Patient Access Manager - Ambulatory
Saint Alphonsus Health System

Employment Type:
Full time
Shift:
Day Shift

Description:

At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care.

The Patient Access Manager for Ambulatory Services will be responsible for promoting consistency, standardization and best practice as it relates to front office operations for the ambulatory network. Additional duties include; provide financial management, leadership and expertise in managing all details of assigned operations and works in conjunction with other departments, including but not limited to managed care contracting, revenue cycle, centralized ambulatory scheduling (SAT), clinical informatics and operational leaders on standards, policies and implementation of best practices; develop, modify and maintain policies; continually seeking mechanisms to streamline and automate processes, and building and maintaining external and internal customer relationships.

The Access Manger is the owner for EPIC front office work and is critical for Epic implementation and continued support. Job role focus is on PATOS, Denials, Eligibility denials.

SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:

• Must possess a comprehensive knowledge of front office operations and fiscal management as normally acquired through the completion of Bachelor's degree in Finance, Business or Health Administration or related field and a minimum of three (3) of progressively responsible experience in revenue cycle operations, clinical informatics, or clinic operations.
  
• Minimum of two (2) years of leadership experience in a medical practice or integrated health system setting.
  

ESSENTIAL FUNCTIONS

• Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions
  
• Identifies, facilitates and builds system and process standardization, utilization of best practices, work integration, change management, issue resolution, metric development and measurement, and communications for an assigned region.
  
• Directs, coordinates and synchronizes the work efforts of geographically dispersed Patient Service Representative teams in order to ensure adherence to the established Standards of Excellence and ongoing monitoring of metrics and reporting of performance to Senior Leadership.
  
• Acts as a change advocate, promotes process improvement and ongoing education to grow the knowledge of team Directs and oversees human resource activities, which includes completing appropriate documentation, performance appraisals and leading goal setting. Adheres to all human resources expectations for colleagues, including compliance related responsibilities, orientation and continuing education requirements, recognition of staff/team accomplishments, etc.
  
• Responsible for establishing relationships and leading collaborative efforts with a multidisciplinary team including: physicians, clinic colleagues, service line leaders, the resource center, SAT, and clinic operational leadership.
  
• May provide education to the professional partners relative to rules and regulations that govern PSR functions and drive reimbursement and experience outcomes. Oversees and ensures local leadership and teams have appropriate internal controls over accounts receivable records, clinical record integrity, cash collections, patient valuables, etc.
  
• Oversees customer service and will act as point of escalation for patient complaints or related issues. Ensures processes are in place to support prompt and appropriate handling of patient inquiries in a manner that is professional, understanding, patient and respectful.
  
• Responsible for serving as primary liaison for any new Front Office related systems, enhancements or other related initiatives that affect the region's patient access operations, which includes ensuring at least annual review of departmental policies and processes in accordance with Joint Commission and other regulatory considerations.
  
• Collaborates with Clinical Informatics on the processes within the Practice Management System and E.H.R. to optimize efficiency and revenue enhancement. Acts as a primary liaison to the Lead PSRs in the network to ensure consistency and performance.
  
• Oversees training, monthly meetings, communication and collaboration with Supervisors, Managers, and Leads. Distributes communications from contracting about carrier requirements, ID Card changes, ACO regulatory needs, etc.
  
• Maintains a working knowledge of applicable federal, state, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior Must be able to travel up to 50% to the ambulatory clinics within the two-state region.
  

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.

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