[Hiring] Manager of Pre-Access Services @Carle Health

Role Description

Lead a dynamic Patient Access operation that plays a critical role in both the patient experience and financial health of the organization. This position oversees daily operations across:

• Scheduling
• Registration
• Financial clearance
• Insurance verification
• Estimate generation
• Financial counseling

Ensuring patients receive accurate, timely, and supportive service throughout their journey. The leader develops high-performing teams, strengthens frontline and leadership capabilities, promotes cross-training, and establishes best practices that improve efficiency and service. With a strong understanding of payer requirements and patient financial responsibility, this role also drives improvements in:

• Registration accuracy
• Reimbursement
• Point-of-service collections
• Denial prevention
• Timely filing
• Claim error resolution

As a Subject Matter Expert in front-end Revenue Cycle operations, this leader partners across departments to streamline workflows, optimize staffing and resources, and continuously improve the team member, patient, and organizational experience.

Qualifications

• Certifications: Certified Healthcare Access Manager (CHAM) within 2 years - National Association of Healthcare Access Management (NAHAM)
• Education: Bachelor's Degree in a Related Field

Requirements

• Oversee day-to-day operations of financial clearance, estimates, scheduling, and pre-registration to ensure timely, accurate, and patient-centered service.
• Monitor workflows, work queues, productivity, and quality to meet departmental and enterprise performance standards.
• Establish and maintain staffing plans, schedules, and coverage to support patient volumes and service levels.
• Operate departments in a cost-effective manner by monitoring labor hours, supply expenses, and volumes.
• Ensure adequate staffing levels are maintained to provide timely patient services.
• Ensure compliance with regulatory requirements, payer guidelines, and Carle policies and procedures.
• Ensure patients are financially cleared prior to service, including eligibility and benefit verification, insurance validation, and identification of patient financial responsibility.
• Work with payor contracting to resolve payor issues.
• Oversee the creation and delivery of accurate cost estimates for procedures and outpatient services, in alignment with price transparency and No Surprises Act, Illinois Fair Patient Billing Act, and other federal and state regulatory requirements.
• Promote point-of-service and pre-service collections and partner with financial counseling to connect patients with payment options and assistance programs.
• Ensure high level of patient service from all areas of responsibility.
• Analyze denials and estimate accuracy trends; implement corrective actions to reduce front-end denials and rework.
• Supervise, hire, onboard, train, and develop supervisors, leads, and team members for the assigned location.
• Lead change management for new workflows, technology, automation, and process improvements across Pre-Access functions.
• Translate Carle Health and Patient Access strategic goals into actionable plans, measurable outcomes, and team-level priorities.
• Foster an engaged, inclusive, and high-performing culture; recognize team successes and support professional growth.
• Prepare and present performance reporting, dashboards, and updates to the Patient Access Director and leadership.
• Perform other duties as assigned.

Benefits

• The compensation range for this position is $37.44 per hour - $64.40 per hour.
• This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health.
• The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked, and compensation model.
• Carle Health offers a comprehensive benefits package for team members and providers.