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Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.

About the Role:

Job Summary

Working under the supervision of the Administrative Director, the Patient Services Representative Manager provides direct oversight of the patient service processes/staff to include tracking productivity, report development, scheduling, adherence to policy, staffing and training. The Patient Access Manager is responsible and will work congruently with the staff to support and assist in the development and implementation of best practice, utilizing technical and financial resources appropriately. This person will act as a liaison between the physicians, clinic staff, clerical staff and patients.

Minimum Job Qualifications

• Licensure or other certifications:

• Educational Requirements: High School Diploma or GED.

• Minimum Experience: Minimum of 3 (3) years hospital or physician experience. Previous management experience preferred.

• Other:

Preferred Job Qualifications

• Preferred Licensure or other certifications:

• Preferred Educational Requirements: Associates Degree in related field.

• Preferred Experience: Minimum of two (2) years medical terminology, medical scheduling or front desk.

• Other:

Job Specific and Unique Knowledge, Skills and Abilities

• Excellent verbal and written communication skills

• Good organization skills

• Ability to test, analyze, troubleshoot and isolate complex problems

• Ability to compile documentation for quality improvement processes

• Ability to work tactfully and effectively with team members, physicians, and other clients
  

Essential Tasks and Responsibilities

• Primarily responsible for the day to day operations of the front desk/scheduling depts; this includes, staffing, monitoring patient volume, assisting in routine registration/scheduling related issues, and aiding in any patient related questions or concerns that cannot be reconciled by staff level employees (i.e. payment for service decisions).

• Responsible for ensuring effective communication to clinical staff, patients, physicians, and management in the event that registration/scheduling process changes, errors, or questions arise.

• Maintains knowledge regarding insurance carriers. HIPAA, Billing and Collection Regulations, OSHA, etc. to ensure compliance.

• Develops and maintains written policies and procedures for Front Office and scheduling duties. Ensures policies and procedures are being implemented and monitors activities for quality, effectiveness and timeliness.

• Demonstrates excellent detail management as well as possesses strong self-motivational skills; demonstrating consistent, reliable, credible, respectful and timely service to patients, physicians, offices, and other clients.

• Understands and is able to utilize all systems accurately and efficiently (that are utilized by patient services representatives).

• Ability to communicate and implement (in an accurate and timely manner) process change as needed to accommodate high volume, inadequate staffing levels, or other unforeseen circumstances that may arise.

• Responsible for tracking and trending errors and accuracy levels within the department. In addition, provides feedback to training team for training needs within the department. Also, willingly participates in education and training efforts to maintain knowledge level in a constantly changing environment.

• Adjusts routines and schedules necessary in order to complete daily assignments and maintains supportive coverage within area of responsibility/locations.

• Reviews daily quality, productivity, and other reporting and provides communication regarding any concern or trends to management and employees.

• Responsible for interviewing, hiring and onboarding new employees.

• Conducts staff performance evaluations. Also, provides disciplinary/corrective action as needed.

• Assists in budget development and manages resources within budgetary constraints (time and attendance, supply ordering, overtime, etc.)

• Utilizes time management skills to ensure completion of daily processes.

• In addition to the above criteria, the manager will be responsible for and must be proficient in all job duties of a Patient Services Representative and those duties include, but are not limited to: Accurate scheduling of all procedures related to The Heart Center; knowledge of medical necessity verification; capturing and documenting all pertinent patient demographic information for creating pre-registrations; confirming insurance coverage and verification of benefits; obtaining pre-certification if applicable; creating estimates for patient liability; collecting patient liability including copays, deductibles, and coinsurance.
  

Physical Demands

• Weight Lifted: Up to 50 lbs, Occasionally 0-30% of time

• Weight Carried: Up to 20 lbs, Occasionally 0-30% of time

• Vision: Moderate, Frequently 31-65% of time

• Kneeling/Stooping/Bending: Frequently 31-65%

• Standing/Walking: Frequently 31-65%

• Pushing/Pulling: Frequently 31-65%

• Intensity of Work: Frequently 31-65%

• Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding

Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.

NGHS: Opportunities start here.

Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.