What are the responsibilities and job description for the Patient Access Manager position at Insight?
WE ARE INSIGHT:
At Insight Hospital and Medical Center- Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now!
GENERAL SUMMARY
The Manager, Patient Access is responsible and accountable for the oversight of the registration area and operational efficiencies. The Manager, Patient Access is responsible for ensuring that all staff operate on an informed, integrated, efficient and independent manner. The Manager, Patient Access is expected to facilitate the highest standards of customer service and operational effectiveness on a daily basis. The Manager, Patient Access also assumes responsibility for the revenue cycle and how the admitting functions impact the financial stability of the hospital.
The duties are to be performed in a highly confidential manner, in accordance with the mission, values and behaviors of Insight Hospital and Medical Center. Employees are further expected to provide high quality of care, service and kindness toward all patients, staff, physicians, volunteers and guests.
DESCRIPTION
Duties and Responsibilities:
Daily Operations: 50% of Time Spent
Manages department work schedules of all registration staff to ensure proper coverage is maintained 24/7.
Monitors quality assurance standards by performing random audits of registration staff to ensure quality and governmental compliances are rendered.
Responsible for hiring new staff and provides one-on- one training with all new employees.
Ensures that all pre-certification requirements are met by staff prior to the patient service.
Responsible for the completion of employee performance evaluations for the Admitting Lead and Registrar positions in a timely manner.
Educates all departmental employees on procedural changes and conducts monthly meetings for proper feedback.
Develops and implements processes to ensure all staff are equipped with the tools necessary to provide high quality outcomes and services.
Other: 30% Of Time
Monitors staff to ensure all Insight patients and their families receive excellent customer service.
Ensures excellent communication with all Insight Managers, Directors, Physicians and staff.
Participates on committee work groups and other task teams to enhance the development of improved processes and efficiencies.
Remains current with the Self Pay screening requirements as outlined by Insight policies.
Ensures information remains current with Insight’s HMO/PPO list of contracts and service requirements.
Manages the budget process and ensures that registration is within 2% of the operating budget.
Remains current with registration requirements and best practices.
Responsible for submitting a monthly productivity report by employee and department to the Director, Revenue Cycle.
Responsible for monitoring and evaluating wait times in high volume departments monthly.
Develops procedures to decrease wait times.
Understands the bed placement requirements as established by nursing criteria.
Responsible for training registration staff during disaster drills and events to ensure patients are accounted for and receive timely treatment.
Systems: 20% of Time
Develops inter and intra departmental systems that promote efficient patient flow.
Formulates, distributes, interprets, revises, and assesses all departmental policies and procedures.
Conduct STI’s (System Testing Issues) upgrades to Star Database.
Understands the basic needs of the practice management system.
Updates the AMP work list and reviews productivity results with staff and Director, Revenue Cycle monthly.
Monitors and reviews the top five billing errors and develops an action plan to decrease registration errors.
Updates the ABN (Advanced Beneficiary Notice) profiles as needed to ensure Medicare requirements are met.
Performs all other duties as assigned.
Total % of time spent 100%
JOB SPECIFICATIONS
A. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:
Knowledge:
High School Diploma required.
Bachelor’s Degree preferred.
Three years' experience in patient access/registration required.
Five to eight years of management or supervisory experience in the healthcare areas of Patient Access, Pre-Certification/Pre-Registration or Revenue Cycle preferred.
Strong Operational background required.
Skills:
Understands Medicare, Medicaid and Commercial insurance required.
Proficient in the use of Microsoft programs: Excel, Word and PowerPoint required.
Familiar with Insurance Eligibility Online Systems required.
Demonstrates excellent oral and written communication skills required.
Knowledge of medical and insurance terminology required.
Abilities:
Ability to multi-task and work in a fast-paced environment required.
Demonstrates excellent phone and communication skills required.
JOB SPECIFICATIONS
A. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:
Knowledge:
High School Diploma required.
Bachelor’s Degree preferred.
Three years' experience in patient access/registration required.
Five to eight years of management or supervisory experience in the healthcare areas of Patient Access, Pre-Certification/Pre-Registration or Revenue Cycle preferred.
Strong Operational background required.
Skills:
Understands Medicare, Medicaid and Commercial insurance required.
Proficient in the use of Microsoft programs: Excel, Word and PowerPoint required.
Familiar with Insurance Eligibility Online Systems required.
Demonstrates excellent oral and written communication skills required.
Knowledge of medical and insurance terminology required.
Abilities:
Ability to multi-task and work in a fast-paced environment required.
Demonstrates excellent phone and communication skills required.
Ability to prioritize and follow up on issues and concerns required.
Ability to provide excellent customer service at all times required.
Disclaimer:
The statements herein are intended to describe the general nature and level of work being performed by employees, and are not to be construed as an exhaustive list of functions, tasks, duties, responsibilities and requirements of employees so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of Insight Hospital and Medical Center.
Ability to provide excellent customer service at all times required.
Disclaimer:
The statements herein are intended to describe the general nature and level of work being performed by employees, and are not to be construed as an exhaustive list of functions, tasks, duties, responsibilities and requirements of employees so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of Insight Hospital and Medical Center.
Insight Employees are required to be vaccinated for COVID-19 as a condition of employment, subject to accommodation for medical or sincerely held religious beliefs.
Insight is an equal opportunity employer and values workplace diversity!