Pawleys Island, SC, 29585, USA
16 days ago
Manager Patient Scheduling, Pre-Certification, and Pre-Registration
Employee Type: Regular Work Shift: Day - 8 hour shift (United States of America) **Join Team Tidelands and help people live better lives through better health!** **Position Summary** **:** Responsible for Supervising aspects of Tidelands Health Patient Access Scheduling, Pre-certification/Pre-registration functions. Responsibilities/Duties include: • Oversees and delegates activities to facility Patient Access leadership and staff to ensure the Patient Access flow, record creations, financial related aspects, customer service standards and other initiatives of the division are met. • Creates and develops integrated workflow for all patients from scheduling through registration and authorization • Ensure that the staff members adhere to all organizational standards, are productive, and produce high-quality work. • Ensure staffing levels are appropriate, complete performance management, corrective action management, communicate and work with the human resource department in position posting process management and review of potential applicants for employment. • Oversees facilitates on-boarding of patient access operations when Tidelands Health expands physical locations and operations through acquisition and merger to transition to Tidelands Health processes. • Works closely with system leadership to understand compliance needs, patient access concerns and overall monitors the patient access functions and completes other duties as assigned while exhibiting exemplary Tidelands Health core customer service values. • Act as a link between the patient administration department and the various departments in a hospital. • Supervise, evaluate and train staff. • Manage Patient Access & Pre-Certification Representatives, Patient Access Supervisors & Pre- Certification complaints or issues that arise. • Ensure schedules are appropriately utilized for clinical areas • Ensure patient representatives verify insurance and authorizations. • Complete patient pre-registration and financial counseling, ensure all forms are appropriately signed. • Ensure departmental policies are followed. • Makes sure that all hospital wide policy and procedures are adhered to by reporting staff. • Ensures a productive flow of the daily schedules. • Demonstrates excellent customer service skill and effective communication. • Monitor and track patient flow • Manage and organize budget in collaboration with Revenue Cycle Leadership. • Other duties as assigned - _Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee partner for this job. Duties, responsibilities and activities may change at any time with or without notice_ . **QUALIFICATIONS** **Education** **:** • Bachelors Degree in Business related field required. **Experience/Knowledge/Skills** **:** Five (5) years healthcare patient accounting experience with the following: • EPIC EHR Platform experience. • Direct management of vendors within a results-oriented PFS department with particular emphasis on collections and billing, both hospital/acute and ambulatory. • At least three (3) years direct employee management experience. • Hands-on knowledge of UB-04 and HCFA 1500 billing and account follow up, CPT and ICD-10 coding and terminology for hospital and ambulatory/physician billing, customer service and self-pay functions. • Experience managing a remote workforce. • Demonstrated experience with having strong interpersonal communication skills required • Prior experience with interpreting and following detailed policies required • Demonstrated ability to independently think and make judgments in interpreting and adapting guidelines and making judgment decisions on specific problems required. • Demonstrated Competency with Microsoft applications such as Outlook, Word, Excel and Explorer required with examples of such work provided required. • Demonstrated ability to handle projects and tasks efficiently (time management) required. • Demonstrated ability to perform highly complex computerized procedural tasked required. • Working knowledge of best practice, contract management system logic, basic reporting skills, and payor policies and procedures. • Prior certification course, training program in medical terminology preferred. **Other** **:** • In addition, all interactions require an exemplary level of communication skills, leadership skills, teamwork skills, problem solving capabilities, project streamlining and planning abilities, organizational and time management skills. • Incumbent should fully support Tideland Health’s Mission and Values. • Predominantly Day shift M-F position, but management reserves the right to make changes on an as needed basis to meet the needs of the customers and TH programs when such instances arise. May be required to work on holidays and weekends, as necessary. • The work environment for this role may be remote, hybrid, or on-site as determined by organizational needs. **Physical Requirements** **:** **Light** **Physical Agility Test (PAT) Rating** While performing the duties of this job, the employee is **frequently** (activity or condition exists from 1/3 to 2/3 of the time) required to stand, sit, and walk; **frequently** to use hands, fingers; and **frequently** to talk or hear. The employee must exert up to 15 pounds of force **occasionally** (activity or condition exists up to 1/3 of the time), and/or up to 5 pounds of force **frequently** , and/or a negligible amount of force **constantly** to move objects. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job and post offer Physical Agility test will be required to demonstrate ability to meet minimum physical competencies of the position. Exposure to diseases possible but not probable due to controlled environment and limited exposure to patients. Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.
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