Sr Manager Patient Access

Valleywise Health; Tempe, Northern (AZ, KY); Hybrid; USD 47,000 - 69,000; Full time

Job summary

Valleywise Health is seeking a Senior Manager, Patient Access to lead the outbound communications, referral processes, and pre-service functions. You will manage staff, ensure timely authorizations, and support patient access to care in a fast-paced healthcare setting.

The role requires a Bachelor's degree in business/finance or related field and at least five years of healthcare admitting or patient financial services experience. Epic workflows and HIPAA knowledge are essential.

Qualifications

• Bachelor's degree in business, finance, or a related field.
• 5+ years of healthcare admitting or patient financial services experience.
• Call center or healthcare administration experience preferred.
• Knowledge of DNV, HIPAA, and FQHC.
• Epic patient access workflows.

Responsibilities

• Manage outbound communications, referrals, and authorizations.
• Oversee patient access staff and daily operations.
• Collaborate with IT to meet department technology needs.
• Develop and administer departmental policies and procedures.

Skills

Staff supervision

Communication

Analytical skills

Project management

Customer service

English proficiency

Healthcare terminology

HIPAA knowledge

DNV knowledge

Education

Bachelor's degree in business/finance or related field

Tools

Epic software

Job description

Under the direction of the Director of Patient Access, Senior Manager, Patient Access is responsible for the management and daily operation of outbound communications, internal, incoming, and external/outgoing referral processes, to include authorizations and, in some cases, part of the Patient Assistance Center financial processes. By effectively managing patient access staff, the provider provides high-quality services in all pre-service functions. This includes, but is not limited to, scheduling, insurance verification, payor authorizations, meeting all referral requirements, pre-registration, and registration for primary and specialty care. Assists the Director with developing and administering departmental policies and procedures that support the efficient operation of patient expectations to increase patient access to care.

Hourly Pay Rate:$34.15 - $50.37

Qualifications

Education:

• Requires a bachelor’s degree in business, finance, or a related field, or an equivalent combination of training and progressively responsible experience that will result in the required specialized knowledge and abilities to perform assigned tasks.

Experience:

• Must have a minimum of five (5) years of progressively responsible healthcare admitting or patient financial services experience demonstrating a strong understanding of the required knowledge, skills, and abilities.
• Prefer call center or healthcare administration experience.

Specialized Training:

• Epic patient access workflows.

Knowledge, Skills, and Abilities:

• Constant contact with patients, commercial payers, and the public.
• Occasional contact with other institutions, hospitals, and companies.
• Ability to understand and master numerous computer applications, while also understanding information technology enough to work with the IT department to ensure the technological needs of the department are being met.
• Knowledge of third-party, managed care, preadmission review requirements, and medical terminology is required.
• Must be knowledgeable of DNV, HIPAA, and FQHC.
• Must know the front-end process of outpatient specialty services.
• Must be able to supervise and coordinate the work of subordinate personnel in a manner conducive to full performance and high morale.
• Must be approachable, people-oriented, and a good listener.
• Must be a change agent able to develop, implement, and maintain policies and processes.
• Requires the ability to be a creative, independent thinker.
• Must exhibit professionalism, customer service, enthusiasm, and the ability to build relationships with business and key stakeholders.
• Must possess solid analytical and problem-solving skills and utilize the appropriate management techniques to plan, organize, control, and coordinate activities.
• Requires the ability to read, write, and speak effectively in English.

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