Pre-Access Manager
Billings Clinic

Job Info

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Under the supervision of the Patient Access Director, the Pre-Access Manager establishes and coordinates all aspects of the financial pre-admission process for all Billings Clinic.
The Pre-Access Manager responsibilities include but are not limited to: referral, insurance verification, patient estimation and pre-certification processes for all scheduled patients; pre-registration for all scheduled patients, including upfront collections; communication and coordination with financial counseling for patients who may qualify for assistance; collaboration with clinical department management on problematic cases; delay/defer processes; productivity management; and data analysis. Assures development of a high-
performance work team through coaching, mentoring, and daily briefings. Ensures compliance with JCAHO standards and HIPPA regulations. Develops and maintains working relationships with physicians and office staff, as well as other customers within and outside the facility.

Essential Job Functions

• Pre-Certification/Pre-Registration
• Ensures patients are pre-registered in an efficient and effective manner, according to policies/procedures set forth by Billings Clinic. Standard: 90% of scheduled patients are pre-registered in advance.
• Ensures that insurance is verified, and pre-certifications/authorizations are obtained timely. Standard: 95% of scheduled patients will have insurance verified/authorizations obtained in advance.
• Ensures upfront collections meet monthly targets.
• Ensures minimal errors are made by staff. Tracks errors, by team member, provides coaching to those who exceed the threshold and works with HR regarding staff who cannot reach goals.
• Ensures productivity goals are met by staff. Monitors productivity daily, minimizing overtime. Submits monthly productivity outcomes to System Director.
• Ensures patients are identified for possible financial assistance and refers those cases to the financial counseling team.
• Performs random samples of team members work to ensure adherence to standards. Ensures that Account Notes are consistently used as a communication vehicle regarding account activity.
• Implements quality improvement initiatives geared at improving customer satisfaction. Ensures that scripting/key words are utilized by team members in accordance with department policies and procedures.
• Collaboration, partnership and communication
• Collaborates and communicates effectively with customers, including MD offices, clinical department leadership, and patients
• Demonstrates proficiency in data analysis and reporting related to department activity/metrics.
• Ensures effective and timely communication related to delay/defer accounts, in accordance with Billings Clinic policies.
• Promotes and establishes an atmosphere of continued improvement by motivating, coaching and staff development, and through evaluation, development and/or revision of department policies and procedures.
• Educates and ensures that all employees understand Compliance and appropriate procedure for reporting compliance issues for State, Federal and
• HIPAA
• Provides leadership in problem identification and resolution and coordinates resolution between departments as needed.
• Conducts regular team and departmental meetings for purposes of education, goal monitoring, and feedback inquiries. Submits timely minutes of meetings in
• accordance with facility requirements. Ensures employees have the tools necessary to achieve goals.
• Develops staff appraisals in accordance with Billings Clinic policies and productivity metrics. Counsels staff and handles disciplinary action as necessary. Interviews
• potential candidates for departmental vacancies
• Assists in development of department budgets. Analyzes costs, develop programs to assure compliance with budgetary constraints and provides
• SERVICE - \"The privilege of reaching out to meet the needs of others.\"
• Focuses on the customer; identifies the customer's needs; responds to the customer; satisfies the customer; takes ownership.
• Responds immediately to customer's needs and solving repetitive service problems.
• Demonstrates enthusiasm and positive attitude with customers most in need.\"
• Adheres to organizational and departmental policies regarding tardiness, breaks, time clocks, and use of benefit time.
• Demonstrates accountability for responsibly managing resources by completing work on time and using supplies as appropriate.
• Prioritizes the needs of customers especially those most in need.
• Demonstrates knowledge of and compliance with applicable federal and state laws and the Standards of Conduct.
• Other Duties as Assigned
• Serves on committees as appropriate.
• Performs other duties as assigned or requested.

This job has expired.