Patient Access Manager, Full Time - Days
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- United States
- Work type
- Remote
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Be a part of a world-class academic healthcare system, UChicago Medicine, as a Patient Access Manager with our Rev Cyle Admin Department. We are committed to a patient-centric, efficient health care delivery system that focuses on quality, safety, service, and operational excellence. This position is a Flexible Remote opportunity. You will need to be based in the greater Chicagoland area.
Responsible for the overall managerial oversight, strategic execution, and operational performance of front-line Patient Access operations supporting the Revenue Cycle. The Manager provides leadership and direction to supervisors, leads, and frontline staff across functions such as patient registration, Emergency Department access, insurance eligibility and benefits verification, authorization and precertification, point-of-service collections, financial clearance, and related patient access workflows. The Manager ensures efficient, accurate, compliant, and patient-centered processes that support timely access to care, optimize reimbursement, and minimize financial risk.
The manager demonstrates a strong understanding of healthcare revenue cycle operations and commercial, government, and managed care payers, including Medicare, Medicaid, Managed Medicaid, TRICARE, Medicare Advantage, and Commercial HMO, PPO, and Exchange plans. The Manager oversees workflows related to eligibility, benefit verification, authorization requirements, registration accuracy, coverage validation, patient financial responsibility, and other front-end activities that impact the patient experience and revenue cycle performance.
Essential Job Functions
- Provides direct oversight of daily operations, staffing, productivity, training, coaching, performance management, workflow optimization, and regulatory compliance while ensuring consistent standards across Patient Access functions.
- Demonstrates advanced knowledge of health insurance plans, payer requirements, benefit structures, and authorization guidelines, with proficiency in utilizing available payer tools and systems to accurately verify eligibility, benefits, network status, and authorization requirements.
- Serves as escalation point for complex or high-risk cases, resolving payer disputes and time-sensitive precertification and insurance verifications issues that staff are unable to resolve independently, often requiring direct payer contact as well as service recovery with patients and our clinical stakeholders. Partners closely with clinical, administrative, Revenue Cycle, Managed Care, Information Technology, and other organizational leaders to resolve operational issues, streamline processes, strengthen cross-functional workflows, and achieve organizational goals.
- Monitors operational performance through key performance indicators, work queues, audits, denials, point-of-service collections, registration accuracy, authorization turnaround times, and other departmental metrics to identify trends and drive continuous improvement.
- Develop departmental workflows, policies, standard operating procedures, and staff education programs to support evolving payer requirements, regulatory changes, and organizational initiatives.
- Fosters a culture of accountability, collaboration, service excellence, and continuous improvement while ensuring frontline teams are equipped to deliver accurate, efficient, compassionate, and patient-centered financial access services across the organization.
- Performs additional leadership responsibilities, special projects, reporting, and other duties as assigned
Required Qualifications
- Certified Revenue Cycle Representative (CRCR) preferred. Education: High school diploma required; Associates degree in a business or accounting function, or the equivalent is preferred. Experience: A minimum of 1-3 years of supervisory experience. Additionally, a minimum of 2 years of prior revenue cycle experience
Position Details:
- Job Type/FTE: Full-Time / 1.00 FTE
- Shift: Days
- Unit/Department: Rev Cycle
- Work Location: Flexible Remote (will need to be onsite as needed)
- CBA Code: Non-Union