Manager – Pre-Access Services
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Job Description
Patient access manager overseeing scheduling, registration, financial clearance, and collections for Carle Health. Leading teams and improving front-end revenue-cycle performance across Illinois healthcare operations.
Responsibilities:
- Oversee daily operations of financial clearance, estimates, scheduling, and pre-registration
- Monitor workflows, work queues, productivity, and quality against performance standards
- Establish staffing plans, schedules, and coverage for patient volumes and service levels
- Monitor labor hours, supply expenses, and volumes to operate departments cost-effectively
- Ensure compliance with regulatory requirements, payer guidelines, and Carle policies
- Ensure financial clearance before service, including eligibility and benefit verification, insurance validation, and identification of patient financial responsibility
- Resolve payer issues with payer contracting
- Oversee accurate cost estimates for procedures and outpatient services
- Promote point-of-service and pre-service collections and connect patients with payment options and assistance programs
- Analyze denials and estimate accuracy trends and implement corrective actions
- Supervise, hire, onboard, train, and develop supervisors, leads, and team members
- Lead change management for new workflows, technology, automation, and process improvements
- Translate strategic goals into actionable plans, measurable outcomes, and team priorities
- Foster an engaged, inclusive, and high-performing culture
- Prepare and present performance reports, dashboards, and updates to the Patient Access Director and leadership
- Perform other duties as assigned
Requirements:
- Bachelor's Degree in a related field
- Certified Healthcare Access Manager (CHAM) certification within 2 years through the National Association of Healthcare Access Management (NAHAM)
- Understanding of payer requirements and patient financial responsibility
- Knowledge of regulatory requirements, payer guidelines, price transparency, No Surprises Act, and Illinois Fair Patient Billing Act
- Ability to oversee scheduling, registration, financial clearance, insurance verification, estimates, and financial counseling operations
- Ability to supervise, hire, onboard, train, and develop supervisors, leads, and team members
- Ability to lead workflow, technology, automation, and process improvements
- Ability to prepare and present performance reporting and dashboards
Benefits:
- Comprehensive benefits package
- Equal opportunity workplace
- Professional growth and lifelong career opportunities
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