Patient Access - Manager - Full Time Job Listing at Wilson Health in Sidney, OH (Job ID 8a78859fa0f425c801a112e077565a1c)

Description

Wilson Health is looking for a Patient Access Manager for our hospital campus located in Sidney, Ohio (North Dayton, Ohio area).   Key Perks and Benefits:

• Access to Employer Direct Care Clinic. Free medical care and pharmacy services for eligible employees and dependents covered by Wilson Health's medical insurance plan.
• Generous paid time off (PTO) program beginning day one, designed to support work-life balance, rest, and time with family.
• Medical Insurance: Choose from two High Deductible Health Plan (HDHP) options or a PPO plan, along with Dental and Vision coverage. Benefits begin on the first of the month following your hire date.
• HSA with employer contribution for eligible health plans; FSA for medical and dependent care expenses.
• Company-paid Life Insurance and Long-Term Disability Insurance
• Voluntary Accident, Critical Illness, and employee and dependent Life and AD&D Insurance Industry-leading retirement plan – employer contributions begin day one with no waiting period for participation.
• Tuition Assistance Program
• Free access to an on-site gym, available 24/7, making it easy to prioritize your health and wellness before or after your shift.
• Employees receive a 10% discount on food and beverages at the Wilson Cafeteria, Coffee Bar and Micro Mart.

Who We Are: At Wilson Health, our mission is to improve the health and wellness of our communities by delivering compassionate, quality care. We are committed to making a difference for our neighbors, friends, and family and our vision is to be a trusted, nationally recognized leader of innovative, collaborative community health.    Employment Status: FULL TIME Shift: 1st shift - 7am - 3pm Working Hours:  40 hours per week - 80 hours per pay period  Position Reports to: Director of Patient Access  ** Managing - 24/7 Registration Coverage   SUMMARY: The Patient Access Manager is responsible for overseeing the hospital's patient access functions, including registration, scheduling, insurance verification, prior authorizations, and related front-end revenue cycle activities. This position ensures that patients receive a welcoming, efficient, and accurate experience from the point of scheduling or registration through the beginning of their care.   ESSENTIAL DUTIES AND RESPONSIBILITIES:

Patient Registration and Access

• Oversee daily hospital registration activities for inpatient, outpatient, emergency, and ancillary services.
• Ensure patient demographic, insurance, guarantor, and financial information is collected accurately and maintained appropriately.
• Establish and maintain registration procedures that promote accuracy, efficiency, patient privacy, and excellent customer service.
•  Monitor registration quality and identify opportunities to reduce errors, duplicate accounts, and incomplete information.
• Ensure staff follow hospital policies, payer requirements, and applicable regulatory standards.
• Address patient concerns and resolve registration or access-related issues in a professional and timely manner.

Scheduling

• Manage scheduling processes for hospital services, outpatient procedures, diagnostic testing, and other applicable services.
• Ensure appointments are scheduled accurately and in accordance with provider, department, and resource availability.
• Work with clinical departments to identify scheduling issues and improve access and patient flow.
• Monitor scheduling practices to minimize missed appointments, scheduling errors, and unnecessary delays in care.
•  Assist with developing and maintaining scheduling protocols and workflows.

Insurance Verification and Prior Authorizations

• Oversee insurance eligibility and benefits verification processes.
• Ensure required referrals, authorizations, and pre-certifications are obtained prior to services whenever possible.
• Monitor authorization requirements and payer-specific guidelines.
• Coordinate with clinical departments and providers when additional clinical documentation is needed to obtain authorization.
• Identify and address authorization-related issues that could result in delayed care or denied claims.
• Monitor authorization performance and work with Revenue Cycle staff to reduce preventable denials.

Leadership and Staff Management

• Supervise, train, coach, and evaluate Patient Access staff.
• Develop staff schedules and ensure adequate coverage based on patient volume and hospital needs.
• Maintain a flexible work schedule to effectively lead a 24/7 Patient Access operation.
• Establish clear expectations for productivity, accuracy, customer service, and compliance.
• Provide ongoing education regarding registration, scheduling, insurance requirements, authorization processes, and hospital policies.
• Cross-train staff as appropriate to ensure continuity of operations in a small hospital environment.
• Promote teamwork, accountability, professionalism, and a positive patient experience.

Revenue Cycle and Operational Responsibilities

• Partner with the billing, coding, finance, and clinical departments to improve front-end revenue cycle performance.
• Monitor key Patient Access metrics, including registration accuracy, insurance verification, authorization completion, scheduling accuracy, and registration-related denials.
• Identify trends and implement corrective actions to improve processes and financial performance.
• Assist with denial prevention and resolution related to registration, eligibility, authorization, and other front-end issues.
• Participate in revenue cycle and operational improvement initiatives.
• Maintain knowledge of payer requirements and communicate relevant changes to staff and hospital leadership.

Compliance and Quality

• Ensure compliance with HIPAA, EMTALA, Medicare/Medicaid requirements, payer regulations, and applicable federal and state requirements.
• Protect patient confidentiality and ensure appropriate handling of patient information.
• Maintain accurate documentation and follow established hospital policies and procedures.
• Participate in quality improvement, compliance, and patient experience initiatives.
• Support hospital preparedness for audits, surveys, and regulatory review

QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Must maintain schedule flexibility and be accessible to support a 24/7 operation, with routine presence across all three shifts to engage staff, monitor performance, and ensure consistent execution of departmental standards. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  

Education and Experience:

• High school diploma or equivalent.
• Previous experience in hospital registration, patient access, scheduling, insurance verification, prior authorization, or revenue cycle operations.
• Previous supervisory or leadership experience required.
• Strong understanding of insurance eligibility, benefits, referrals, and authorization processes.
• Excellent communication, organization, problem-solving, and customer service skills.
• Ability to work effectively in a fast-paced environment and manage competing priorities.
• Ability to maintain confidentiality and handle sensitive patient and financial information appropriately.
• Proficiency with electronic health records and common office software.

Knowledge, Skills, and Abilities

• Ability to type accurately and efficiently while maintaining attention to detail.
• Ability to manage multiple tasks and changing priorities in a fast-paced healthcare environment.
• Strong customer service and interpersonal skills.
• Ability to effectively engage with patients, families, physicians, and staff in a courteous and compassionate manner.
• Ability to work independently and as part of a team.
• Strong problem-solving and critical-thinking skills.

Physical Requirements

• Ability to sit, stand, and walk for extended periods throughout the workday.
• Ability to move between departments as needed.
• Ability to engage with patients both in person and over the telephone for prolonged periods.
• Frequent use of a computer keyboard and monitor, requiring repetitive hand and finger movements and efficient typing skills.
• Ability to occasionally lift or move up to 20 pounds.
• Visual acuity sufficient to read computer screens, patient documentation, and printed materials.

Mission & Vision & Values:

• Improve the health and wellness of the community by delivering compassionate, quality care.
• Be a trusted, nationally recognized leader of innovative, collaborative, community health.
• A.S.P.I.R.E - Always serve with professionalism, integrity, respect, and excellence.

EOE (Equal Opportunity Employer)

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