Oncology Access Manager

Description

POSITION SUMMARY:

The Access Manager oversees all patient access functions, ensuring efficient front-end operations and an exceptional patient experience. This role is responsible for managing customer service, patient registration, insurance verification, financial counseling, and time-of-service payment collections. In addition, the Patient Access Manager supervises the maintenance of patient health records and directs staff engaged in patient service activities.. 

CORE ESSENTIAL RESPONSIBILITIES:

• Leads and manages all patient access operations, including registration, scheduling, insurance verification, financial counseling, referrals, authorizations, and time-of-service collections to ensure efficient and compliant front-end operations. 
• Supervises, coaches, and develops Patient Access staff, including recruitment, onboarding, performance management, and staffing to ensure appropriate coverage and accountability. 
• Ensures all required referrals, pre-certifications, and authorizations are obtained prior to scheduled services to prevent treatment delays and minimize financial risk. 
• Oversees payment posting, daily cash reconciliation, and coordination with Revenue Cycle and Billing to support accurate and compliant billing processes and reduce denials. 
• Directs scheduling activities to ensure timely patient access, optimized provider utilization, and effective clinic flow. 
• Monitors operational, productivity, and patient experience metrics and implements process improvements to enhance access, service quality, and financial performance. 
• Ensures compliance with organizational policies, regulatory requirements, and standards related to patient access, medical records, electronic health records, and patient confidentiality. 
• Resolves complex patient, provider, and staff issues related to patient access and front-end operations. 
• Collaborates with physicians, clinicians, and administrative leadership to identify barriers to care and implement operational improvements. 
• Leads implementation and optimization of patient access technologies and workflows. 
• Performs other duties as assigned to support organizational goals.

Requirements

REQUIRED EDUCATION & EXPERIENCE

• Bachelor’s Degree in Healthcare Management or related program preferred.
• Minimum of five (5) years of patient access experience.
• Minimum of three (3) years of experience in leadership required.  

REQUIRED CERTIFICATES, LICENSE OR REGISTRATION

• Certified Healthcare Access Manager (CHAM) or Certified Revenue Cycle Representative (CRCR) certification required within two (2) years of hire.

REQUIRED KNOWLEDGE, SKILLS OR ABILITIES

• Comprehensive knowledge of patient registration, scheduling, insurance verification, authorization, and front-end revenue cycle processes. 
• Strong interpersonal, customer service, and communication skills, including professional telephone etiquette. 
• Knowledge of commercial and government insurance plans, coverage requirements, and reimbursement processes. 
• Understanding of financial counseling, time-of-service collections, cash handling, and basic financial management principles. 
• Proficiency in electronic health record (EHR) and patient access systems. 
• Knowledge of medical terminology and oncology-related clinical workflows. 
• Knowledge of applicable federal and state regulations, including privacy and compliance requirements. 
• Ability to manage difficult conversations and resolve conflicts with patients, families, providers, and staff in a professional manner. 
• Strong collaboration skills with clinical, operational, and revenue cycle teams. 
• Ability to analyze operational data, prioritize competing demands, and implement process improvements.