Patient Access & Health Information Manager: This 1.0FTE/Full-Time position is scheduled to work Monday-Friday.
Compensation: Exempt, $43.30/HR-$61.85/HR
Benefits:Health & Wellness Benefits:- Medical, Dental & Vision Insurance - With employer paid premiums for full-time employees
- Mental Health & Wellness Resources - Access to our Employee Assistance Program (EAP), Talkspace, and the Calm App.
- Life Insurance
- Short & Long-Term Disability Insurance
Financial Benefits:- Retirement/Deferred Compensation Plans - Mason Health contributes 8% of your compensation every pay period when you contribute at least 5%.
- Flexible Spending Account (FSA)
- Tuition Assistance Program
- Approved by the Health Resources and Services Administration (HRSA) for student loan repayment programs.
Time Off & Work-Life Balance:- Generous Paid Time Off (PTO) - Accrue up to 8 hours of PTO every bi-weekly pay period, starting with 5 weeks of PTO and increasing to 7+ weeks after 3 years.
Exciting Incentive:- Employee Referral Program - Earn up to $7,500 depending on the role.
Job Summary:The Patient Access & Health Manager is responsible for providing leadership, oversight, and strategic direction for Patient Access support operations, including Financial Clearance, Financial Counseling, and non-coding related Health Information Management (HIM) functions. This position is accountable for operational efficiency, regulatory compliance, quality outcomes, staff development, process improvement, and performance management across assigned departments. The Patient Access Manager works collaboratively with Patient Access Registration leadership, Revenue Cycle, Clinical Operations, Information Technology, Compliance, and Medical Staff leadership to ensure effective patient access processes, accurate health information management practices, and optimal revenue cycle performance. This position promotes a culture of accountability, service excellence, continuous improvement, and regulatory compliance.
Essential Duties and Responsibilities:- Provides leadership and operational oversight for Financial Clearance, Financial Counseling, and Health Information Management functions, ensuring services are delivered in accordance with organizational policies, regulatory requirements, and industry best practices.
- Directly supervises assigned leaders, including the HIM Supervisor and Financial Clearance staff, and is responsible for recruitment, onboarding, performance management, staff development, succession planning, and employee engagement.
- Establishes, monitors, and reports department productivity, quality, service, and compliance metrics, including financial clearance performance, authorization outcomes, record completion rates, release of information turnaround times, chart deficiency management, and other key performance indicators.
- Develops, implements, and maintains departmental policies, procedures, and workflows to support operational efficiency, regulatory compliance, and standardization across assigned areas.
- Provides oversight for Health Information Management operations, including medical record integrity, document management, release of information processes, chart completion workflows, record retention practices, and compliance with applicable federal and state requirements.
- Collaborates with the HIM Supervisor to ensure medical records are maintained accurately, securely, and in accordance with HIPAA, CMS, accreditation, and organizational standards.
- Supports organizational readiness for audits, surveys, accreditation reviews, and regulatory inspections and assists with development and implementation of corrective action plans when necessary.
- Oversees quality assurance and auditing activities related to Financial Clearance and HIM operations and ensures identified issues are appropriately addressed and monitored.
- Leads process improvement initiatives designed to enhance patient experience, operational efficiency, regulatory compliance, documentation quality, and revenue cycle performance.
- Partners with Registration leadership, Revenue Cycle, Clinical Operations, Information Technology, Compliance, Medical Staff, and external agencies to resolve operational issues and support coordinated workflows.
- Participates in EHR optimization efforts, workflow redesign, and implementation of technology solutions impacting patient access and health information management operations.
- Assists with departmental budgeting, staffing analysis, productivity forecasting, strategic planning, and resource allocation.
- Provides regular operational, quality, and compliance reporting to organizational leadership and recommends opportunities for improvement.
- Remains current on healthcare regulations, reimbursement requirements, HIM standards, privacy requirements, and industry best practices affecting assigned departments.
- Participates in leadership meetings, committees, and organizational initiatives as assigned.
- Meets all Mason Health Leadership expectations as outlined in the Minimum Expectations for Mason Health Leaders Policy.
- Other duties as assigned.
Required Education and Experience: - Bachelor's degree in Healthcare Administration, Business Administration, Health Information Management, Health Information Technology, or related field required.
- Minimum five (5) years of progressively responsible leadership experience in healthcare operations, patient access, revenue cycle, health information management, or related healthcare services.
- Minimum three (3) years of supervisory or management experience with responsibility for staffing, performance management, process improvement, and operational outcomes.
- Experience with hospital and ambulatory operations, including patient registration, financial clearance, insurance verification, prior authorization, financial counseling, health information management, or revenue cycle functions preferred.
- Experience working within an electronic health record (EHR) environment required.
- Experience leading operational improvement initiatives, project management activities, or organizational change efforts preferred.
Required Licenses, Certifications and/or Registrations:- Certified Healthcare Access Manager (CHAM), preferred.
- Certified Revenue Cycle Representative (CRCR), preferred.
- Health Information Management certification, such as Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA), required within one year.
Required Knowledge, Skills and Abilities:- Demonstrated knowledge of patient access, financial clearance, insurance verification, prior authorization, financial counseling, and revenue cycle operations.
- Working knowledge of Health Information Management principles, including medical record integrity, release of information, document management, chart completion processes, record retention requirements, and confidentiality standards.
- Knowledge of HIPAA, federal and state privacy regulations, accreditation standards, and other regulatory requirements impacting Patient Access and HIM operations.
- Demonstrated ability to lead, develop, coach, and evaluate staff while fostering accountability, engagement, collaboration, and professional growth.
- Strong analytical and problem-solving skills with the ability to interpret data, identify trends, develop solutions, and implement process improvements.
- Ability to work in a self-directed manner to accomplish assigned tasks in accordance with District policies and procedures.
- Ability to follow directions and to work quickly and efficiently in an environment that includes varying workloads and interruptions. Ability to work collaboratively with co-workers and providers.
- Proficient in the use of current technology, including Microsoft Office products. Demonstrated keyboarding and data entry skills and ability to enter data quickly and accurately.
- Professional and effective written and verbal communication skills. Ability to communicate effectively with patients, co-workers, and providers and to maintain composure in stressful circumstances.
- Ability to follow established protocols, key understanding of urgent/emergent guidelines and scenarios.
