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Manager Patient Access

MedStar Health
United States, D.C., Washington
Sep 12, 2025

General Summary of Position
Under the direction of the Director of Central Financial Clearance, efficiently plans, organizes, manages, staffs, evaluates and directs Financial Clearance & Registration (includes Inpatient, Ambulatory Surgery and Outpatient Visits), Financial Counseling, International Services, and on-site ACD Tie-Line functions and personnel of the Central Financial Clearance Department. Consults with physicians, physician office personnel, service line directors, care managers, and others regarding utilization review regulations, issues, concerns and third party payor expectations. Motivates staff to achieve the highest level of customer satisfaction and meets the organizational goals for customer service and financial performance. Optimizes staff performance through process redesign, policy/procedure implementation, communications, and outcome feedback. Includes professional development and empowerment of staff, management of human, fiscal and other resources to promote desired outcomes with attention to quality, efficiency and cost. Interacts with other departments as required and serves as the representative of the Central Financial Clearance department. Supports the Mission and Vision of Washington Hospital Center.

Primary Duties and Responsibilities

  • The following major functions describe the essential duties of positions in this job classification. Individual positions may not perform all of these tasks and/or may perform additional related tasks not listed here. It is the incumbent's responsibility to understand the immediacy of work functions and prioritize all activities to meet department and customer requirements.
  • Manages Central Financial Clearance Team Leads and Representatives, including Financial Clearance, Financial Counselors, International Services, ACD Tie-Line staff; supervises satellite staff located in Site of Service areas.
  • Manages workflow activities and formulates policies and procedures relating to Central Financial Clearance departmental performance and International Services. Evaluates and recommends programs, procedures for improved operations, modifications to and/or implementation of new procedures.
  • Manages International Services operations including but not limited to: departmental administrative support, foreign language interpreters' assistance, international patient registration and admissions, department budget/finances, and the international executive physical and wellness program.
  • Establishes short and long-term department goals and objectives to support department and hospital strategic plan; directs staff in accomplishing goals and objectives according to schedule.
  • Supervises, trains and evaluates staff in support of departmental objectives. Implements systems for all statistical information (operational and financial) of patients served.
  • Establishes and communicates staff performance standards (quantitative and qualitative) for each individual's respective area of responsibility, monitors and controls productivity and encourages innovations for improvement; incorporates progress towards standards into staff performance evaluations.*
  • Prepares routine and special reports, ensuring the consistency and accuracy of all data reported.*
  • Develops and implements effective training programs to address training needs of department including new developments and procedures and new equipment.
  • Assists in the development of new business/marketing opportunities as well as opportunities regarding international patients and medical professionals for the Washington Hospital Center.
  • Acts as a patient advocate for the International Services patients and their families to ensure that their visit to Washington Hospital Center is exceptional.
  • Ensures that staff performance evaluations are conducted in a timely manner according to Washington Hospital Center Human Resource policy.
  • Assists staff members in addressing patient inquiries or concerns. Serves as a positive role model by providing immediate and courteous customer service.
  • Conducts regularly scheduled staff meetings to communicate department and hospital updates, issues, and progress towards goals.
  • Responsible for the recruitment and retention of qualified staff members. Maintains records of staff in accordance with Human Resources Department policies.
  • Responsible for appropriate conduct management of staff members. Performs conflict-resolution, problem solving, presents staff commendations, conducts and implements progressive disciplinary actions appropriate to Washington Hospital Center policies and procedures.
  • Assists in development of department budgets. Analyzes costs, develops programs to assure compliance with budgetary constraints and provide justifications for budget variances.
  • Promotes a customer service oriented environment regarding the performance of duties and responsibilities and interactions with patients, hospital associates and visitors.
  • Creates a culture supportive of personnel, fostering individual motivation, teamwork and high levels of performance and accountability.
  • Provides leadership in problem identification and resolution and coordinates resolution between departments as needed. Promotes and establishes an atmosphere of Total Quality Improvement throughout the department by motivating, coaching and staff development and through evaluation, development and/or revision of department policies and procedures.
  • Adheres to Washington Hospital Center Mission and Vision, standards, policies and procedures at both the Hospital and Departmental level.
  • Educates physicians, physician office staff, and organizational associates regarding financial clearance functions.
  • Develops and fosters relationships with Accounts Receivable, Billing, Finance, Admissions, and Administration personnel in order to effectively and efficiently integrate the billing and accounts receivable functions of the International Services departments of Washington Hospital Center.
  • Promptly processes the collections on open accounts and actively manages the distribution of payments to the hospital and private providers. Reconciles the International Services Ledger account with Accounts Payable in a timely manner.
  • Resource to service line directors, physicians, case managers and others regarding Medicare, Medicaid, and commercial insurance guidelines for Patient Access and Utilization Review.
  • Responsible for distributing third party payor updates regarding criteria changes, regulation changes to all Central Financial Clearance staff.
  • Negotiates or refers to appropriate party to negotiate with third party payor in order to avoid financial losses.
  • Works with Utilization Management to establish and maintain protocol for third party payor on-site nurses.
  • Maintains a current knowledge base in the areas of management, health care trends, and clinical practice as relevant to area of responsibility.
  • CUSTOM.PRIMARY.DUTIES.RESPONSIBILITIES.ADDENDUM

    Minimum Qualifications
    Education

    • Bachelor's degree in Business/Management, Healthcare Administration, or other Healthcare discipline preferred

    Experience

    • 3-4 years experience with patient access management and extensive customer service background required

    Licenses and Certifications

    • CHAM - Certified Healthcare Access Manager (as awarded by the National Association of Healthcare Access Management) or eligible candidate preferred

    Knowledge, Skills, and Abilities

    • Requires PC literacy in the Microsoft Windows environment, with ability to analyze data and financial reports.
    • Progressive supervisory/management experience in a large healthcare setting is required.

    This position has a hiring range of $63,793 - $113,318


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