clients, with direct oversight of Patient Access Supervisors. The Patient Access Manager is accountable to performance results and collaborating internally and externally to drive revenue cycle and reimbursement initiatives. This role develops an environment and culture that embraces continuous improvement and innovation to ensure best practices are achieved in all areas of the revenue cycle. This role will coordinate with other cross functional areas that impact or support RCM to ensure appropriate collaboration and system wide efficiency of operations.

Responsibilities:

• Manages team members as assigned ensuring quality of work meets and exceeds USPI standards
• Develop and maintain key performance indicators and outcomes
• Exhibits superior management skills that emphasize team-building and strong leadership with the ability to provide clear direction to the department, while also functioning as an individual contributor.
• Maintains current knowledge of patient scheduling, registration/intake processes and systems, medical necessity review, insurance eligibility verification and authorization, and billing models.
• Continuously evaluates and is expected to be actively involved in ensuring all patient access operations are well-managed, delivering excellence in quality standards, consistently meeting the organizations and client expectations.
• Conducts routine reviews of work completed, leveraging findings to identify training needs for system education, industry updates and changes in processes and protocols.
• Effective critical thinking, problem solving and decision-making skills.
• Flexible work style, tactful, poised, and patient. Ability to handle pressure, heavy workloads, multiple requests, numerous interruptions, and short deadlines in a positive manner, establishing priorities for effective work completion.
• Adapts quickly to changing conditions, assimilating new processes into job functions and taking ownership.
• Other duties as assigned.

Requirements:

• 3+ years Patient Access or Revenue Cycle experience in a healthcare related industry with Ambulatory Surgical Center or Outpatient hospital experience preferred.
• Must have been employed with USPI for a minimum of 1 year and is currently meeting and exceeding expectations
• Desire to motivate, inspire positive outcomes and deliver excellent results.
• Must have prior verification, authorization or financial counseling experience with an understanding of Revenue Cycle Processes, cause and effect on A/R and cash results.
• Sound judgement and strong skills with respect to interpersonal relations, critical thinking, problem solving and analysis.
• The ability to communicate effectively, both verbally and in writing, with internal and external clients.
• Work independently to identify and resolve complex client problems.
• Excellent knowledge of health care billing procedures, documentation, regulations, payment cycles and standards.
• Must be proficient in computer skills necessary to perform job duties and must have strong knowledge of computerized billing systems. Intermediate knowledge of Word, Excel, PowerPoint, Access, and Outlook.
• Must possess positive attitude to enhance a cooperative and energetic work environment.