Patient Access Manager

Company: CMU Medical Education Partners
Location: Saginaw
Posted on: May 18, 2023

Job Description:

The Patient Access Manager supervises the operational functions of the front desk receptionists (check in and check out), referral specialists, scheduling, record scanning, and release of information at all CMU Health clinical practice sites. This is a patient-facing position in which a strong focus on customer service is required of the Manager and his/her employees. The position includes policy development, staffing, coverage, training, mentoring, discipline, productivity, and reporting. The Patient Access Manager also serves as a content expert for these function at all locations including reporting effectiveness and participating with clinic leadership in coordinating these functions across clinics.

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  Serve as content expert in front desk and check-out operations, referrals, and medical records
  
  
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  Use data to validate performance or identify opportunities and match to industry benchmarks; performance measures include but are not limited to copay collection, accurate insurance verification, pre-authorization, efficient and effective use of Epic, timely medical records scanning and referral processing.
  
  
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  Ensure that patient experience and service standards are met/exceeded.
  
  
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  Monitor work queues and reports to ensure accurate and timely registration, effective use of schedule templates, and appropriate use of other Epic functionality including but not limited to the wait list, recall list, e-checkin,Fast Pass, and Insurance Eligibility via RTE.
  
  
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  Uses Epic work queues, reports, and dashboards to monitor the productivity of the departments and individuals.
  
  
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  Coordinate with Operations to ensure a smooth transition for patients from check-in to exam room to check-out.
  
  
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  Coordinate with Revenue Cycle to ensure check in data gathering and validations are accurate and check out collections are at or above industry standards. Track common issues and provide training to staff to prevent the issue from reoccurring.
  
  
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  Monitor the accuracy of the data entry of demographic and insurance information
  
  
  obtained by staff for patient registration. Investigate errors, suggest changes and/or implement solutions to encountered problems. Report statistical findings to the Director of Revenue Cycle.
  
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    Develop and maintain a solid understanding and knowledge of payer requirements, registration, and scheduling workflows, as well as referral requirements to ensure staff follows established procedures to maximize reimbursement.
    
    
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    Work collaboratively with patients, operations, finance, administration, providers, informatics, etc. on issues relating to patient registration, scheduling, patient flow, insurance verification, referrals and reimbursement issues impacted by patient access services. Represent the department in meetings and on committees relating to these issues.
    
    
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    Works collaboratively with the CMEP ROI Vendor to ensure workflows are in place to support the accurate and efficient request and release of patient information.
    
    
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    Remain current on industry standards with respect to health plan policies for co-pays, co-insurance, and referral authorizations.
    
    
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    Hire, schedule and supervise staff. Manage staffing and supply expenses in accordance with approved budget.
    
    
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    Work with leadership to formulate and implement strategic initiatives.
    
    
    SUPERVISORY RESPONSIBILITY
    
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      Hire, train, coach, mentor and administer timely corrective action in accordance with CMEP's culture and employment policies and facilitate separations in collaboration with Human Resources.
      
      
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      Create an inspiring team environment with an open communication culture.
      
      
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      Set clear team goals, monitor and motivate team members.
      
      
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      Discover training needs and provide coaching.
      
      
      WORKING ENVIRONMENT/PHYSICAL DEMANDS:
      General office environment, requiring computer usage (prolonged sitting, eye strain).
      TRAVEL
      As required.
      
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        Bachelor's Degree Required
        
        
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        Five years' work experience is a similar setting.
        
        
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        Working knowledge of government regulatory guidelines and insurance payer rules regarding coverage verification, prior authorization, and referrals.
        
        
        PREFERED EDUCATION AND EXPERIENCE:
        
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          Knowledge of EPIC electronic health record including Prelude and Cadence.
          
          
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          Three years' experience serving in a leadership capacity in a closely related role.
          
          
          OTHER DUTIES
          Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
          CMU is an AA/EO institution, providing equal opportunity to all persons, including minorities, females, veterans, and individuals with disabilities.
          ID: 2023-1573
          External Company URL: https://cmuhealth.org/physiciancareers
          Telecommute: No

Keywords: CMU Medical Education Partners, Saginaw , Patient Access Manager, Executive , Saginaw, Michigan