Hiring - Patient Access Manager (Insurance Verification) Detroit, MI

Job Title: Patient Access Manager (Insurance Verification)

Job Type: Full-time

Job Location: Detroit, MI

Estimated Salary: $94K

Essential Functions and Responsibilities:

• Manages the daily function through both direct supervision of staff, as well as managing Supervisors who have responsibility for many aspects of daily operations

• Implement standardized processes to Best Practice, responsible for setting and tracking metrics for quality and productivity.

• Responds promptly, professionally and courteously to all customers’ needs.

• Cooperates and communicates effectively with all company team members.

• Contributes to continuous quality improvement efforts and practices cost effective measures.

• Monitors and controls staff performance to include quality, quantity and timeliness.

• Develops and maintains positive relations with all customers both internal and external.

• Manages multiple staff and functions within their assigned department(s).

• Assesses and adjusts staffing as needed, and makes recommendations for departmental structure and ongoing staffing levels based on workload.

• Interviews, selects, orients, and trains new staff.

• Prepares, schedules, assigns work, controls attendance, maintains time records and authorizes overtime.

• Interprets and assures adherence to company and department policies, procedures and work standards.

• Initiates disciplinary actions as appropriate; hears and may resolve complains or grievances. Initiates or recommends other personnel actions as appropriate, such as promotions, suspensions, and terminations.

• Ensures that all employees adhere to department policies and procedures.

• Assists the Regional Director in the development of the annual budget; also monitors departmental expenses monthly and addresses variances from budget as appropriate.

• Establishes and oversees procedures and cooperates with all business partners.

• Collaborates with the Reimbursement staff.

• Keeps the Regional Director advised of all legal matters.

• Cooperates with the CBO Revenue Cycle managers/supervisors.

• Attends/leads departmental meetings and other meetings as requested.

• Maintains current knowledge in specialty through self-development, professional seminars, attendance at meetings, etc. Performs other related responsibilities as necessary.

• Maintains confidentiality in all matters regarding patients, the hospital, the department and human resources.

• Communications: communicates verbally and in writing in a positive, consistent, enthusiastic, and open mannered approach with all internal and external customers. Exhibits skill in communicating complex information at a level of understanding for the appropriate intended recipients.

• Decision Making: uses independent judgment to exercise authority on behalf of the company by keeping the organizations mission, vision, and values at the forefront. Works independently in a self-directed, non-confrontational, collaborative manner.

• Supports, advises, promotes and advocates for staff; provides opportunities for professional and technical growth. Motivates staff; defines priorities and communicates organizational goals and works with them to achieve them; seeks commitment from staff, encourages innovation and team building/planning. Oversees regular staff meetings.

• Translates the Vision and Mission Statement in to strategic management interactions with staff and internal and external clients.

• Other duties as assigned or when necessary to maintain efficient operation of the department and the company as a whole.

Qualifications

Minimum:

• Bachelor’s degree in business management, accounting or related field.

• Five years in a patient financial services or a related department.

• Two (2) years’ experience in a leadership role for a staff of five or more members leading or assisting in all phases of effective supervision (ie. Recruitment, performance management, training)

• Experience in health care setting with working knowledge of medical terminology and billing systems/software.

• Must have effective interpersonal, communication and analytical skills.

Knowledge, Skills, and Abilities:

• Demonstrates characteristics that support the values, vision, mission, policies and procedures of company.

• Revenue cycle experience

• Expert program management skills

• Subject matter expert for revenue cycle

• Provides service excellence standards:

• Responds promptly, professionally and courteously to all customers’ needs.

• Cooperates and communicates effectively with all company team members.

• Contributes to continuous quality improvement efforts.

• Must be able to understand, explain, calculate, analyze and interpret the information reviewed daily.

• High level of organization skills, good written and oral communication skills.

• Ability to work independently and meet deadlines.

• Ability to work effectively in a team.

• Organizes time and prioritizes effectively.

• Maintains confidentiality in all matters regarding patients, the hospital, the department and human resources.

• Complies with HIPAA regulations and Patient Bill of Rights

• Maintains confidentiality in all matters regarding patients, the hospital, the department and human resources.

• Complies with HIPAA regulations and Patient Bill of Rights

• Communicates verbally and in writing in a positive, consistent, enthusiastic, and open mannered approach with all internal and external customers

• Works independently in a self-directed, non-confrontational, collaborative manner

• Constantly seeks opportunities to improve processes to support more efficient and effective work outcomes

• Promotes positive internal and external relations by actively seeking and being responsive to customer feedback. Ability to support and participate in continuous quality improvement projects

• Displays high ethical standards

Physical Requirements: Additional requirements detail available upon request

Sedentary Work: Lifting 10 pounds maximum with frequent lifting and/or carrying such articles as dockets, ledgers, and small tools. Although sedentary job is defined as one which involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met. Ref: D.O.T. – U.S. Department of Labor – Employment and Training Administration

Expected Use and Disclosure of Protected Health Information:

Employees in this position are expected to have access to protected health information and other confidential business information from throughout the organization as is needed to fulfill their responsibilities in evaluating and reducing risk to the organization. No protected health information will be disclosed outside the organization unless specifically required by state or federal law.

*This document is intended to describe the general nature and level of work performed and the requirements of the position. It is not intended to serve as an exhaustive list of all duties, skills, and responsibilities of personnel so classified; nor is it intended to limit the right of any leader to assign or direct employees under his/her direction.

Experience:

• Patient Access Manager: 3 years (Required)
• Front end revenue cycle: 3 years (Required)
• Patient Access: 5 years (Required)

Send your resume to - [email protected]