Providence Manager, Patient Access Services PSJH in Lubbock, Texas
Providence St. Joseph Health is calling a Manager, Patient Access Services to our location in Lubbock, TX.
We are seeking a Manager, Patient Access Services to be responsible for planning, managing and directing all Pre-Arrival services including: pre-registration, insurance verification, authorization/pre-certification/referrals, medical necessity screening, and Point of Service collections. Reviews and interprets reports including denial reports, productivity reports, quality and all other reports as necessary. Responsible for analysis and resolution of problems related as well as personnel activities including hiring, training, development and termination of assigned staff. Ensures all Patient Access locations are appropriately staffed, trained, develops and enforces policies, procedures and operational guidelines consistent with the mission and the strategic plan of Revenue Cycle. Builds relationships with patients, physicians, office staff, and other Covenant Health System colleagues in order to be proactive in addressing issues and develop strong lines of communication. Demonstrates a high level of integrity and innovative thinking, and actively contributes to the success of the organization. The incumbent performs all duties in a manner that promotes the PJSH mission, values, and philosophy. In all aspects, the incumbent serves as a role model for the values and mission of the organizations.
In this position you will have the following responsibilities:
Responsible for all identified outcome measures as defined by Revenue Cycle.
Plans, oversees, and delegates Patient Access work effectively across the organization. Develops and manages a standardized, consistent, efficient, and effective patient access model to convey seamless operations to the patient and physicians. Establishes policies and procedures that support leading practice for all Patient Access Center functions
Establishes quantitative and qualitative performance standards for staff. Monitors staff performance and rewards, counsels or disciplines employees as needed and consistent with the Human Resource policies.
Coordinates patient services with internal and external customers. Addresses and resolves problems and complaints consistent with the Service Excellence guidelines.
Ensures referrals to Financial Counseling are prompt, effective and the appointments with Financial Counseling are scheduled prior to service for scheduled patients in order to maximize Covenant Health System’s financial liability.
Monitors the quality of registration accuracy, authorization/pre-certification, accurate insurance verification, denials, and point of service payment for all patient access locations. Reviews, monitors, and analyzes key performance indicators, and takes appropriate action when necessary
Works with the educator to identify learning needs of the staff and assists with the development of effective training programs to address education needs, the mandates of government and contracted agencies, third parties, and Patient Access operating procedures.
Assists with the development of budgets, reports and statistics. Provides, writes, and produces special reports, statistical information, and other patient information as requested and as needed to maintain operational effectiveness.
Serves as a subject matter expert and resource for clinical services , financial clearance and point of service collections. Responsible for ensuring standardization throughout Covenant Health System.
Required qualifications for this position include:
High School Diploma or GED.
3 years leadership experience in Patient Access in a large hospital or large Ambulatory Care environment.
1 year working knowledge of insurances including Medicare, Medicaid, HMO’s, PPO’s, Workers’ Compensation.
1 year knowledge of information systems including patient registration, scheduling and billing.
Preferred qualifications for this position include:
Bachelor's Degree in healthcare or Business Administration or equivalent education/experience.
1 year knowledge of Epic applications.
BLS - Basic Life Support upon hire.
Certified Healthcare Access Associate (CHAA).
Certified Revenue Cycle Specialist (CRCS).
About the department you will serve.
One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC’s objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise.
For information on our comprehensive range of benefits, visit:
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Non-Clinical Lead/Supervisor/Manager
Req ID: 286799