Manager of Patient Access

Emergency Room Clerical  
Full Time
AM/PM Shift 
7:30am - 4:00pm, Mon-Fri

Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. Ranked #1 in the Columbia metro area by U.S. News & World Report, Lexington Medical Center is the only hospital named one of the Best Places to Work in South Carolina.

The 607-bed teaching hospital anchors a health care network that includes six community medical centers and employs more than 8,700 health care professionals. The network includes a cardiovascular program recognized by the American College of Cardiology as South Carolina’s first HeartCARE CenterTM and an accredited Cancer Center of Excellence affiliated with MUSC Hollings Cancer Center for research and education. The network also features an occupational health center, the largest skilled nursing facility in the Carolinas, an Alzheimer’s care center and nearly 80 physician practices.  Its postgraduate medical education programs include family medicine and transitional year.

 

 

 

 

Job Summary

Manages the daily operations of Patient Access staff to ensure patient safety and satisfaction as it relates to the registration and admission processes. Strives to optimize the facilities financial performance.

Minimum Qualifications

Minimum Education: Associate's Degree
Minimum Years of Experience: 5 Years of management success in full range of patient revenue cycle management or related area
Substitutable Education & Experience: Bachelor's Degree with 3 years of management success in full range of patient revenue cycle management or related area
Required Certifications/Licensure: None.
Required Training: Procedural knowledge of Medicare, Medicaid, third party billing, reimbursement, corporate compliance, and regulatory compliance;
Familiar with medical terminology, insurance billing, coding, data capture/registration systems, eligibility access systems, imaging systems, managed care requirements, and medical record documentation requirements;
Experience managing multiple sites with skills in providing a bridge between Patient Access and clinical activities to improve financial/clinical outcomes;
Working knowledge of mathematical/financial logic and terminology is required to perform calculations when compiling and auditing budget reports or expense accounts.

Essential Functions

• Assures all responsible department (Central Registration, Radiology, Women’s Imaging, Bed Control, Insurance Specialists, Registrars in Physician Practices, Emergency Department Registration and Lexington and Irmo Urgent Care) registrations are completed in a timely, accurately and effective manner.
• Plans work schedule for 24/7 shifts, assuring sufficient coverage at all times.
• Provides proper orientation and training of new employees; maintains a written on-boarding plan (minimum of 40 hours) and revises as necessary.
• Establishes and updates policies, procedures and job manuals that are consistent with current standards. Conducts monthly departmental meetings and follow-up on any unresolved issues from the meetings in a timely manner. Attends corporate compliance in-services and adheres to overall hospital compliance programs.
• Works with Director to design systems, organizational structure and staffing patterns that promote efficient and effective department operations.
• Responsible for the data integrity for the Patient Access Department which contributes to the reduction in AR days (correct data entry follows the patient from pre-service thru repeat visits, which also contributes to exceptional customer service). Correct data entry assists with the preparation of the quality monthly departmental statistical report.
• Assures that departments are in compliance with applicable regulations, including those of DHEC, DNV, Corporate Compliance, EMTALA, HIPAA and other regulatory agencies.
• Reviews productivity and accuracy reports submitted by supervisors and proactively responds to areas of necessity. Uses data to identify performance improvement activities. Reports appropriate findings to the Director.

Duties & Responsibilities

• Performs all other duties as assigned by authorized personnel or as requested in an emergency, e.g., fire or disaster.
• Maintenance of an optimistic, professional, career oriented demeanor (positive role model) as a leader within the departments at Lexington Medical Center. Exemplifies excellent customer relations toward patients, visitors, physicians and co-workers. Holds themselves and subordinates accountable for conformity to Service Excellence Policy.
• Responsible for meeting productivity levels as defined by the cr