Sr. Manager, Consumer Access

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

1500 SW 1ST AVE

City:

OCALA

State:

Florida

Postal Code:

34471

Job Description:

Reviews all collection reports available, communicates outcomes to team and leadership timely, and provides accurate statistical records and reports. Identifies best ways to mentor individual team members to success, reviews employee files, communicates written and verbal directions to employees with their managers, evaluates disciplinary documentation and action plans, and provides team members with tools and training needed to assist in meeting accuracy standard goals. Plans, strategizes, organizes, directs, and manages all areas of the Consumer Access department and other departments as identified by leadership to mentor staff, manage budget and labor, and meet departmental, system goals. Coordinates with Consumer Access Managers across the system to proactively identify problems for expedited resolution, creates synergies, maintains bidirectional communication, and acts as a point of accountability between Consumer Access and clinical, administrative, and payer partners. Participates in committees across functions and/or departments as needed, collaborates with Patient Financial Services, Contract Management, Case Management, and other related departments to identify issues resulting in potential or actual denials, and holds leaders and staff accountable for errors. Assesses the work performance and productivity of teams under departments under span of control and works with team leadership to identify areas of improvement.. Accountable to all departments, service partners, and clinical offices for the performance of all departments under span of control and serves as the point of contact for any unresolved issues or those requiring service recovery measures. Other duties as assigned. Meets with leadership to review budget goals, sets and manages staff levels to work within set labor standards, limits use of overtime while providing necessary coverage, and regularly reviews monthly budget and volume reports. Serves as a resource and educator regarding interdepartmental and payer questions, ensures team members understand the importance of clear and thorough assessments of patient benefits, authorizations, accurate patient portion estimates, and accurate demographic information. Focuses on process improvement strategies with special attention on interactions between all market Consumer Access teams to ensure they produce an efficient and smooth process for working benefits, authorizations, and the pre-registration of accounts with patients.Knowledge, Skills, and Abilities:
• Proficient in time management with superior prioritization skills [Required]• Self-motivator and quick thinker who is proactive and results-oriented [Required]• Ability to present with confidence and communicate processes and protocols clearly to high-level medical, business and administrative staff [Required]• Ability to be responsive to ever-changing matrix of hospital needs and act accordingly [Required]• Mature judgement in dealing with patients, physicians, and insurance representatives [Required]• Strong competence in Microsoft programs (Excel, PowerPoint, and Word) and familiarity with database programs [Required]• Ability to operate general office machines such as computer, fax machine, printer, and scanner [Required]• Ability to effectively learn and perform multiple tasks, and organize work in a systematic and efficient fashion [Required]• Ability to communicate professionally, both verbally and nonverbally, and utilizes effective listening and questioning techniques [Required]• Ability to manage diverse personalities [Required]• Ability to follow complex instructions and procedures, with a close attention to detail [Required]• Adheres to government guidelines such as CMS, EMTALA, and HIPAA and corporate policies [Required]• Exceptional customer service skills [Required]• Advanced understanding of insurance knowledge and benefits [Required]• Advanced understanding of hospital electronic medical report (EMR) system [Required]• Basic medical terminology [Required]• Understanding of HIPAA privacy rules and adroit ability to use discretion when discussing employee/patient related information that is confidential in nature [Required]• Skilled to mentor and coach leadership for optimal success [Required]• Must be able to read, write, and speak conversational English [Required]• Intermediate medical terminology [Preferred]• Bilingual – English/Spanish [Preferred]

Education:
• Bachelor’s [Required]

Field of Study:
• in health services administration or other related medical or business field

Work Experience:
• 2+ customer service experience [Required]• 2+ supervisory experience [Required]• 3+ direct patient access experience [Required]• 3+ revenue cycle experience [Required]

Additional Information:
• N/A

Licenses and Certifications:
• Certified Healthcare Access Manager (CHAM) [Preferred]• Change Management Certification (PROSCI) [Preferred]• Certified Revenue Cycle Rep (CRCR) [Preferred]

Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements – https://tinyurl.com/23km2677

Pay Range:

$72,786.83 – $135,385.27

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.