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You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.

And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!

You can make a difference here.

About Us

Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital.Learn more (https://www.billingsclinic.com/about-us/) about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits

We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.Click here (https://www.billingsclinic.com/careers/employee-benefits/) for more information ordownload the Employee Benefits Guide (https://www.billingsclinic.com/app/files/public/8786e5d8-f08c-4b2a-89b8-16197604bfee/NEO/Staff Benefits Guide.pdf) .

Magnet: Commitment to Nursing Excellence

Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more!

Pre-Employment Requirements

All new employees must complete several pre-employment requirements prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more!

Pre-Access Manager (Full-time)

PRE-ACCESS (ROCKY MOUNTAIN PROFESSIONAL BUILDING)

req10860

Shift: Day

Employment Status: Full-Time (.75 or greater)

Hours per Pay Period: 1.00 = 80 hours every two weeks (Exempt)

Starting Wage DOE: Commensurate with experience

Under the supervision of the Patient Access Director, the Pre-Access Manager oversees and coordinates all aspects of the financial and administrative pre-admission process across Billings Clinic. This position ensures that pre-registration, insurance verification, prior authorization, and patient financial counseling processes are conducted efficiently, accurately, and in compliance with organizational and regulatory standards.

The Manager builds and leads a high-performance team focused on patient satisfaction, regulatory compliance, and operational excellence through proactive coaching, mentoring, rounding, and data-driven performance management. This role collaborates closely with Patient Financial Services, Clinical Department Leadership, and other operational partners to remove barriers, optimize workflows, and enhance the overall patient access experience.

Essential Job Functions

Pre-Registration / Authorization / Financial Clearance

• Ensures 90% of scheduled patients are pre-registered and 95% have verified insurance and required authorizations prior to service.

• Oversees the timeliness and accuracy of insurance verification, benefit coverage, and prior-authorization submissions.

• Tracks and audits errors by team members, provides coaching, and partners with HR when goals are not met.

• Ensures that all eligible patients are identified for financial assistance and referred to Financial Counseling.

• Oversees upfront collections to meet established monthly targets.

• Ensures accurate documentation and account notes are consistently used to communicate account activity.

• Implements ongoing quality improvement initiatives focused on reducing denials and improving patient satisfaction.

Leadership / Team Management

• Hires, trains, and develops Pre-Access staff to ensure high service standards and efficient operations.

• Conducts regular staff meetings to communicate expectations, review performance metrics, and provide ongoing education.

• Builds a culture of engagement and accountability through coaching, recognition, and performance evaluation.

• Develops and manages departmental budgets, ensuring fiscal responsibility and adherence to financial goals.

• Promotes continuous improvement through process review, innovation, and collaboration across departments.

Collaboration / Partnership / Communication

• Collaborates effectively with referring offices, clinical departments, and patient financial services to resolve issues and ensure smooth patient access processes.

• Serves as a liaison for complex patient access or insurance issues requiring cross-departmental coordination.

• Ensures timely communication on delayed or deferred accounts in accordance with Billings Clinic policy.

• Provides leadership in identifying and resolving process barriers across multiple departments.

• Demonstrates proficiency in analyzing and reporting key performance indicators (KPIs), including registration accuracy, prior authorization turnaround, and patient satisfaction

Compliance / Regulatory / Quality

• Ensures compliance with HIPAA, JCAHO, and all payer and governmental requirements.

• Monitors internal policies and external regulations to maintain operational readiness.

• Educates staff on compliance expectations, code of conduct, and ethical standards for patient and data privacy.

• Actively participates in quality improvement and patient experience initiatives across the system.

Service Excellence

• Demonstrates the focus of “The privilege of reaching out to meet the needs of others.”

• Responds promptly to patients, providers, and staff with professionalism and empathy.

Takes ownership in resolving recurring service problems.

• Models enthusiasm and a positive attitude in interactions, especially with patients most in need.

• Demonstrates accountability in managing time, attendance, and organizational resources responsibly.

Other Duties

• Serves on committees and workgroups as appropriate.

• Performs other related duties as assigned or requested to meet departmental and organizational goals.

• Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.

Minimum Qualifications

Education

• Four (4) Year/Bachelor’s Degree in Healthcare Administration, Business Management, or a related field.

• Graduate Degree/Master’s Degree in Healthcare Administration, Business, or a related field - Preferred

Experience

• Five (5) years of progressive experience in patient access, pre-access, registration, scheduling, financial clearance, or revenue cycle operations within a healthcare setting.

• Three (3) years of supervisory or leadership experience overseeing staff or teams within patient access, scheduling, or business office functions.

• Experience in staff leadership, data analysis, process optimization, and collaboration across clinical and financial departments required.

Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered.

Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more atwww.billingsclinic.com/aboutus (https://www.billingsclinic.com/about-us/)

Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.