Manager – Pre-Access Services

🔥 3 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $37 - $64 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Carle Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1946

⚕️ Healthcare Insurance

🏥 Healthcare

📚 Education

Healthcare Insurance • Healthcare • Education

Carle Health is a comprehensive healthcare provider dedicated to managing the health needs of its community. Offering a wide range of services, from general medical care to specialized treatments in oncology, cardiovascular, pediatrics, and women's health, Carle Health emphasizes quality patient care and community health initiatives. Additionally, it supports education and research through the Carle Illinois College of Medicine and engages in community health programs that aim to improve overall well-being.

📋 Description

• 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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