Wilson Health is looking for a Patient Access Manager for our hospital campus located in Sidney, 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 Reports to: 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.
Education and Experience:
- 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)
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