The Patient Access Manager is responsible for managing and overseeing the efficient functioning of patient access services in a healthcare facility or hospital. The Patient Access Manager works in collaboration with other healthcare professionals to ensure patients receive timely, efficient, and effective services.

• Oversees all registration, pre-registration, scheduling, pre-authorization/pre-certifications, referrals/orders, switchboard, financial counseling, and insurance/benefits eligibility teams.

• Develops policies, standards, and procedures for patient access services to ensure compliance with regulatory requirements and best practices.

• Monitors and analyzes departmental performance metrics to identify areas for improvement and implements changes to optimize efficiency and quality of services.

• Supervises and trains patient access staff, ensuring they understand policies and procedures and have access to the necessary resources for optimal job performance.

• Responds to and resolves patient complaints and inquiries related to patient access services.

• Collaborates with other healthcare professionals to ensure resources are utilized effectively to meet patient needs.

• Completes charge reconciliation, late charge additions, and unfinalized billing reviews.

• Completes billing for clients and follows up on outstanding accounts.

• Reviews denials related to authorizations, eligibility, registration, and requests for additional information that are assigned by the Central Billing Office and Meditech.

• Completes and tracks all appeals related to front office functions.

• Verifies that all scheduled services have required authorizations.

• Establishes point-of-service collection goals for registration staff.

• Resolves assigned tasks.

• Resolves assigned account checks.

• Assists hospital departments with removing and adding charges.

• Works the return-to-client file as assigned by Meduit for resolution.

• Checks and processes mail.

• Performs quality assurance checks to verify consent forms, insurance cards, and insurance information.

• Assists other departments with claim resolution as needed.

• Works assigned PAD functions as needed.