Global IT Resources, Inc Hiring for Patient Access Manager at Juneau, AK Full Time

Relocation Assistance Offered

Summary:

The Patient Access Manager is responsible for Patient Access Representative Supervisors and their teams at their respective locations across the consortium. This position provides leadership in coordinating initiatives and assisting in operations of patient access.

Responsibilities:

Key Essential Functions And Accountabilities Of The Job

Provides Medical, Behavioral Health, Optometry, Dental, Audiology Ancillary services through dotted line ing.

Coordinates with the revenue cycle to manage key performance expectations and challenges including upfront collections protocols, capturing accurate demographic and insurance information, timely registration and patient satisfaction, denial prevention, patient flow, unbilled, patient concerns, and the patient portal. Contributes to Account Receivable goals by ensuring insurance eligibility for accurate and timely billing.

Manages software and process development to assist financial counselors in order to accurately and timely identify patients who are eligible for alternative resources. In coordination with Outreach and Enrollment, Direct Health Benefits functions to screen self-pay patients for alternate resources and apply for Medicaid, Medicare, VA, HRSA, TSHIP, grants, and ACA.

Processes authorizations before services are rendered in order to be reimbursed properly for claims. Coordinates Utilization Review (UR) to ensure medical necessity and appropriateness to prevent claim denials when a patient is ineligible for services billed by the provider.

Optimizes Point of Service Collections through Patient Access staff who are educated on terminology, policies, scripts, and know how much to collect based on the service and insurance type.

Reviews performance of Patient Access Supervisors, Patient Access Registrars, and Financial Counselors to ensure timeliness, accuracy, compliance and standards fulfillment. Clearly communicates how individual goals and job expectations align with organizational objectives. Monitors and maintains Key Performance Indicators and supports data capture and tracking. Ensures quality review measurements are in place. Leadership in coordinating initiatives and assisting in operations of patient access for the Southeast Alaska Regional Health Consortium.

• Ensures all patient access areas record accurate demographic information in the electronic health record
• Verifies insurance eligibility on patient accounts, collects on patient liabilities at the point of service, processes authorizations, and assists patients with applying for alternate resources.

Coaches and develops staff performing patient access functions and ensures that the department remains in compliance with all departmental, institutional and regulatory policies applicable to these functions. Models and ensures staff members exhibit exemplary customer service.

Participates in system implementations related to the Electronic Health Record, Financial Counselor software, and other new technology platforms that are utilized by Patient Access.

Participates in integration of the department’s services with the region’s provider functions, develops and implements policies and procedures that guide or support services, and improves department performance.

Provides subject matter expertise and guidance for Patient Access in rural locations in the areas of

Other Functions

Implements and monitors standard policies, processes, and forms. Develops and maintains a Patient Access procedure manual.

Other duties as assigned

Knowledge, Skills, And Abilities

Knowledge of:

Healthcare technology and automated system design of Electronic Health Record Systems.

Principles of managed care (i.e., Medicare, Medicaid, Blue Cross, Campus and related federal and state regulations and requirements

Knowledge of healthcare technology and automated system design of Electronic Health Record Systems,

Healthcare Revenue Cycle operations, Information systems and health care applications and revenue cycle principles

Company Description

Around the globe, we help cities and industries manage, optimize and make the most of their resources. We provide an array of solutions related to water, energy and materials to promote a cleaner more sustainable world for all of us.

The collective expertise and passion of our people, combined with a broad portfolio of over 10,000 technologies, makes us uniquely positioned to deliver solutions that positively impact the environment. Come be part of something special – start your journey today!

Around the globe, we help cities and industries manage, optimize and make the most of their resources. We provide an array of solutions related to water, energy and materials to promote a cleaner more sustainable world for all of us. The collective expertise and passion of our people, combined with a broad portfolio of over 10,000 technologies, makes us uniquely positioned to deliver solutions that positively impact the environment. Come be part of something special – start your journey today!