Patient Access - Manager - Full Time

Wilson Health; Sidney (OH); On-site; USD 65,000 - 95,000; Full time

Benefits offered by this job

Free medical care

Generous PTO

HDHP or PPO options

HSA employer contributions

Life Insurance

Long-Term Disability

Tuition assistance

On-site gym

Employee discounts

Job summary

Wilson Health in Sidney, Ohio is seeking a Patient Access Manager to oversee hospital registration, scheduling, insurance verification, and prior authorizations. This full-time role reports to the Director of Patient Access and ensures a welcoming, efficient front-end experience from registration to care initiation.

The position requires leadership of Patient Access staff across shifts and collaboration with Revenue Cycle to improve performance.

Qualifications

• Must maintain schedule flexibility to support a 24/7 operation.
• Previous supervisory or leadership experience required.
• Strong understanding of insurance eligibility, benefits, referrals, and authorization processes.
• Excellent communication, organization, problem-solving, and customer service skills.

Responsibilities

• Oversee daily hospital registration activities for inpatient, outpatient, emergency, and ancillary services.
• Ensure accurate capture of patient demographics, insurance, guarantor, and financial information.
• Establish procedures promoting accuracy, efficiency, privacy, and service quality.
• Monitor registration quality and reduce errors, duplicate accounts, and incomplete data.
• Manage scheduling processes for hospital services and procedures.
• Oversee insurance eligibility verification and prior authorizations.
• Lead, train, and schedule Patient Access staff for 24/7 operations.
• Collaborate with billing and clinical teams to improve front-end revenue cycle.

Skills

Leadership experience

Communication skills

Customer service

Problem solving

EHR proficiency

Tools

Electronic Health Records (EHR)

Job description

Career Opportunities

Wilson Health is looking for aPatient Access Manager for ourhospital campus located inSidney, Ohio(North Dayton, Ohio area).

Key Perks and Benefits:

• Access to Employer Direct Care Clinic. Free medical care and pharmacy services for eligible employees and dependents covered by Wilson Health's medical insurance plan.
• Generous paid time off (PTO) program beginning day one, designed to support work-life balance, rest, and time with family.
• Medical Insurance: Choose from two High Deductible Health Plan (HDHP) options or a PPO plan, along with Dental and Vision coverage. Benefits begin on the first of the month following your hire date.
• HSA with employer contribution for eligible health plans; FSA for medical and dependent care expenses.
• Company-paid Life Insurance and Long-Term Disability Insurance
• Voluntary Accident, Critical Illness, and employee and dependent Life and AD&D Insurance Industry-leading retirement plan – employer contributions begin day one with no waiting period for participation.
• Tuition Assistance Program
• Free access to an on-site gym, available 24/7, making it easy to prioritize your health and wellness before or after your shift.
• Employees receive a 10% discount on food and beverages at the Wilson Cafeteria, Coffee Bar and Micro Mart.

Who We Are: At Wilson Health, our mission is to improve the health and wellness of our communities by delivering compassionate, quality care. We are committed to making a difference for our neighbors, friends, and family and our vision is to be a trusted, nationally recognized leader of innovative, collaborative community health.

Employment Status: FULL TIME Shift:1st shift - 7am - 3pm Working Hours: 40 hours per week - 80 hours per pay period Position Reportsto: Director of Patient Access ** Managing - 24/7 Registration Coverage

SUMMARY: The Patient Access Manager is responsible for overseeing the hospital’s patient access functions, including registration, scheduling, insurance verification, prior authorizations, and related front-end revenue cycle activities. This position ensures that patients receive a welcoming, efficient, and accurate experience from the point of scheduling or registration through the beginning of their care.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Patient Registration and Access

• Oversee daily hospital registration activities for inpatient, outpatient, emergency, and ancillary services.
• Ensure patient demographic, insurance, guarantor, and financial information is collected accurately and maintained appropriately.
• Establish and maintain registration procedures that promote accuracy, efficiency, patient privacy, and excellent customer service.
• Monitor registration quality and identify opportunities to reduce errors, duplicate accounts, and incomplete information.
• Ensure staff follow hospital policies, payer requirements, and applicable regulatory standards.
• Address patient concerns and resolve registration or access-related issues in a professional and timely manner.

Scheduling

• Manage scheduling processes for hospital services, outpatient procedures, diagnostic testing, and other applicable services.
• Ensure appointments are scheduled accurately and in accordance with provider, department, and resource availability.
• Work with clinical departments to identify scheduling issues and improve access and patient flow.
• Monitor scheduling practices to minimize missed appointments, scheduling errors, and unnecessary delays in care.
• Assist with developing and maintaining scheduling protocols and workflows.

Insurance Verification and Prior Authorizations

• Oversee insurance eligibility and benefits verification processes.
• Ensure required referrals, authorizations, and pre-certifications are obtained prior to services whenever possible.
• Monitor authorization requirements and payer-specific guidelines.
• Coordinate with clinical departments and providers when additional clinical documentation is needed to obtain authorization.
• Identify and address authorization-related issues that could result in delayed care or denied claims.
• Monitor authorization performance and work with Revenue Cycle staff to reduce preventable denials.

Leadership and Staff Management

• Supervise, train, coach, and evaluate Patient Access staff.
• Develop staff schedules and ensure adequate coverage based on patient volume and hospital needs.
• Maintain a flexible work schedule to effectively lead a 24/7 Patient Access operation.
• Establish clear expectations for productivity, accuracy, customer service, and compliance.
• Provide ongoing education regarding registration, scheduling, insurance requirements, authorization processes, and hospital policies.
• Cross-train staff as appropriate to ensure continuity of operations in a small hospital environment.
• Promote teamwork, accountability, professionalism, and a positive patient experience.

Revenue Cycle and Operational Responsibilities

• Partner with the billing, coding, finance, and clinical departments to improve front-end revenue cycle performance.
• Monitor key Patient Access metrics, including registration accuracy, insurance verification, authorization completion, scheduling accuracy, and registration-related denials.
• Identify trends and implement corrective actions to improve processes and financial performance.
• Assist with denial prevention and resolution related to registration, eligibility, authorization, and other front-end issues.
• Participate in revenue cycle and operational improvement initiatives.
• Maintain knowledge of payer requirements and communicate relevant changes to staff and hospital leadership.

Compliance and Quality

• Ensure compliance with HIPAA, EMTALA, Medicare/Medicaid requirements, payer regulations, and applicable federal and state requirements.
• Protect patient confidentiality and ensure appropriate handling of patient information.
• Maintain accurate documentation and follow established hospital policies and procedures.
• Participate in quality improvement, compliance, and patient experience initiatives.
• Support hospital preparedness for audits, surveys, and regulatory review

QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Must maintain schedule flexibility and be accessible to support a 24/7 operation, with routine presence across all three shifts to engage staff, monitor performance, and ensure consistent execution of departmental standards. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• High school diploma or equivalent.
• Previous experience in hospital registration, patient access, scheduling, insurance verification, prior authorization, or revenue cycle operations.
• Previous supervisory or leadership experience required.
• Strong understanding of insurance eligibility, benefits, referrals, and authorization processes.
• Excellent communication, organization, problem-solving, and customer service skills.
• Ability to work effectively in a fast-paced environment and manage competing priorities.
• Ability to maintain confidentiality and handle sensitive patient and financial information appropriately.
• Proficiency with electronic health records and common office software.

Knowledge, Skills, and Abilities

• Ability to type accurately and efficiently while maintaining attention to detail.
• Ability to manage multiple tasks and changing priorities in a fast-paced healthcare environment.
• Strong customer service and interpersonal skills.
• Ability to effectively engage with patients, families, physicians, and staff in a courteous and compassionate manner.
• Ability to work independently and as part of a team.
• Strong problem-solving and critical-thinking skills.

Physical Requirements

• Ability to sit, stand, and walk for extended periods throughout the workday.
• Ability to move between departments as needed.
• Ability to engage with patients both in person and over the telephone for prolonged periods.
• Frequent use of a computer keyboard and monitor, requiring repetitive hand and finger movements and efficient typing skills.
• Ability to occasionally lift or move up to 20 pounds.
• Visual acuity sufficient to read computer screens, patient documentation, and printed materials.

Mission & Vision & Values:

• Improve the health and wellness of the community by delivering compassionate, quality care.
• Be a trusted, nationally recognized leader of innovative, collaborative, community health.
• A.S.P.I.R.E - Always serve with professionalism, integrity, respect, and excellence.

EOE(Equal Opportunity Employer)