[Hiring] Patient Access Manager @Sunshine Behavioral Health

Role Description

The Patient Access Manager will be a detail-oriented and organized individual on the Revenue Cycle/UR team. The Patient Access Manager will supervise the Revenue Cycle team. This professional must be a strategic and critical thinker with a proven record of success in expanding company objectives.

• Oversee patient access functions, including insurance verification, eligibility, and benefits coordination.
• Ensure accuracy and completeness of patient financial and demographic information prior to claim submission.
• Identify and resolve coding errors to support clean claim submission and reduce denials.
• Manage and support revenue cycle processes, with a focus on front-end optimization and workflow efficiency.
• Interpret and apply payer rules and regulations, particularly within behavioral health services.
• Monitor billing processes for both in-network and out-of-network payers.
• Develop, maintain, and analyze Excel-based reports to track key revenue cycle metrics and identify trends.
• Collaborate with clinical, admissions, finance, and operations teams to ensure alignment and resolve issues impacting reimbursement.
• Communicate effectively across all levels of the organization to support operational and financial goals.
• Support continuous process improvement initiatives to enhance revenue cycle performance.
• All other duties as assigned.

Qualifications

• An understanding of addiction and/or mental health.
• Proficiency in Excel, including building and analyzing reports.
• Strong foundational understanding of full cycle revenue.
• Proficiency in Microsoft suite (Outlook, Excel, Word, Teams).
• Experience in process improvement or revenue cycle optimization initiatives.

Requirements

• Medical Billing & Coding Certificate required.
• Minimum of 2 years of medical billing experience.
• Minimum of 2 years of insurance verification and benefits experience.
• 2 years of experience supervising or leading revenue cycle functions.
• Experience billing both in-network and out-of-network claims.
• Ability to identify and correct coding errors to ensure clean claims.
• Strong communication skills with the ability to work cross-functionally across departments and leadership levels.
• Strong knowledge of payer rules and regulations, preferably in behavioral health.

Physical Requirements

• During remote work, employees are responsible for ergonomic requirements and a work area free from distractions that is HIPAA-compliant.
• Role is performed using computer (including screen, keyboard, mouse, etc), phone, and other typical office equipment.
• Significant phone work including talking and listening.
• Note: Reasonable accommodation may be provided to enable individuals with disabilities to perform the essential functions.