Patient Access Manager
Full Time
Albuquerque, NM 87113
Posted 1 day ago
Job description
Overview:
Location and Commitment:
Education Essential:
Bachelor Degree
Responsibilities:
We offer more than the standard benefits!
Learn more about our employee benefits:
https://www.phs.org/careers/employee-benefits/Pages/default.aspx
Why work at Presbyterian?
Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 New Mexicans.
About Presbyterian Healthcare Services
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
About New Mexico
Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day. Our landscapes are as diverse as our culture - from mountains, forests, canyons, and lakes, to caverns, hot springs and sand dunes.
New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
Now hiring a Manager Business Informatics Patient Access!
As a Manager Business Informatics Patient Access, you are responsible for overseeing and coordinating specialty engagement in Epic content development and optimization consistent with organizational initiatives; providing testing, ad hoc training across business units; promoting and supporting end user adoption; designing to cross-functional organizational workflows within revenue cycle systems across departments in the clinical setting.- Responsible for the operational oversight of Patient Access Inpatient and outpatient inflow denial support, revenue /reconciliation and central insurance verification functions and is accountable for development of applicable policies and procedures. Provides leadership consistent with organizational strategy and works to achieve established results categories to include clinical outcomes, customer loyalty, staff focus, growth, and financial outcomes.
- Serves as a subject matter expert of advanced Epic system, revenue cycle workflows and 3rd party software applicable to these workflows.
Location and Commitment:
Full Time
FTE: 1.000000
Exempt: Yes
Work Schedule: Days
Qualifications:
FTE: 1.000000
Exempt: Yes
Work Schedule: Days
Bachelors degree required. Masters preferred.
6 years of additional experience can be substituted in lieu of degree 4 years of application specific experience.
At least two years operational or clinical experience required, with business or financial experience preferred.
Epic certification preferred.
6 years of additional experience can be substituted in lieu of degree 4 years of application specific experience.
At least two years operational or clinical experience required, with business or financial experience preferred.
Epic certification preferred.
Education Essential:
Bachelor Degree
Responsibilities:
Specific Functions
- Partner in the effort implementing and maintaining Patient Access systems by comprehending business and operational practices to improve the quality and efficiency of patient care with the use of clinical information systems.
- Oversees the strategic design, implementation and maintenance of Patient Access hospital Inpatient & Outpatient Business Informatics initiatives.
- Provides senior level consulting services related to PA Hospital Business Informatics issues EW. Applies analytical and project management methodologies to evaluate and implement large, technically difficult projects in these areas.
- Provides direction and consultation for collection, data analysis, presentation and development to support the needs of the PA department enterprise wide.
- Oversees Business Analyst team task of Data Mining to help with PA hospital organizational strategies and to help with key respective decisions.
- Facilitate/participate in group design with subject matter experts, translating organizational/specialty/department needs and requirements into automated systems design.
- Familiar with and influences the corrections of accounts review and revenue capture processes for PA hospital Inpatient & Outpatient billing across the enterprise.
- Works closely with Hospital Service Lines to ensure that professional revenue reconciliation processes are in place and escalates issues relative to charge capture and revenue routing to Finance/Revenue Cycle Leadership. Specifically, in the area of Inflows Denials improvement.
- Oversees the Insurance Verification/Pre-registration process across PA EW by integrating and maintaining the Experian eligibility clearinghouse and Experian Registration Quality Alerts (or other 3rd party tools). Oversees this specific vendor relationship.
in process improvement and management. - Performs other functions as required.
We offer more than the standard benefits!
Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more!
Learn more about our employee benefits:
https://www.phs.org/careers/employee-benefits/Pages/default.aspx
Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. For our employees, we offer a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more.
Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 New Mexicans.
About Presbyterian Healthcare Services
Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
About New Mexico
New Mexico continues to grow steadily in population and features a low cost-of living.
Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day. Our landscapes are as diverse as our culture - from mountains, forests, canyons, and lakes, to caverns, hot springs and sand dunes.
New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
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