Location: Elma,WA, USA
Get to know Summit Pacific Medical Center:
Your trusted partner in Health and Wellness, Summit Pacific is a vibrant and expanding public hospital district that operates a Critical Access Hospital with a Level IV trauma designation, three rural healthcare clinics, and a seven-day-a-week urgent care clinic. Our vision is Through Summit Care, we will build the healthiest community in the Nation. Our hospital is unique due to its size and accessibility. We pride ourselves on our ability to give patients quick access to a provider.
* Critical Access Hospital
* 24/7 Emergency Department
* Level II Cardiac Center
* Level III Stroke Center
* Level IV Trauma Care
To learn more about Summit Pacific, visit www.summitpacificmedicalcenter.org
About the team:
The Manager, Patient Access leads and manages the Patient Access Supervisors, department and underlying functions, including scheduling, registration, referrals, authorizations, and call center. This role is responsible for managing the flow of patients throughout the hospital and clinics. The manager collaborates with clinical department leadership to support needs and ensure proper support and customer service as well as providing expertise on patient access workflows. The manager ensures that both Patient Access owned, and clinical department patient access team members receive patient access specific training and updates when changes to standards occur. The manager develops and maintains workflows to ensure all patient demographic and insurance information is correctly entered in the electronic health record, scheduling is completed accurately, referrals are processed timely and routed appropriately, and communication between the patient access team members and clinical departments is successful and efficient. The manager conducts audits, reviews Key Performance Indicators (KPIs), monitors dashboards and reports and acts on this information to optimize departmental functions and remediate problems. The manager oversees the work queues of the Patient Access team in partnership with the supervisors to ensure work is completed in a prompt manner. The manager partners with Revenue Cycle (billing, coding, etc.) to resolve claims issues and implement process improvements. Ensure patients are supported through their entire patient care experience by providing excellent quality and compassionate customer service.
Required Education and Experience:
* Bachelor's degree in healthcare administration, business administration, related field, or equivalent combination of education and experience.
* Minimum of 3 years of experience in healthcare administration with a focus on patient access or registration.
* Two (2) years of supervisory experience.
* Experience in Critical Access Hospitals or Rural Health Clinics preferred.
Required Licenses, Certifications and/or Registration:
* Basic Life Support (BLS) certification encouraged.
Job Specific Duties:
* Leads and mentors Patient Access Supervisors and a team of Patient Access Specialists, providing guidance, support, and ongoing training for customer service, insurance, and workflows. Performs employee reviews and monitors performance. Addresses and resolves personnel issues as they arise.
* Ensures the efficiency of daily operations, including a 24-hour department. Maintains staffing by providing operational leadership, including after-hours to ensure seamless coordination of services.
* Oversees patient registration processes, ensuring accuracy and compliance with healthcare regulations and standards. Manages insurance verification procedures to confirm coverage and eligibility for patients.
* Ensures patient-care protocols, standards of care, policies and procedures are executed at the highest level.
* Develop dashboards and reports to monitor outcomes and identifies opportunities/gaps, initiates appropriate enhancements and/or corrections. Holds team accountable for results.
* Develops best practices informed by industry standards and in partnership with other department leaders to ensure patient needs are met in all service lines across the organization. Integrates outpatient and inpatient processes, workflows, and procedures to ensure seamless care experiences for patients.
* Develops, implements, and improves processes to ensure the integrity and accuracy of data collected, including patient identification, insurance, and benefit verification. Assist in final determination of pre-service clearances.
* Develops and implements monitoring tools to ensure work queue assignments are completed on time.
* Identifies training opportunities by auditing employee accuracy data and ensures training is delivered. Monitors outcomes of training to ensure success.
* Oversees the referrals and authorization teams to ensure correct routing and processing of internal and external referrals and orders and successful obtainment of authorizations prior to services.
* Oversees a call center, instilling best practices and continuous improvement. Develops metrics, creates dashboards, and reports on phone-related activities.
* Manages and acts on patient survey results, addresses complaints, UORs, and Action Cue events timely and with a high degree of professionalism and a service recovery focus.
* Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Consistently demonstrates SPMC values.
* Performs special projects and other related duties as assigned.
This is an exempt position with a pay range of $76,003.20 - $115,564.80 annually, depending on experience.
BENEFITS:
Our uniquely designed benefits are here to support you and your family in staying well, growing professionally and achieving financial security!
We take care of you, so you can focus on delivering our mission of caring for everyone, especially the most vulnerable in our communities.
Benefits offered by SPMC:
* Competitive Compensation
* Medical
* Prescription
* Dental (including Orthodontia)
* Vision
* Healthcare FSA and daycare FSA
* Daycare subsidized benefit
* Life Insurance
* Accidental Death and Dismemberment (AD&D)
* Short- and long-term disability
* Generous employer 403b match contributions for retirement
* 457 retirement account for additional funds
* Employee Assistance Program (EAP)
* Tuition reimbursement
* Smoking Cessation Assistance
* Employee Wellness Program
* Employee Committees to participate in such as Spirit Team
* Beautiful on-site gym for employees
* Instructor led fitness classes for employees, including Yoga, Kettlebells and Bootcamps
* Walking trails on site