Manager Patient Access

Sioux Falls, SD

Full time

R-260029254

Location:

Avera McKennan Hospital

Worker Type:

Regular

Work Shift:

Primarily days with possible weekends/evenings/holidays (United States of America)

Position Highlights

You Belong at Avera

Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

A Brief Overview

Manages Patient Access functions for assigned Avera acute entity/entities, ensuring consistent registration and financial clearance practices across sites. Reviews, standardizes, and optimizes departmental procedures, and workflows to ensure consistent patient access practices to improve registration quality, compliance, patient experience, and front-end revenue integrity. Directs training, competency, and quality monitoring for Patient Access processes to achieve established benchmarks, maximize appropriate point-of-service collections, and reduce avoidable denials. Partners with clinical and revenue cycle stakeholders to diagnose issues, align decision points, and implement sustainable solutions that deliver consistent results across varied care settings.

What you will do

• Coordinates all patient access functions including financial clearance, prearrival collections, no surprise billing, uninsured/underinsured processes, and pre arrival financial assistance practices.

• Assist in the management of the Patient Access department budgets by providing operational input and supporting data within established budget parameters to help accomplish departmental and system objectives. Identifies operational resource needs (e.g., printers, headsets, PCs) and compiles registration volume by service line to inform budget planning.

• Interacts with Revenue Cycle Health Informatics and IT to consistently optimize, evaluate, modify and maintain software systems for registration, eligibility, and financial clearance to provide peak performance and reporting.

• Monitors and reviews Patient Access performance indicators, including registration accuracy metrics, point-of-service (POS) collections, and preventable denials. Maintains routine tracking and trend awareness of these measures and submits regular performance updates to direct leader to support operational decision-making and improvement efforts.

• Integrates the patient access department into the primary functions of the hospitals overall systems for delivering care, as evidenced by participation in teams or groups focused on improving the patient experience.

• Interfaces and collaborates with other departments including Social Work, Case Management, Compliance, as well as all Avera Revenue Cycle Departments to ensure compliance with all applicable policies and procedures.

• Oversees the accuracy and quality of work; accountable to monitor and recommend workflow process modification to ensure goals are met for both customer service and reimbursement requirements.

• Work close with the Regional Directors, Health Informatics, clinical and financial leadership.

• Communication transparency from Director and Executive Leadership throughout the team, proactively engages feedback, and provides feedback to leadership.

• Responsibilities include interviewing, hiring, developing, training, and retaining employees; planning, assigning, and leading work; appraising performance; rewarding and coaching employees; addressing complaints and resolving problems.

Essential Qualifications

The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

Required Education, License/Certification, or Work Experience:

• 1-3 years Experience in the hospital revenue cycle process.

• Knowledge of patient access and front-end revenue cycle coordination. Experience developing training content.

Preferred Education, License/Certification, or Work Experience:

• Bachelor's Business, Health Information Management, Nursing or related field

Expectations and Standards

• Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.

• Promote Avera’s values of compassion, hospitality, and stewardship.

• Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.

• Maintain confidentiality.

• Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.

• Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits You Need & Then Some

Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.

• PTO available day 1 for eligible hires.

• Up to 5% employer matching contribution for retirement

• Career development guided by hands-on training and mentorship

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to [email protected] .

At Avera, the way you are treated as an employee translates into the compassionate care you deliver to patients and team members. Because we consider health care a ministry, you can live out your faith, uphold the dignity and respect of all persons while not compromising high-quality services. Join us in making a positive impact on moving health forward.

The policy of Avera to provide opportunities for all qualified employees or applicants without regard to disability and to provide reasonable accommodations for all employees or applicants who may be disabled. Avera is committed to ensuring compliance in accordance with the Americans with Disability Act. For assistance, please contact HR Now at 605-504-4444.

Additional Notices:

For TTY, dial 711

Avera is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran/Sexual Orientation/Gender Identity.