Patient Access Manager Resume Samples

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EC
E Cole
Earlene
Cole
16015 Collins Way
Phoenix
AZ
+1 (555) 242 1966
16015 Collins Way
Phoenix
AZ
Phone
p +1 (555) 242 1966
Experience Experience
Philadelphia, PA
Patient Access Manager
Philadelphia, PA
Wuckert, Larson and Spencer
Philadelphia, PA
Patient Access Manager
  • 25% - Working cross-functionally to identify and lead the resolution of patient access barriers, including: insurance coverage; reimbursement; financial limitations; site of care; procurement/distribution
  • Supervisor, PA
  • 10% - Provide expertise and education on local and regional health plan policies, coverage, processes, etc. to the internal patient services organization, the market access field team, and the field sales organization
  • Represent Novartis and build relationships with relevant NHS stakeholders in order to ensure service/patient pathway challenges are identified and solutions implemented
  • Develop and implement action plans as identified
  • Personalized coordination of patient care using a multi-disciplinary team approach
  • Ongoing support of One Path Customer Service team and when necessary working as a liaison between One Path and our customer
Houston, TX
Patient Access Manager LSD / HAE
Houston, TX
Murphy-Bashirian
Houston, TX
Patient Access Manager LSD / HAE
  • Provide expertise in coordination of care, working with internal case managers, RBM’s, sites of care, and payors
  • Provide claims tracking and troubleshooting expertise to treating site
  • Ongoing support of One Path Customer Service team and when necessary working as a liaison between One Path and our customers
  • Develop and implement special projects to address regional based objectives
  • Resource for alternative insurance options for patients and provide information on relevant reimbursement topics related to our products
  • Develop cutting edge marketing programs with the internal Shire HGT marketing team
  • Provide reimbursement education and support to sites of care/treatment centers if requested or necessary, with specific emphasis on One Path and Shire’s reimbursement support services
present
New York, NY
Patient Access Manager Sweden & Finland
New York, NY
Frami-Ernser
present
New York, NY
Patient Access Manager Sweden & Finland
present
  • Reviews accuracy of content related to disease state, medical content, patient management, or clinical utility
  • Stay updated via surveillance of communications and analyze and diabetes policy issues and trends
  • Differentiate ADC products adapting or evolving a global value story to a local healthcare context
  • Be a subject matter expert in HTA (health technology assessment) recommendations on medical devices for Continuous Glucose Monitoring
  • Build trusted and strategic relationships with Key Opinion Leaders, payers and influencing stakeholders to anticipate payers· agendas, plans and objectives
  • Consolidate planning and actions in local market access strategy & implementation plan taking into account short term and mid-term business goals
  • Implementation of necessary contractual agreements for reimbursement including their maintenance and monitoring and internal communication and training
Education Education
Bachelor’s Degree in Business Administration
Bachelor’s Degree in Business Administration
University of California, San Diego
Bachelor’s Degree in Business Administration
Skills Skills
  • Strong knowledge and ability to drive operational metrics
  • High attention to detail and strong organizational skills
  • Ability to receive and express detailed information through oral and written communications
  • Strong analytical skills and ability to report on meaningful activity in the region
  • Excellent written and verbal communication skills
  • Policies & Procedures - Articulates knowledge and understanding of organizational policies, procedures and systems
  • Leadership - Guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services
  • Leadership - guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services
  • Policies & Procedures- articulates knowledge and understanding of organizational policies, procedures and systems
  • Leadership- guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services
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15 Patient Access Manager resume templates

1

Patient Access Manager Resume Examples & Samples

  • 25% - Working cross-functionally to identify and lead the resolution of patient access barriers, including: insurance coverage; reimbursement; financial limitations; site of care; procurement/distribution
  • 25% -Working directly with the following internal and external groups to revolve access issues described above: patients and/or their families and caregivers; public and private payers (local, regional, and national); specialty pharmacies and specialty distributors; physician offices, hospitals, infusion centers, and other sites of care; patient advocacy organizations; procurement/distribution
  • 10% - Provide expertise and education on local and regional health plan policies, coverage, processes, etc. to the internal patient services organization, the market access field team, and the field sales organization
  • 20% - Educate patients, families, and caregivers on coverage and reimbursement as well as available Shire service
2

Patient Access Manager Resume Examples & Samples

  • Ongoing support of One Path Customer Service team and when necessary working as a liaison between One Path and our customer
  • Provide reimbursement education and support to sites of care/treatment centers if requested or necessary, with specific emphasis on One Path and Shire’s reimbursement support services Reimbursement conflict resolution with assigned accounts Provide claims tracking and troubleshooting expertise to treating site
  • Representing Shire at Regional and National Conventions Develop cutting edge marketing programs with the internal Shire marketing team
  • 3+ years of field based experience in account mgmt, sales or medical affairs
3

Patient Access Manager LSD / HAE Resume Examples & Samples

  • Personalized coordination of patient care using a multi-disciplinary team approach
  • Resource to providers/hospitals regarding billing, reimbursement and procurement options
  • Provide reimbursement education and support to sites of care/treatment centers if requested or necessary, with specific emphasis on One Path and Shire’s reimbursement support services
  • 3+ years of prior relationship management experience
4

Patient Access Manager Resume Examples & Samples

  • 70%: Responsibility for patient access
  • 30%: Site Support and Other responsibility
  • Must have 3+ years of prior relationship management experience
  • Must have 3+ years of field based experience in account management, sales or medical affairs
  • Bilingual (fluent in both English and Spanish) required
5

Patient Access Manager Resume Examples & Samples

  • Assesses the individual needs of the patient and develops an appropriate education plan of action, taking into account the patient’s family and team of healthcare providers
  • Educate the office staff regarding billing, coding, healthcare reform and other pertinent issues regarding access to healthcare
  • Guide the patient through the appeals process and coordinate the delivery of appropriate documentation for each appeal in order to maintain coverage for medical services
  • Minimum 5 years pharma/account management experience
  • Buy and bill experience and success required
  • Biologic/biotech reimbursement experience preferred
  • Professional, proactive demeanor
6

Patient Access Manager Resume Examples & Samples

  • Create and maintain deep engagement with, and support for, patients throughout their cancer journey, providing ongoing support, education and access to quality care
  • Promote Information Specialists in LLS’s Information Resource Center as an essential point of initial contact, inside and outside of LLS, for disease, treatment and support information
  • Develop and support a strong patient access volunteer infrastructure to help implement patient access strategies; identify volunteer opportunities to better reach underserved communities through provider and community outreach
  • Build mission committees with local oncology professionals and key volunteers to cultivate relationships with LLS Chapters and to assist with patient outreach and events. Provide ongoing communication about patient access strategies and goals to internal and external stakeholders
  • Conduct community-based patient education programs in select markets and underserved areas
  • Partner with campaign and donor development to provide information about the LLS mission to internal and external stakeholders, including staff, potential volunteers, individual donors and corporate funders
  • Engage patients, caregivers, and health care professionals in campaign, donor development and mission-related activities
  • Partner with advocacy and campaign staff to identify advocates and patient stories and maintain engagement in policy initiatives
  • Collaborate and partner with internal stakeholders including Executive Directors, Patient Access Managers, Volunteer Development Managers, Campaign, Chapter and Home Office staff to ensure joint planning, mutually beneficial support, and effective advancement toward LLS’s overarching goals and strategies
  • Ongoing management of budgeted resources
  • Ongoing assessment of the education, resource, and service needs of patients and providers in the chapter area
  • Timely compliance with all reporting requirements
  • BA or BS; advanced degree or equivalent experience a plus
  • Experience developing and managing volunteers preferred
  • 3-7 years of progressively responsible related experience
  • Health education background preferred
7

Patient Access Manager Resume Examples & Samples

  • Collaborating with the Business Leader and Account Team to create and implement a locality access plan which is aligned to both franchise and team objectives incorporating both commissioning and service activities and informing the Key Account plans
  • Customer facing account management responsibility for NHS decision makers in their designated Health Economy
  • Build sustainable strategic relationships with key regional influencing centres that set guidance at a sub national level and have a broader national impact beyond the immediate local geography
  • Ensure key insights are fed back to appropriate internal stakeholders
  • Develop an in-depth understanding of national/local policy with the ability to influence and shape the local health economy
  • Ensure an optimum environment for the prescribing of the Novartis medicines to ensure patients have appropriate access
  • Secure and implement positive NHS policy (including guidelines, funding and budget inclusion) and NICE implementation
  • Develop and implement partnership initiatives with customers where there is a prioritized patient need; principles of these initiatives are consistent with the franchise, business & account plan objectives
  • Build business cases/Joint working proposals and gain approval from Trust board and the Franchise Leadership team
  • Create and maintain strategic and operational relationships with influential NHS customers; Translate and share key trends and market feedback with Business Leader & Market Access Excellence
  • To develop, maintain and share an excellent understanding of the NHS, enabling environmental assessment and develop insights and intelligence to facilitate competitive advantage and inform development of local market access tools and materials
  • To comply with appropriate external regulations- ABPI and Novartis policies and procedures
  • Direct or indirect leadership experience or with sales teams, service projects and or commissioning customers
  • Cross-functional working
  • Functional Experiences
  • Customer facing roles interacting with senior NHS staff
  • Market Access and/or Service Development experience desirable
8

Admitting / Patient Access Manager Resume Examples & Samples

  • Selects, trains/orients and assigns department staff (either directly or through subordinate supervisor)
  • Develops standards of performance, evaluates performance, and initiates or makes recommendations for personnel actions
  • Develops department goals and objectives, and establishes and implements policies and procedures for department operation
  • Develops and recommends department operating budget and ensures that department operates within budget
  • Ensures that department complies with hospital established policies, quality assurance programs, safety, environmental, and infection control policies and procedures
  • Reviews Admitting Department operations to ensure compliance with TJC
  • Ensures that staff comply with the basic money handling procedures during changes from manual to computer application
  • Identifies improvement opportunity to systems and makes recommendations to the appropriate department management
  • Monitors and directs the identification of patient liability and ensures accurate and timely collections
  • Ensures that all insurance benefits coverage meets standards of admission as dictated by hospital policy
  • Relies on extensive experience and judgment to plan and accomplish goals
  • Assures an understanding and application of superior customer service at all levels of supervised staff while instilling the skill to and understanding of the importance of collecting cash or data from the patient
  • Develops and maintains positive working relationships with all levels of personnel and physicians and divisional staff
  • Contributes to the design and implementation of successful practices for patient revenue that have favorable outcomes and are value-added
  • Stays abreast of changes to Kaiser Permanente's benefit packages and reimbursement schemes from other payers and communicate them to front-line personnel
  • Hires, coaches, trains and disciplines front-line staff who perform the functions of identification, collection, cashiering, accounting for and depositing of daily cash receipts
  • May share the performance monitoring of other staff who performs the registration function but reports into another department
  • Coaches staff on resolving customer complaints and may intercede when necessary
  • Monitors/trends/provides feedback to management of OP/IP/ED collections for 250-500 registration staff
  • Minimum three (3) years of experience in management or supervisory capacity in the revenue cycle environment, preferably in a in an acute care hospital
  • Prior Union experience
  • Patient Access experience: knowledge in registration, insurance verification, point of service collections, MFA and knowledge, non-member process experience needed
9

Patient Access Manager Resume Examples & Samples

  • 25%: Working cross-functionally to identify and lead the resolution of patient access barriers, including: insurance coverage; reimbursement; financial limitations; site of care; procurement/distribution
  • 25%: Working directly with the following internal and external groups to revolve access issues described above: patients and/or their families and caregivers; public and private payers (local, regional, and national); specialty pharmacies and specialty distributors; physician offices, hospitals, infusion centers, and other sites of care; patient advocacy organizations; procurement/distribution
  • 10%: Provide expertise and education on local and regional health plan policies, coverage, processes, etc. to the internal patient services organization, the market access field team, and the field sales organization
  • 20%: Educate patients, families, and caregivers on coverage and reimbursement as well as available Shire service
  • 20%: Participate in regular cross-functional team meetings to coordinate patient services activities and field activities; cross-functional team includes case managers and field sales, and may include other functions as appropriate
10

Patient Access Manager Resume Examples & Samples

  • Must have understanding of and ability to interpret insurances, 501R and. Charity Assistance according to Hospital, Federal and State guidelines
  • Knowledge of medical terminology, familiarity with HCPCS and ICD10 coding, insurance, and reimbursement contracts
  • Able to work varied shifts and weekends when necessary
  • Flexibility to respond to changing priorities/work
  • Bachelor's degree or equivalent, preferred
  • Minimum 3 years Patient Access supervisory experience, required
  • 3-5 years Patient Access Leadership experience, preferred
11

Patient Access Manager Resume Examples & Samples

  • Associate’s degree or 4 years of relevant experience required. Bachelor’s degree is preferred
  • Minimum of 4 years of face to face customer service experience is required
  • Minimum of 2 years of management experience is required, including experience in interviewing, talent selection, and employee development
  • Experience working in an Emergency Department is preferred
  • Experience working with patient records and charts is preferred
  • Understanding of insurance plans is preferred
12

Regional Patient Access Manager Resume Examples & Samples

  • Ensures that each patient and team member is given the highest level of customer service and treated with the utmost respect
  • Leads patient access departments; provides conflict resolution for facility issues, and collaborates with department leads to ensure facility performance
  • Serves as a resource for Patient Access Leads and Patient Access Staff
  • Assist in training new Patient Access Leads
  • Monitors, coaches, develops, and evaluates performance of staff on an ongoing basis in accordance with applicable performance standards; collaborates with respective VP/Directors/Regional Managers on technical aspects
  • Establishes and maintains effective working relationships with vendors, employees, managers, and physicians
  • Serves as primary contact for all Patient Access internal communications regarding the facility
  • Responsible for implementation and education of all new Patient Access policies and procedures
  • Assist in recommendations of Patient Access goals for each ER and track performance against final goals
  • Assist with regional growth planning and new facility openings as required
  • Assists in development of retention strategy & plan for existing staff
  • Associate degree or equivalent
  • Perform duties in a fast paced emergency room
13

Patient Access Manager, Procysbi Resume Examples & Samples

  • Provide reimbursement education and support to physician’s offices with specific emphasis on HorizonCares/RaptorCares® reimbursement support services
  • Secure written opt-in and HIPAA waivers to the patient support program for patients in the region
  • Maintain contact with patients who have opted-in and ensure excellent customer service
  • Connect patients with insurance services when necessary to ensure continuity of care for the patient
  • Help patients and families to resolve logistical challenges with insurance and pharmacies when necessary
  • Respond immediately to patient and patient family questions and concerns; resolve patient/caregiver issues
  • Connect patients with and warm transfer to appropriate financial assistance programs, if eligible
  • Connect patients with external support programs that may be available in the region, as needed
  • Adhere to professional standards compliance guidance, policies and procedures, federal, state, and local requirements
  • Represent Horizon Pharma at external meetings
  • Ability to handle difficult patient cases and resolve hurdles
  • Ability to work in team environment and manage communication with case managers and sales reps
  • Strong analytical skills and ability to report on meaningful activity in the region
  • Nursing or other clinical background
  • Functional/Technical Skills
  • Intellectual Horsepower
  • Dealing with Ambiguity
14

Patient Access Manager, Krystexxa Resume Examples & Samples

  • Works closely with the Horizon Pharma case management team and also Horizon’s regional business management representatives
  • Ensure a smooth process for drug access, the team works with the patient to help obtain authorization prior to treatment. Sometimes services are performed without a pre-authorization and the PAM and the case manager’s work together to resolve any related issues
  • Provide accessible co-pay assistance programs, national foundations and free drug programs; and are able to provide information for these options to patients as needed
  • Develop a cohesive relationship with the patients and their families as they navigate through the healthcare system and the options that may be available
  • Empower the patient to become their own advocate
  • Minimum of a Bachelor’s Degree required
  • Rheumatology therapeutic area experience preferred
  • Experience working with institutions and integrated delivery networks preferred
  • Experience working in a team environment which successfully partners with all Commercial Operations functions
15

Patient Access Manager Resume Examples & Samples

  • Support and educate patients and caregivers about Horizon Pharma products and services, including product support and information, dosing and administration, reimbursement services, and other education as needed
  • Provide reimbursement education and support to physician’s offices with specific emphasis on TranscendRare/HorizonCares reimbursement support services
  • Partner with Safety and PV. Report AE’s and product complaints through medical information
  • Coordinate with case managers and home office commercial team
  • 5+ years of field-based experience in patient services, reimbursement, medical affairs, or account management
  • Scientific background and ability to learn product and disease information
  • Familiarity with HIPAA guidelines and FDA requirements
  • Familiarity with and Adherence to internal and OIG Compliance guidelines a must
  • Ability to respond immediately when necessary (within 24 hours) to prevent lapses in treatment
  • Must be bilingual: fluent in English and Spanish
  • Prior experience as a case manager
  • Nutritionist, Dietician, Nursing or other clinical background
  • Orphan or Rare disease experience
16

Patient Access Manager Sweden & Finland Resume Examples & Samples

  • Position will I line with global market access strategies create payer models showing cost efficiency and clinical outcomes benefits that creates pathways into the Swedish and Finish markets
  • Position will have a clear understanding on our unique diabetes portfolio and also competitors in terms of product features and studies made both locally and globally in our field that can affect our market strategy short and long term
  • Position will work closely with local market access to meet with payers to secure regional as well as national market access for our portfolio. The positon should be able to transfer clinical outcomes to commercial message and economic benefits as well as quality of life parameters when possible
  • One of the primary tasks of this position is to monitor and anticipate relevant reimbursement developments in the statutory and private payer segment and to create action plans to address upcoming patient access challenges
  • Position should develop a clear clinical pathway in Country to achieve increased patient access routes in market
  • ADC products (coding, coverage & payment) in the statutory and private payer segment
  • Position will coordinate strategic initiatives and payer projects with the objective to penetrate awareness of ADC Products and its value under real-life conditions
  • Position will establish and leverage relationships to key stakeholders in the statutory and private payer segment, developing customer intimacy and aiming for mutually beneficial partnership opportunities
  • Position will be responsible for media surveillance within the Swedish market
  • Position will coordinate the work of communication through social media
  • Position will support Market Access in interaction with global market access team
  • Position reports to Market Access Manager Sweden and Finland
  • Analyze patient access trends I health policy changes and continuously map reimbursement requirements within the statutory and private payer landscape. Anticipate access barriers and cost containment risks. Negotiate funding and price for our products (if applicable) and support our pipeline products in reimbursement negotiations with statutory and private payers
  • Stay updated via surveillance of communications and analyze and diabetes policy issues and trends
  • Implementation of necessary contractual agreements for reimbursement including their maintenance and monitoring and internal communication and training
  • Differentiate ADC products adapting or evolving a global value story to a local healthcare context
  • In order to avoid price erosion and get preference. Develop appropriate communication platforms to reinforce the value messages for our products (e.g. workshops, payer info material) to statutory and private payers
  • Be a subject matter expert in HTA (health technology assessment) recommendations on medical devices for Continuous Glucose Monitoring
  • Adapt global Health Economic (HE) models to local health care context, where appropriate build own HE models and lead publication & communication activities
  • Understand, describe and prioritize most relevant (influential, accessible) patient access stakeholders (payers, governmental bodies, industry associations, professional associations and other stakeholders) for local ADC organization/business
  • Build trusted and strategic relationships with Key Opinion Leaders, payers and influencing stakeholders to anticipate payers· agendas, plans and objectives
  • Understand the specific needs of payers and reimbursement-related stakeholders and identify mutually beneficial partnering opportunities
  • Analyze market access trends I health policy changes and continuously map reimbursement requirements by payer type for on market products. Anticipate access barriers and cost containment risks. Negotiate funding and price (if applicable) and support our products in reimbursement negotiations and health technology assessments
17

Patient Access Manager Resume Examples & Samples

  • Oversee employees time and work schedules
  • Run reports for director
  • Train staff for new policies and procedures
  • Create policies and procedures that will better improve efficiency of employees
18

Patient Access Manager Resume Examples & Samples

  • Create a work environment for employees through team building, coaching, constructive feedback, work delegation, personal example and goal setting that encourage creativity, open dialogue on work issues, professional growth, and a consistent, high level of performance; encourage and supports employee decision-making within their scope of responsibilities
  • Accountable for KPIs for assigned Patient Access operations. Responsible for measurement and reporting of ongoing financial and operational performance. Ensure the implementation of action plans where performance is not meeting expectations. Recognize areas of excellence
  • Participates in and, where appropriate, leads cross functional revenue cycle projects
19

Patient Access Manager Needed Resume Examples & Samples

  • Collaborating with the Business Leader and Account Team to create and implement a locality access plan which is aligned to both franchise and team objectives incorporating both commissioning and service activities and informing the Key Account plans
  • Customer facing account management responsibility for NHS decision makers in their designated Health Economy
  • Represent Novartis and build trust and relationships with key commissioning stakeholders at a regional and local level
  • Build sustainable strategic relationships with key regional influencing centres that set guidance at a sub national level and have a broader national impact beyond the immediate local geography
  • Develop an in-depth understanding of national/local policy with the ability to influence and shape the local health economy
  • Ensure an optimum environment for the prescribing of the Novartis medicines to ensure patients have appropriate access
  • Secure and implement positive NHS policy (including guidelines, funding and budget inclusion) and NICE/SMC/AWMSG implementation
  • Represent Novartis and build relationships with relevant NHS stakeholders in order to ensure service/patient pathway challenges are identified and solutions implemented
  • To map the locality funding flows, decision making process and key commissioning stakeholders in order to inform and implement the business plan
  • Develop and implement partnership initiatives with customers where there is a prioritized patient need; principles of these initiatives are consistent with the franchise, business & account plan objectives
  • Build business cases/Joint working proposals and gain approval from Trust board and the Franchise Leadership team
  • Measure progress of agreed key commissioning & service activities designed to improve the speed and ease of patient access and optimise patient care in line with agreed KPIs and project management principles
  • Degree in related field (Science or Business) or equivalent education desired
  • Direct or indirect leadership experience with sales teams, service projects or commissioning customers
  • Matrix working
  • Key Account Management
  • Customer facing roles interacting with senior NHS staff
  • Market Access and/or Service Development experience
20

Patient Access Manager Resume Examples & Samples

  • Strong understanding of medical terminology
  • Relate well with medical staff, departmental staff, hospital staff and patients
  • The ability to handle stressful situations diplomatically and professionally
  • Ability to respond to the unexpected and identify/solve problems quickly
  • Must be able to manage, supervise and proactively communicate under pressure from multiple departments. Responsivities include making associate employment decisions as well as evaluating associates and coaching them to success
  • Ability to coach, train, and manage team leads and/or other managers
  • Ability to develop and articulate business strategies internally and externally
  • Fully proficient with all managerial functions
  • Ability to insure consistent implementation of programs across multiple business units or functions (e.g., IP, Client, and Functional)
  • Ability to proactively identify areas of potential for future business risks
  • Ability to assume on-call responsibilities as required
  • 5 years of experience in hospital Patient Access
  • 3-5 years of supervisory experience
  • Must reside in or be willing to relocate to Bakersfield, CA
  • 3-5 years in patient access or physician office environment
21

Patient Access Manager PA / PFS Altamonte Resume Examples & Samples

  • Self-motivator and quick thinker who is proactive and results oriented; responsive to ever-changing matrix of hospital needs and acts accordingly
  • Proficient in performance of basic math functions and communicates professionally and effectively in English, both verbally and in writing)
  • Four (4) year college degree in Business, Healthcare or Health Services Administration, Health Information Management, Communications, Finance, Accounting, Public Administration, Human Resources, Management, or Marketing (preferred)
22

Patient Access Manager, Krystexxa Resume Examples & Samples

  • Bachelor’s Degree required
  • Nursing experience is a plus
  • Patient interaction and support experience preferred
  • Biologic/biotech buy and bill experience in a reimbursement role preferred
  • Rheumatology therapeutic area experience a plus
  • Proven success in working in a cross functional environment
  • In good standing in territory one full year
  • Must live within expansion geography
  • ASD/RD & VP approval is required prior to applying for position
  • Meets job qualifications, level of experience and success competencies outlined for this role
23

Patient Access Manager Resume Examples & Samples

  • Must have understanding of and ability to interpret insurances, 501R and Financial Assistance according to Hospital, Federal and State guidelines
  • Knowledge of medical terminology, familiarity with HCPCS and ICD10 coding
  • At least 3 years of management experience
  • At least 5 years of relevant work experience
  • At least 5 years of Patient Access experience
24

Patient Access Manager Resume Examples & Samples

  • Assists in preparation for both short and long range planning recommendations for all Registration Process areas including: pre-service and point-of-service financial clearance activities and Patient Access functions. Actively practice budget/cost management
  • Develop and implement action plans as identified
  • Manages all operational metrics to ensure the department meets client and Conifer goals including, but not limited to Service Level Agreements and budgetary guidelines
  • Consistently manages staffing activities in areas of responsibility. This includes documentation and identification of needs, selection of staff, wage/salary activities, orientation and training. Grow/Mentor supervisors and ensure staff engagement and commitment to strategy, mission and goals. Communicate proactively and positively with direct supervisor to ensure personal growth in knowledge and skill set
  • Enforces departmental policies, practices, procedures and work rules in accordance with approved hospital policies and assists in the development of new policies according to hospital and corporate guidelines
  • Consistently communicates appropriate information to staff and provides feedback to Director and CFO. Communicates deficits and problems to supervisor with recommended solutions for improvements
25

Patient Access Manager Resume Examples & Samples

  • May manage multiple admission sites and develops procedures, organizes personnel and flow, and prioritizes department initiatives
  • Develops, evaluates and implements individual training plans and staff development programs for the department
  • Coordinates coverage for absent personnel
  • Assesses and communicates rates, charges, services, discounts, managed care contracts and hospital policies regarding payment of bills
  • Establishes and evaluates processes for the department including the collection of payments from patients upon admission/discharge
  • Develops and analyzes weekly, monthly and annual reports and communicates results to staff and management including monthly up-front cash collections, number of admissions/registrations per month, monthly pre-registration percentage
  • Monitors regulatory issues (federal and state) for compliance that impact the department
  • Oversees all admissions, registration, pre-certification/pre-authorization, insurance verification, financial counseling, on-site cashiering and bed control personnel
  • Monitors, tracks and evaluates performance including number of admissions/registrations per FTE per month, error rate for front-end staff, percentage of pre-registrations, customer satisfaction and patient wait times. Responds to complaints or inquiries as referred by the department staff
26

Patient Access Manager Resume Examples & Samples

  • Customer orientation- establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
  • Tactical execution- oversees the development, deployment and direction of complex programs and processes
  • PC skills- demonstrates proficiency in Microsoft Office applications and others as required
  • Financial management- applies tools and processes to successfully manage to budget
  • Minimum 3 years’ management experience required
27

Patient Access Manager Resume Examples & Samples

  • Manages the fiscal resources of the department in a manner that is financially responsible and consistent with the overall goals of the organization by
  • Preparing timely budgets consistent with the financial plan
  • Efficiently managing resources: labor, services, supplies, materials, communication/data, and space
  • Identifying opportunities to improve performance e.g. LOS, utilization of resources (overtime, supplies), variances
  • Analyzing work processing and removing inefficiencies. Reduces re-work and wasted materials/resources
  • Involving staff in cost containment
  • Demonstrates visibility and builds trust among team members; seeks opportunities to reward and recognize staff; fosters strong team cohesiveness within own area of responsibility
  • Creating an environment that yields efficient and effective work processes
  • Clearly defining roles and relationships within the team; cultivating strong working relationships among its members
  • Providing direct feedback to others; responds to staff issues quickly and directly
  • Empowering staff to share in decisions that affect their practice; recognizes the value of their contributions
  • Keeping projects on track; working with team to eliminate or minimize barriers. Addresses obstacles as they arise; coaches to minimize impact
  • Manages and develops human resources consistent with organizational values, guidelines, regulatory agencies, established contracts and legal requirements by
  • Ensuring that staff qualifications are consistent with job responsibilities; job descriptions reflect accurately performance expectations and requirements
  • Following Human Resources Guidelines for hiring, managing performance, and participation in workplace activities and services
  • Exercising discretion and astuteness during the interview and hiring process
  • Evaluating performance and competency to perform job duties within prescribed timeframes
  • Participating in the development and orientation of direct reports, managers and staff
  • Providing regular and constructive feedback. Offers negative feedback privately; respects confidentiality at all levels
  • Manages daily operations of Patient Access Department
  • Establishes benchmarks for staff productivity and quality --oversees monitoring of benchmark tracking
  • Ensures staff recruitment, development and provides input to Vice President on hiring and terminating employees. Keeps direct supervisor(s) informed of staffing deficiencies
  • Monitors registration staff schedules to ensure adequate coverage for patient flows
  • Schedules quarterly training sessions on new initiatives and updates related to customer service, new practice management system functionality, and insurance participation guidelines, etc
  • Ensures copayments and outstanding balances are collected from patients as needed
  • Manages interdepartmental operations communications and processes regarding registration functions
  • In conjunction with Clinical Management, establishes customer service standards for all Patient Access functions that align with Summit Medical Group's vision and mission. Includes oversight and support of staff not directly reporting to Patient Access located in the clinical offices
  • Collaborates with clinical managers to evaluate, improve and revise front desk workflows and processes
  • Acts as a liaison between Revenue Cycle and Clinical Services staff to provide training and education in insurance participation, collection of copays and outstanding balances, self-pay charge process, etc
  • Project management lead on rollout of new services and new system functionality or process change in pre-service area in organization
  • Consults with IT staff on system issues and functionality as it relates to pre-service functions
  • Develops and documents process improvement workflows in registration areas
  • Develops and delivers training as it relates to new system functionality and changes in workflow
  • Develop and documents new services workflows
  • Serves as project lead on rollout of new initiatives related to customer service and workflow enhancement for pre-service functions
  • Other job duties as required
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Patient Access Manager Resume Examples & Samples

  • Organization - Proactively prioritizes needs and effectively manages resources
  • Communication - Communicates clearly and concisely
  • Leadership - Guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services
  • Customer Orientation - Establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
  • Tactical Execution - Oversees the development, deployment and direction of complex programs and processes
  • Policies & Procedures - Articulates knowledge and understanding of organizational policies, procedures and systems
  • PC Skills - Demonstrates proficiency in Microsoft Office applications and others as required
  • Financial Management - Applies tools and processes to successfully manage to budget
  • Minimum of 1 year hospital experience in Patient Access department required