Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Patient Access Manager is responsible for the 24/7 operations of all Patient Access Service areas. The Manager will guide revenue cycle team members supporting registration, pre-registration, and overall financial clearance for both scheduled and unscheduled services.
Solid operational knowledge and performance of revenue cycle processes to include DNFB, POS, MS4 host system, JCAHO, CDPH, and CMS regulations allowing for compliant and timely release of claims for billing. A leader with solid communication and team-building skills responsible for sustaining both team member and patient satisfaction metrics. Ability to interact and be the face of Optum with clients in day-to-day operations.
Responsible for effectively assisting the Facility Director with the work of assigned staff within the parameters of designated performance standards and metrics. The Facility Manager is expected to motivate Supervisors and Managed staff to achieve the highest levels of customer satisfaction and to meet the organization goals for customer service and financial performance. The Facility Manager interacts with other departments within the assigned client site(s) and serves as a representative of the corporate Patient Access Revenue Cycle Operations department. The incumbent attends managerial meetings as required and supports the core values of Optum360, which is an integral part of this position.
Although this position is primarily focused upon the provision of services at the Facilities (St John Regional Medical Center and St John Hospital Camarillo), the position directly reports to the Facility Director and has frequent contact with Regional Patient Registration Leaders, as well as facility-based clinical and administrative leadership. Primary focus is the leadership, training, and mentoring of all registration staff.
Primary Responsibilities: Effectively manage Supervisors, monitor/assure positive accountability culture between Managed staff and Management. Effectively conduct mentorship and training for Supervisors and Team Leads. Ability and availability to cover Supervisor duties & work any shift when needed to improve process in patient access areas. Assist Director to provide system-level oversight for the development of processes and initiatives designed to improve Revenue Cycle performance in assigned areas. Assist Director to provide system-level oversight for Optum360 client improvement programs and initiatives related to assigned Patient Access activities. Effectively participate in Patient Access Quality Assurance, Patient Satisfaction, Client Satisfaction, Employee Engagement, and Process Improvement activities. Lead by example, promote teamwork and operational relationships by fostering a positive, transparent, and focused working environment. Maintain and demonstrate expert knowledge of the application of Patient Access processes and best practices. Know, understand, incorporate, and demonstrate the Optum360 Mission, Vision, and Values in behaviors, practices, and decisions. Serve in a leadership role and promote positive Human Resource Management skills. Provide leadership for departmental services through collaboration with customers, employees, physicians, clinics, and other departments. Manage assigned staff to ensure steady workflow balance and high-quality outcomes. Educate physicians, physician office staff, and organizational associates regarding assigned Patient Access requirements. Identify action plans to improve the quality of services in a cost-efficient manner and facilitates plan implementation. Prepare required reports using statistically sound information. Maintain professional development and growth through journals, professional affiliations, seminars, and workshops. Perform other duties as needed and assigned by the Facility Director. Assist Facility Director with project work plans, facilitates resource allocation, executes project tasks. Maintain a working knowledge of applicable federal, state, and local laws and regulations. Required Qualifications: High School Diploma or GED. 4+ years of experience working in an acute care hospital. Experience in a leadership role in a Hospital setting. Experience with the major Patient Access technologies. Proven knowledge of compliance and all admitting functions. Intermediate or greater level of proficiency with Microsoft Excel, Word, PowerPoint. Preferred Qualifications: Healthcare trade certifications. Acute Care Facility Patient Access Department leadership experience. Experience leading or participating in large Patient Access-related IT and/or Contact Center program implementation. Soft Skills: Excellent interpersonal skills and the ability to work with multi-disciplinary departments. Excellent presentation skills; comfortable presenting information to large groups. Ability to analyze and solve tasks to ensure optimal outcomes. Excellent organizational skills required. Exemplary level leadership and business driver skills. Exemplary level ability to influence change and serve as primary change agent. Demonstrated client service orientation. Proven program management skills with the ability to lead and manage multiple projects. Ability to work with a variety of individuals in executive, managerial, and staff level positions. Ability to negotiate with insurance vendors, medical directors, and 3rd party payers. Operational knowledge of Federal and State regulations pertaining to patient admissions.
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