Job Description

Job Description

Providence Health

Founded as Providence Hospitals in 1938 by the Sisters of Charity of St. Augustine, Providence's two free standing full-service hospitals and numerous satellite practices maintain a true devotion to advanced clinical expertise and unmatched compassion. On February 2, 2016, Providence became part of the LifePoint Health network, and shortly thereafter, changed its name to Providence Health to better represent the full complement of its services. Driven by quality, compassion, and Christ, Providence treats the whole person- body, mind, and spirit.

Providence Health is looking for an ED Patient Access Manager to join our team. The ideal candidate will have prior leadership experience in a similar role.

For more information about the physicians and services provided by Providence Health, click here.

Essential Functions:

* Responsible for exceeding the customer's expectation (customer is herein defined as the patient, patient's family members, physician/physician office staff and hospital departments reliant upon Patient Access Services operationally) while accomplishing accurate and timely acquisition of information.

* Routine verbal, written and in-person communication with customers will serve to present a positive and professional image fully geared towards excellent customer service.

* Exhibiting behavior and actions enhancing customer services, exercising creativity, optimizing systems, and exploring new opportunities is of key importance.

* The Manager effectively plans, develops, evaluates, and manages day-to-day operations while focusing on customer satisfaction, community perception, timeliness, error rates, denial rates, and other revenue cycle benchmarks as applicable. Routine audit of performance documenting and/or accomplishment of benchmarks resulting in a 90 to 95% success rate will meet expectations; 95% or better exceeds expectations.

* The Patient Access Services Manager understands and trains others to use the system(s) optimally. He/she verifies that each customer interaction is documented with the patient's plan benefits and pre-certification information as necessary, sharing information with others as appropriate.

* Continuous research of changing billing guidelines, communication between departments, and recommendations for improvement is routinely expected.

* Documentation supporting an on-going and effective plan for performance improvement will be presented to the Executive Director within the first 4-6 business days of each month to meet expectations and within the first 3 to exceed.

* Observes and supports hospital policies without reservation. Facilitates change to promote the advancement and application of new knowledge about health care, and performs other duties as assigned.

* Recruitment and retention, training, coaching/counseling, and training specific to the Meditech, Medicare rules and regulations, compliance, reimbursement and annual JACHO requirements are key functions.

* The Patient Access Services Manager maintains documentation of completed training, tracks employee training hours and competencies, and completes evaluations on time and appropriately.

* Routine reviews will provide adequate staffing levels to assure an appropriate workload for each staff member resulting in an atmosphere of teamwork.

* Managing productivity and accuracy and promoting teamwork will accomplish departmental goals and provide excellent customer service to both internal and external customers.

* The Patient Access Services Manager will routinely audit performance assuring a grade for each staff member.

* Routine audit of performance documenting and/or accomplishment of benchmarks resulting in a 90 to 95% success rate will meet expectations; 95% or better exceeds expectations.

* The Patient Access Services Manager analyzes relationship issues and system integrity reports on a routine basis in an effort to discover and address needs within a reasonable time so as to avoid the development of an on-going problem.

* Special attention to resolving system interface problems and/or discrepancies, rejections, and LMRP edits is a daily expectation.

* Monthly reporting documenting on-going analysis of operations, systems and/or reimbursement discrepancies, rejections and denials will be provided to the Executive Director within the first 4-6 business days of each month to meet expectations and within the first 3 to exceed.

Job Requirements

Minimum Work Experience

Five years progressive responsibility in a healthcare setting and three years in a supervisory capacity preferred.

Minimum Education

Bachelors degree in Healthcare or Business Administration preferred.

LifePoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans status or any other basis protected by applicable federal, state or local law.