Navigant Consulting Inc Manager, Patient Access - Hospital Onsite - Navigant BPM - Rockville, MD in Lewisville, Texas

Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global professional services firm that helps clients take control of their future. Navigant’s professionals apply deep industry knowledge, substantive technical expertise, and an enterprising approach to help clients build, manage and/or protect their business interests. With a focus on markets and clients facing transformational change and significant regulatory or legal pressures, the Firm primarily serves clients in the healthcare, energy and financial services industries. Across a range of advisory, consulting, outsourcing, and technology/analytics services, Navigant’s practitioners bring sharp insight that pinpoints opportunities and delivers powerful results. More information about Navigant can be found at navigant.com.

Navigant Cymetrix unites the strengths of four category-leading companies to address the complexities of today’s healthcare system. We design, develop and implement integrated, patient-centered solutions for sustained improvements in performance and profitability, working collaboratively across a spectrum of customers that encompasses hospitals, health systems, physician practice groups and payers.

This Patient Access Manager is responsible for developing, implementing and managing the efficiency and effectiveness of the Patient Access Departments. This includes activities in scheduling, pre-admission, pre-registration, admission, registration, and quality assurance. This position will work closely with the Managers of HIM and Patient Financial Services to apply new and emerging approaches to our business processes. Also performs any and all related job duties as assigned.

If you have Patient Access Management experience within an acute care hospital setting, please contact Chris Rivera (Manager, Talent Acquisition) at (714) 361-6836 .

Essential Job Functions

  • Human Resource Leadership

  • Revenue Cycle Consulting/Management

  • Customer Service/Continuous Improvement

  • Professional Development

  • Department Development

Duties and Responsibilities

Customer Service/Continuous Improvement:

  • Promotes a service-oriented culture within the organization and assures satisfaction with the quality and amount of support provided for departmental functions, initiatives and projects.

  • Assesses and responds to current and future internal and external healthcare trends in order to establish and ensure the necessary direction for revenue cycle activities.

  • Continually seeks ways and means for improving the delivery and support of Patient Access activities and programs.

  • Assures that all departmental systems incorporate the principles of total and continuous quality improvement while exceeding the expectations of the customers.

  • Assures satisfaction among customer groups with the quality and amount of support provided by monitoring and responding appropriately to outcomes and feedback.

  • Understands the job functions of all Patient Access staff, is aware of process flow across departments, and involves them, as appropriate, when recommended actions may impact their work functions.

Department Development:

  • Provides input into strategic plans, goals, objectives and budgets for Patient Access Department.

  • Assists with implementation plans.

  • Provides input into Job Descriptions for Patient Access positions.

  • Develops operational procedures related to Patient Access Department that are site-specific and aligned with Navigant Cymetrix standards.

  • Researches and recommends various technology tools available to support Revenue Cycle initiatives.

  • Performs on-site operational reviews of various Patient Access processes and publishes recommended action plans/proposals in consultation with the Regional Director of Patient Access and Account Executive.

  • In conjunction with other department leaders, implements strategic and operational initiatives in Revenue Cycle Management.

  • Develops and utilizes monitoring and reporting techniques and systems.

In all cases, the Patient Access Manager is responsible for the following:

  • Supervision as required by the Management Agreement.

  • Action plan development, monitoring and updates.

  • Reporting of Revenue Cycle Indicators, Forecasts, etc. related to Patient Access.

  • Achievement of specific performance objectives outlined for Up Front Collections; Registration Indicators & Quality Assurance.

Client Responsibility

  • Oversees the processes of scheduling, pre-admissions, inpatient; outpatient & emergency department admissions, as directed by the Regional Director of Patient Access and Account Executive.

  • Complies with hospital, department, and unit standards, including but not limited to safety, quality management, environmental, confidentiality and patient care.

  • Prioritize work and provides prompt and efficient service.

  • Demonstrates competency in selected administrative skills, including but not limited to:

  • Overall responsibility for hiring staff in scheduling of admissions, pre-certification, pre-registration, insurance verification, up-front cash collection, and financial counseling, outpatients and ER patients.

  • Develop and monitor specific objectives, budgets, and performance standards for each area of responsibility.

  • Establish policies and procedures for scheduling, admissions, pre-certification, pre-registration, insurance verification, up-front cash collection, bed control and ensure compliance.

  • Coordinate with all appropriate departments within the hospital to ensure completion and accuracy of registration process, especially care management and ER care delivery.

  • Stay up-to-date on all regulatory issues and ensure compliance.

  • Ensure optimal staffing at all times. Communicate individual and team goals.

  • Respond to complaints or inquiries as referred by the department staff.

  • Collaborates with Quality Assurance/Trainer to assess quality of registrations and coordinate necessary training.

  • Demonstrates “TBD” skills, including but not limited to participating and communicating in an articulate and persuasive manner with peers, staff, and management.

  • Participates in the development and attainment of team, department, and hospital goals.

  • Performs other related duties as assigned or requested.

  • Ensures compliance to HIPAA and HITECH regulations to protect and secure all PHI of patients and client-proprietary information.

  • Demonstrates responsibility and accountability for own professional practice in regards to:

  • Attending and participating in team meetings;

  • Utilizing email, memos, formal and informal meetings to disseminate information;

  • Volunteering or accepting assignments for projects;

  • Abiding by the hospital’s (client’s) mission, vision and team ground rules

  • Bachelor’s Degree or equivalent experience.

  • Two years hospital management experience in revenue cycle functions, preferred.

  • Demonstrated competency in working in teams and ability to effectively communicate with all levels.

  • Demonstrated leadership in creating and implementing new processes.

If you have Patient Access Management experience within an acute care hospital setting, please contact Chris Rivera (Manager, Talent Acquisition) at (714) 361-6836 .

Administrative Skills:

  • Computer literate.

  • Excel

  • Ability to make presentations to large and small groups within the client/hospital.

  • Strong verbal communication and interpersonal skills.

  • Ability to work well with staff, peers, members of top management and physicians.

  • Ability to organize, develop work plans, determine scope or projects, assign appropriate resources, set priorities and meet time lines.

  • Excellent math and writing skills.

  • Strong conceptual, as well as quantitative and qualitative analytical skills

  • Work as a member of a team as well as be a self-motivator with ability to work independently

  • Constantly operates a computer and other office equipment to coordinate work

  • Frequently travels by airplane, train or car as necessary to perform work at another location

  • Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data

  • Generally works in an office environment

Navigant Cymetrix is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information or any other basis protected by law, ordinance, or regulation.

Navigant will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.