Manager Authorization and Scheduling Ancillary

Albany Medical Center; City of Albany (NY); On-site; USD 71,000 - 111,000; Full time

Job summary

An established healthcare provider is seeking a dynamic manager for their Patient Engagement Center. This role plays a crucial part in overseeing the daily operations related to patient scheduling and authorization, ensuring a seamless experience for patients. The ideal candidate will lead a high-performing team, adapt to the evolving healthcare landscape, and foster a patient-centered culture. With a focus on quality and productivity, you'll be instrumental in enhancing service delivery while meeting budgetary goals. Join a forward-thinking organization where your leadership can make a significant impact on patient care.

Qualifications

• 5-7 years of supervisory experience in hospital or patient billing.
• Experience with revenue cycle operations and patient-centered scheduling.

Responsibilities

• Manage daily operations of patient engagement and scheduling.
• Ensure timely authorizations and maintain strong relationships with stakeholders.

Skills

Patient-centered approach

Critical thinking

Team leadership

Revenue cycle management

Scheduling and authorization

Analytical skills

Multi-tasking

Education

Bachelor's Degree

CHAM certification

Job description

Department/Unit:

Patient Engagement Center

Work Shift:

Day (United States of America)

Salary Range:

$71,612.39 - $110,999.20 This position is responsible for the daily operations of the Pre-Service functions of the Patient Engagement Center Insurance, Authorization and Scheduling complement— related to eligibility verification, pre-registration, authorization, financial clearance and scheduling needs of Hospital Services as they relate to patient care delivery. The manager will assure staff are executing actions necessary to ensure timely scheduling and authorization/financial clearing to meet patient and provider expectations. Significant attention to directing all human resource functions, daily metrics related to authorization clearance and timely scheduling, ensuring safety to patients and staff. Management of a high functioning team, promoting a strong team and patient centered approach.

Essential Duties and Responsibilities

• Ensure the recruitment and retention of a high functioning team — assuming accountability to daily productivity and quality standards, including building a diverse workforce.
• Ensure authorizations are obtained in a timely manner, assuring a secured financial source prior to scheduling
• Ensure staff and leadership maintain strong collegial relationships with department stakeholders, including but not limited to Nurse Managers, Physician Leaders, Directors and Administrative Leadership, assuring appointments are scheduled in support of budget projections and assuring scheduling and authorization Issues are resolved timely without Impact to patient experience.
• Must be able to adapt to the ever changing regulatory and healthcare landscape Including change of payer regulations as it relates to authorization guidelines.
• Provide ongoing training to staff as it relates to scheduling concerns and claim denials assuring prevention of recurring concerns.
• Creates an environment of "YES" — ensuring patients are at the center of delivery of care.
• Conduct Service Recovery as required.
• Conduct outreach to community providers, building strong referral base.
• Provide training and re-education due to change policy, procedure and regulatory requirements.
• Maintain unit policy and procedures, Job aids and operational training manuals.

Qualifications

• Bachelor's Degree - required
• 5 - 7 years supervisor experience Hospital, Practice or Patient Billing specific to appointment and ancillary service scheduling - required
• Revenue Cycle Operation experience, including healthcare call center experience with demonstrated patient-centered approach to best practice appointment scheduling process. - required
• Demonstrated success In the development of a patient-centered environment; promoting and instilling all actions are to promote the optimal patient experience.
• Revenue Cycle Management to Include direct experience with denial prevention including but not limited to third party payer contractual agreements and Practice and Hospital Billing Regulations; review billing edits for long term approach for resolution at time of scheduling.
• Demonstrate critical thinking and ability for successful service recovery.
• Ability to meet daily, monthly and yearly scheduling volumes per budget projections.
• Excellent attention to detail and ensuring all procedures are followed for best practice pre-service (revenue cycle) processes; with strong analytical skill to identify process fail points and improvement measures implementation.
• Ability to think on your feet with solution to immediate patient complaints; focus of service recovery.
• Ability to lead, motivate and inspire team to achieve excellence in best practice revenue cycle principles.
• Understand system integration and optimizing system functionally for efficiency in workflow.
• Ability to create dally, weekly, monthly dashboards for ease of Identifying revenue cycle vulnerabilities; create cash targets for point of service collection.
• Multi-tasking in a high stress environment with the ability to meet mission critical expectations.
• CHAM (at hire or acquired within first 2 years of employ) - required

Equivalent combination of relevant education and experience may be substituted as appropriate.

Physical Demands

• Standing - Occasionally
• Walking - Occasionally
• Sitting - Constantly
• Lifting - Rarely
• Carrying - Rarely
• Pushing - Rarely
• Pulling - Rarely
• Climbing - Rarely
• Balancing - Rarely
• Stooping - Rarely
• Kneeling - Rarely
• Crouching - Rarely
• Crawling - Rarely
• Reaching - Rarely
• Handling - Occasionally
• Grasping - Occasionally
• Feeling - Rarely
• Talking - Constantly
• Hearing - Constantly
• Repetitive Motions - Frequently
• Eye/Hand/Foot Coordination - Frequently

Working Conditions

• Extreme cold - Rarely
• Extreme heat - Rarely
• Humidity - Rarely
• Wet - Rarely
• Noise - Occasionally
• Hazards - Rarely
• Temperature Change - Rarely
• Atmospheric Conditions - Rarely
• Vibration - Rarely

Thank you for your interest in Albany Medical Center!

Albany Medical Center is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Thank you for your interest in Albany Medical Center!

Albany Medical is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:

Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.