Description

Position Summary

The Senior Patient Access Manager (SPAM) is responsible for leading and overseeing patient insurance eligibility and benefit verification, out-of-pocket estimates, and prior authorization processes. This role requires strong leadership, strategic thinking, and a hands-on approach to operational excellence. The SPAM partners cross-functionally to optimize workflows, drive continuous improvement and protect revenue integrity while supporting a positive patient and employee experience.

What you'll be doing:

• Lead, coach and develop a team of patient access professionals, fostering a culture of accountability, engagement, and continuous improvement.
• Establish, implement, and maintain best practices, standard operating procedures, and performance standards to optimize patient access operations.
• Design and execute strategies to ensure compliance with payor authorization and medical necessity requirements while improving collections and safeguarding revenue.
• Manage, track and evaluate the effectiveness of patient access initiatives and performance improvement projects.
• Collaborate cross-functionally with clinical, billing , revenue cycle, and operational teams to improve workflows, processes, and outcomes.
• Identify, analyze and resolve issues that impact accurate and timely reimbursement.
• Oversee inbound and outbound patient access call center operations to ensure high-quality, timely and professional service.
• Develop, analyze and present reports and dashboards for departmental and executive leadership.
• Build and scale patient access processes to support organizational growth and evolving business needs.
• Ensure compliance with all regulatory requirements, payer rules and company policies.

Requirements

What you'll need:

Knowledge, Skills & Experience

• 7+ years of progressive experience in Patient Access and Revenue Cycle Management, with a demonstrated track record of improving operational performance.
• At least 3 years of supervisory or management experience leading teams.
• Proven patient access experience within a clinical laboratory environment required.
• Experience working in startup or high-growth organizations with the ability to design and scale sustainable process.
• Proficiency with laboratory billing systems (e.g., Telcor, Quadax, XiFin) or similar platforms.
• Strong leadership capabilities with experience driving change, developing talent and building high-performing teams.
• Working knowledge of accounting principles, billing practices, medical terminology, CPT, and ICD-10 coding.
• Exceptional written, verbal, and interpersonal communication skills with the ability to engage effectively with patients, staff and leadership.
• Advanced proficiency in Excel and data analysis, with the ability to translate data into actionable insights.

Education, Certifications, and Licensures

• High school diploma or equivalent required
• Bachelor's degree or additional coursework, certifications, or training (e.g., coding, billing Six Sigma) preferred.

Other

• This position is remote position.
• Periodic travel may be required to company headquarters in Scottsdale, AZ the Atlanta, GA, regional office as approved by the VP, Revenue Cycle Management.