Manager Patient Access Pre Service

POSITION SUMMARY

The Patient Access Manager - Pre-Service provides operational leadership and oversight for pre-service functions, ensuring accurate and timely scheduling, pre-registration, insurance verification, referral management, prior authorization, and financial clearance for scheduled services. This role focuses on delivering a consistent, best practice, patient-centered experience while supporting revenue cycle goals and compliance standards. The manager supervises front-end pre-service teams, monitors performance, and drives process improvements to enhance efficiency and reduce access barriers.

The Manager is accountable for:

1. Operational Planning
   Implementing short- and mid-term strategies for pre-service workflows, staffing, and resource allocation to meet organizational goals.
2. Standards and Compliance
   Maintaining policies and procedures for pre-service operations, ensuring accuracy, accountability, and adherence to payer and regulatory requirements.
3. Team Engagement and Development
   Fostering a culture of collaboration, courtesy, and continuous improvement through staff education, coaching, and performance feedback.
4. Performance and Financial Metrics
   Monitoring productivity and quality KPIs associated with pre-service functions; identifying opportunities for improvement and implementing corrective actions.
5. Regulatory and Policy Adherence
   Ensuring compliance with HIPAA, applicable law, payer guidelines, and internal standards across all pre-service activities.
6. Collaboration
   Partnering with clinical, and revenue cycle teams to streamline workflows, promote patient safety, and improve patient access and satisfaction.

LEADERSHIP VALUES

The MNH Leadership Values we are striving to emulate: 

1. Respect, appreciation and caring for all-positive outlook 

2. Initiative, achievement oriented, drive for excellence and continuous 
   improvement; perseverance and ability to see the big picture 

3. Teamwork and support for others; interdependence and commitment to the 
   collective; system success as opposed to individual achievement or credit 

4. Open, respectful, candid communication; handles conflicts and differing 
   points of view directly; doesn't shy away from difficult issues or 
   conversations 

5. Stewardship of resources and passion for efficiency 

6. Ownership of actions and results focused 

7. Resilient; adaptable to change; perseveres in the midst of challenges 

8. Courage 

MINIMUM REQUIREMENTS

Education:

1. High school diploma or GED required.

2. Bachelor’s degree preferred (preferably in business, healthcare or public administration, management, accounting, finance or a related field) 

3. Master's degree preferred. 

Experience:

1. 5 years of health care/patient access experience required 
2. 3 years must be management/leadership experience required
3. Advanced knowledge of scheduling, pre-registration, insurance verification, prior authorization, financial clearance, and registration processes.
4. Meditech and/or Epic System experience is preferred. 
5. Microsoft Word, Excel and PowerPoint experience required. 
6. Statistical reporting experience required. 

Knowledge, Skills, Abilities:

1. Expertise in the best practices of patient access workflows.
2. Demonstrated ability to work under stressful situations. 
3. Functional understanding of health care operations and physician practices.
4. Leadership skills to motivate cross-functional teams to strive for excellence while utilizing a consensus-building management style.
5. Comprehensive knowledge of regulatory requirements and the ability to provide documentation of such requirements when needed.
6. Possesses a strong understanding of various reimbursement methodologies with knowledge of the requirements for hospital and professional billing across payers.
7. Strong quantitative, analytic, and problem-solving skills to evaluate all aspects of a problem or opportunity and draw valid conclusions to make or facilitate appropriate and timely decisions.
8. Strong organizational skills to manage multiple diverse priorities with high visibility and extremely detailed information.
9. Ability to present and communicate complex information effectively in both written and oral forms to a variety of audiences, including hospital and physician leadership. 
10. Uses tact, sensitivity, sound judgment, and a professional attitude 
    constantly. 
11. Conducts business in a professional and cordial manner that upholds the 
    integrity and reputation of Mount Nittany Health.
12. Knowledge of human resource laws and regulations as they relate to the 
    management of staff. 

License/Certification/Registration:

1. HFMA CHFP, AAHAM, CHAA, CHAM or equivalent Revenue Cycle Certifications preferred. 

SUPERVISION RECEIVED

Receives supervision from the Patient Access Director. 

SUPERVISION GIVEN

Supervises the activities of the pre-service functional units of the Patient Access Department