Managers are primarily responsible for and must demonstrate knowledge and expertise in one of the below Revenue Cycle areas of focus. However, Revenue Cycle Managers are expected to have general knowledge in all areas of focus. Managers are responsible for assisting with the overall departmental planning, trend analysis and evaluation of the department’s performance and providing regular performance updates to the Patient Access Services Director and are responsible for supervising assigned Patient Access Services staff.
These positions will report to the Patient Access Services Director and are responsible for the administration and management of all personnel and functions of scheduling, pre-registration, outpatient registration, emergency room registration, inpatient and same day admissions, discharge, financial clearance (insurance eligibility, benefits verification, authorization/referral management, payor notification, pre-service/point of service cash collections) and financial counseling functions.
Primary responsibilities include ensuring the collection of comprehensive and accurate demographic and financial data to optimize timely billing and collection of accounts receivable, supervising and monitoring personnel daily, communicating regularly with staff and supervisor to keep abreast of issues and to provide evaluations/feedback, carrying out organizational policies and procedures, recruiting/retaining/training staff, and establishing unit goals and objectives.
Hub Manager Focus:
Five years of progressively more responsible health care management experience.
Working knowledge of the principles and fundamentals related to budgeting, accounting, record keeping and business writing, as well as knowledge of general administrative procedures such as payroll, vendor management, purchasing, are required.
Requires strong knowledge of scheduling, registration, financial clearance and financial counseling processes with particular focus on payor financial requirements.
Requires knowledge of hospital operations and patient flow so as to be able to identify and analyze potential sources of error or patient dissatisfaction.
Requires knowledge of healthcare accounts receivable management concepts, including in-depth knowledge of the state and federal reimbursement and regulatory environment so as to ensure compliance with State and federal regulations regarding patient and insurance billing issues.
Requires up-to-date knowledge and understanding of Federal compliance and OIG initiatives that impact the healthcare industry.
Requires understanding of current and future trends/practice in Patient Access Services.
Requires knowledge of information systems and software used in Patient Access Services, and of equipment used in performing assigned duties.
Requires basic knowledge of medical terminology.
Requires excellent customer service skills, interpersonal ability and demonstrated leadership skills to regularly interact with Administration, medical staff, nursing personnel, all other hospital professionals, and external health care professionals.
Requires analytical ability to complete high-level problem-solving, develop and provide direction in the implementation of short and long-term departmental goals; provide administrative direction to personnel in the resolution of problems or difficult tasks.
Must possess supervisory skills for accepting responsibility, making decisions, directing, delegating and supervising personnel.
Excellent communication and organizational skills required.
Must possess ability to investigate, analyze and resolve departmental issues.
Must possess ability to work efficiently and accurately, and to organize and plan work.
Requires process improvement skills and the ability to develop and execute a plan of action.