Manager Patient Access Training and Quality Assurance

Position Summary

The Patient Access Manager for Training and Quality Assurance is responsible for developing and implementing a comprehensive training and quality assurance program for patient access operations across the health system. This role ensures that team members are equipped with the knowledge, skills, and tools necessary to deliver accurate, consistent, and patient-centered services. The manager is responsible for staff competency, compliance, and service excellence by aligning education and quality initiatives with organizational standards and regulatory requirements. The manager collaborates with operational leaders to identify training needs, establish performance benchmarks, and drive continuous improvement in accuracy, efficiency, and patient experience.

The Manager is accountable for:

1. Training Program Development
   Designs and maintains standardized onboarding and continuing education programs for patient access functions, including scheduling, registration, insurance verification, prior authorization, and financial clearance.
2. Quality Assurance Oversight
   Develops and manages quality assurance program to ensure compliance with policies, payer guidelines, and regulatory standards; analyzes audit results and implements corrective actions.
3. Competency Assessment & Education
   Conducts competency evaluations and provides targeted training to address performance gaps and support staff development via career ladder program.
4. Policy & Compliance Integration
   Aligns training and quality programs with organizational policies, HIPAA regulations, and payer requirements to minimize risk and improve operational outcomes.
5. Performance Monitoring & Reporting
   Tracks training effectiveness and quality metrics; prepares reports for leadership and recommends process improvements.
6. Collaboration
   Partners with patient access leadership, revenue cycle teams, and clinical departments to ensure education and quality initiatives support operational goals and enhance patient experience.

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 healthcare or public administration, education, management, 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 training, quality assurance and management/leadership experience required 
3. Strong knowledge of patient access workflows and regulatory requirements.
4. Meditech and/or Epic System experience, as well as experience in learning management systems, is preferred. 
5. Microsoft Word, Excel and PowerPoint experience required. 
6. Statistical reporting experience required.

Knowledge, Skills and Ability:

1. Ability to design and deliver effective training and quality assurance programs.
2. Skilled in auditing, compliance monitoring and process improvement
3. Expertise in the best practices of patient access workflows.
4. Excellent communication, instructional design, and leadership skills.
5. Demonstrated ability to work under stressful situations. 
6. Functional understanding of health care operations and physician practices.
7. Leadership skills to motivate cross-functional teams to strive for excellence while utilizing a consensus-building management style.
8. Comprehensive knowledge of regulatory requirements and the ability to provide documentation of such requirements when needed.
9. Possesses a strong understanding of various reimbursement methodologies with knowledge of the requirements for hospital and professional billing across payers.
10. 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.
11. Strong organizational skills to manage multiple diverse priorities with high visibility and extremely detailed information.
12. Ability to present and communicate complex information effectively in both written and oral forms to a variety of audiences, including hospital and physician leadership. 
13. Uses tact, sensitivity, sound judgment, and a professional attitude 
    constantly. 
14. Conducts business in a professional and cordial manner that upholds the 
    integrity and reputation of Mount Nittany Health.
15. 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 Patient Access Training and Quality Assurance team within the Patient Access Department