Manager, Pre-Access Services

Summary: Oversee operations of scheduling, insurance verification, authorization/referrals, and financial clearance departments. Essential Duties and Responsibilities These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned. * Provides day-to-day operational leadership for Pre-Access Services, including staffing, performance management, and employee relations. * Oversees hiring, onboarding, training, evaluations, and disciplinary processes. * Serves as a liaison between patients, families, providers, and internal teams to ensure coordination of care. * Ensures compliance and quality control standards are consistently met across all functions. * Acts as a subject matter expert (SME) on diagnostic procedures, workflows, and patient access processes. * Leads and supports scheduling operations for multiple tests and procedures to maximize efficiency. * Partners with clinical teams to optimize schedules, resource utilization, and revenue outcomes. * Maintains and updates scheduling templates, protocols, and workflow instructions. * Serves as an SME on insurance, including coverage, authorizations, and payer requirements. * Applies knowledge of ICD coding, medical necessity, and patient financial communication (e.g., ABNs). * Monitors industry trends and payer changes to ensure ongoing compliance and best practices. * Utilizes reporting and dashboards to drive performance, productivity, and ≥96% accuracy standards. * Leads customer service and service recovery efforts to enhance patient experience. * Provides hands-on support, staff mentoring, cross-coverage, and technical guidance as needed. * Drives employee engagement and retention while maintaining a consistently professional presence and communication style. Supervisory Responsibilities Reports to: Pre-Access Services Supervises: Schedulers, Financial Services Rep, Verifiers, Pre-Registration, Authorization Coordinators Responsibilities: Responsible for the daily operations, quality, and service of the Pre-Access Services department, including but not limited to Central Scheduling, Pre-Registration, Insurance Verification, Authorization/Referral Management, and Financial Clearance for hospital-based services. This role includes oversight of the high-volume Patient Access Contact Center that services patients seeking care with various entities using multiple scheduling/registration/billing platforms. This role also includes all aspects of financial clearance (estimates, insurance verification, auth/referral, pre-service payments, financial assistance, etc.). Ensures the department exemplifies service excellence, professionalism, and responsiveness to both internal and external customers. Provides leadership and administers human resource policies and practices in a multi-skilled, multi-functional environment. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and Experience Minimum Required Education: Bachelor's Degree; Four (4) years of management experience will be considered in lieu of degree. Preferred Education: Master's degree Experience: 5 years of experience within healthcare revenue cycle setting required. One year experience with Epic EMR is required. Certificates, Licenses, Registrations: Professional certification required within one (1) year of hire.; Certified Healthcare Access Manager (CHAM), Certified Revenue Cycle Representative (CRCR), or Prior Authorization Certified Specialist (PACS) certification preferred.