Patient Access Manager

Posting Date October 19, 2018
Job Title Patient Access Manager
Specialty Certified Healthcare Access Manager or certification within one (1) year of hire
Hours FT
Overview Position Summary: In collaboration with the Director, the Manager performs functions to plan for and manage the Patient Access function, involving referrals management, patient triage, and clinical scheduling. Cultivates an environment of outstanding customer service, as the voice of the company in all interactions with referral sources, patients and field staff. Principal Duties and Responsibilities (Essential Functions): • Manage Patient Access Team in the processing of new patient referrals, insurance benefit investigation and verification's, and procurement of required authorizations. Establish processes for visit scheduling that based on acuity, regulatory compliance, and service standards. • Establish, communicate, and maintain operating policies, processes and procedures covering functional area, to improve efficiency, quality and compliance, and related performance expectations. • Monitor results to evaluate compliance with quality and productivity expectations and identify opportunities for improving results. • Establish customer service standards of excellence and ensure compliance. Train and mentor team members in customer service techniques, cultivate environment of customer service orientation, and evaluate effectiveness and assess satisfaction levels formally and informally. • Monitor activities and work with team members to provide guidance, training and improved skills involved in patient referrals, patient triage, compliance with service standards, evaluation and maximization of patient service contracts. Balance workload and manage schedules to suit demand and service standards. • Interview, select, recommend hire, train and assign department team members. Provide direction and mentoring, develop and communicate performance metrics to assess the effectiveness of team members, both as a department and individually. Evaluate performance and provide counseling, cross training and coaching to team members. Maintain harmonious employee/employer relations. Develop and implement staffing plans and related budgets as required. • Communicate with liaisons to receive and provide information regarding individual account requirements and expectations and resolve customer/patient issues. Accompany liaisons and other team members on visits to key accounts to represent the company and build relationships. • Perform or assist with any operations, as required to maintain workflow and to meet schedules and quality requirements. • Participate in any variety of meetings and work groups to integrate activities, communicate issues, obtain approvals, resolve problems and maintain specified level of knowledge pertaining to new developments, requirements, and policies.   Competencies: • Stewardship – Demonstrates the careful and responsible management of resources, including financial, environmental, intellectual and material resources. • People – Works collaboratively, departmentally and organizationally to achieve common goals. Seeks to understand others’ spoken and unspoken thoughts, feelings, and concerns by actively listening with compassion and respect. • Quality - Uses data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care delivery. • Safety – Executes duties and maintains a psycho socially and physically safe and healthy environment, which promotes the safety and wellbeing for all employees and patients. Physical Working Conditions: • Typical office environment: o Frequent sitting, standing, twisting, walking, fine motor skills o Speak clearly so listeners can understand o Understand the speech of another person o See details of objects that are less than a few feet away o Work in fast paced, occasionally stressful environment o May work under pressure to complete work or projects Disclaimer: The above statements are intended to describe the general nature and level of the work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills requirements of staff so classified.
Qualifications Minimum Qualifications: • Bachelor’s degree in nursing from an accredited college or university, Master’s degree preferred • Three (3) years’ experience in a direct supervisory role • Experience in health care setting with working knowledge of medical terminology, electronic medical record and billing systems/software • Must have excellent interpersonal, communication and analytical skills • Software skills: Electronic medical record, Microsoft Excel, Word, Outlook, PowerPoint, etc. Required Licensure/Certification Skills: • Registered Nurse - licensed in VT and NH • CHAM - Certified Healthcare Access Manager desired, or certification within 1 year of hire
Agency / Location Visiting Nurse & Hospice for VT and NH
88 Prospect Street
White River Junction, VT 05001
Contact Information Holly Amoth
Visiting Nurse and Hospice for VT and NH
88 Prospect Street
White River Junction, VT 05001
Phone: 8883008853
Fax: 603.298.3349
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