Job Summary

Manages operations and services associated with Patient Access Services (PAS) in accordance with organization, compliance, and regulatory requirements. Accountable for patient management for all pre-encounter, encounter and post-encounter needs, for planned, emergent/urgent, and direct patients. Innovates, collaborates and supports clinical service lines, and is accountable for optimizing revenue cycle as it pertains to patient access. Optimizes integrated revenue cycle services and industry best practices.

Essential Functions

Plans, organizes, delegates, and controls the operations involving patient access services, including scheduling, pre-registration, procedure cost estimation, collection and entry of patient, insurance and diagnostic service information, verification of insurance plans and benefits, collection of authorizations for medical services, order entry/updating, patient payment estimates/collections/posting, financial counseling (including screening for charity care, development of payment plans, referrals to outside services, and collections).
Oversees the initiation and management of patient encounter, establishing the correct identification and encounter to support accurate clinical care and revenue/reimbursement. Develops policies and procedures to optimize these services.
Performs technical analysis and planning regarding system selection, modification, updates and changes. Collaborates with Information Services (IS) department to achieve optimum performance in achieving departmental goals and objectives.
Manages the activities of employees who are engaged in 24/7 patient access services. Facilitates the training and continuing education of employees. Provides direction and support to subordinate employees to ensure effectiveness and efficiency. Selects, trains, develops, and evaluates subordinates and initiates personnel actions in accordance with departmental policies and organization philosophy.
Prepares annual budget for areas of responsibility and performs ongoing monitoring and evaluation of budget throughout the year.

Qualifications

Required

Bachelor's Degree or equivalent
5 years of relevant experience including supervising related teams and/or projects
CRT-At least one Certification from preferred list - 180 Days required
CRT-Revenue Cycle Representative, Certified (CRCR) - HFMA Healthcare Financial Management Association 180 Days preferred Or
CRT-Healthcare Financial Professional, Certified (CHFP) - HFMA Healthcare Financial Management Association 180 Days preferred Or
CRT-Fellow of the Healthcare Financial Management Association (FHFMA) - HFMA Healthcare Financial Management Association 180 Days preferred Or
CRT-Inpatient Coding Auditor, Certified (CICA) - HFMA Healthcare Financial Management Association 180 Days preferred Or
CRT-Specialist Accounting & Finance, Certified (CSAF) - HFMA Healthcare Financial Management Association 180 Days preferred Or
CRT-Specialist Business Intelligence, Certified (CSBI) - HFMA Healthcare Financial Management Association 180 Days preferred Or
CRT-Specialist Managed Care, Certified (CSMC) - HFMA Healthcare Financial Management Association 180 Days preferred Or
CRT-Specialist Physician Practice Management, Certified (CSPPM) - HFMA Healthcare Financial Management Association 180 Days preferred

Preferred

Master's Degree
Experience leading leaders
Epic experience

Physical Demands

Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs
Waist to Waist > 5 lbs: Seldom up to 10 lbs
Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
Waist to Overhead > 5 lbs: Seldom up to 10 lbs
Bilateral Carry > 5 lbs: Seldom up to 10 lbs
Unilateral Carry > 5 lbs: Seldom up to 10 lbs
Pushing Force > 5 lbs: Seldom up to 10 lbs
Pulling Force > 5 lbs: Seldom up to 10 lbs
Sitting: Frequently
Standing: Occasionally
Walking: Occasionally
Forward Bend - Standing: Seldom
Forward Bend - Sitting: Occasionally
Trunk Rotation - Standing: Seldom
Trunk Rotation - Sitting: Occasionally
Reach - Above Shoulder: Seldom
Reach - at Shoulder or Below: Seldom
Handling: Occasionally
Forceful Grip > 5 lbs: Seldom
Forceful Pinch > 2 lbs: Seldom
Finger/Hand Dexterity: Frequently

How Corewell Health cares for you

Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
On-demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
Optional identity theft protection, home and auto insurance, pet insurance
Traditional and Roth retirement options with service contribution and match savings
Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Royal Oak Hospital - 3601 W 13 Mile Road - Royal Oak

Department Name

Admitting and Registration - Royal Oak

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

Hours of Work

8:00 a.m. to 4:30 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A

CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.

Manager Patient Access Services

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