DIR PATIENT ACCESS SERVICES - HOSP REV CYC SUPP
Department: University Hospitals
Full/Part Time/PRN: Full-Time
Experience and Education
6 plus years of Supervisory/Management experience in Patient Access-related functions (Pre-Registration, Financial Clearance, Financial Counseling Arrival and Registration, and Authorization/Referral/Precert Management) within a progressive healthcare environment.
Ten (10) plus years of revenue cycle operations experience. Leader or member of a revenue cycle transformation effort where key functions were reviewed for standardization and centralization. Previous experience using or implementing Epic. A Master¿s Degree from a recognized college or university in Health Care Administration or Business Administration is preferred. Health Access Manager Certification through the National Association of Healthcare Access Management preferred.
¿Partners with Information Services to ensure optimal registration flows as they relate to financial billing and regulatory requirements oAssesses the front-end inpatient and outpatient system registration and insurance screens; incorporates the financial billing requirements oIntegrates system needs and requirements based upon the care coordination model and decentralization of services in conjunction with all appropriate departments oEnsures compliance and the integrity of data with billing and regulatory requirements
¿Provides guidance and direction to various departments regarding current insurance regulations and payment policies oCommunicates on an on-going basis, all pertinent insurance information to decentralized financial registration areas oKeeps abreast of insurance issues as they relate to reimbursement, and regulatory requirements oWorks in conjunction with Clinical Practice Plan regarding related insurance and managed care issues oAssesses registration practices as it related to outpatient procedures and hospital reimbursement and communicates accordingly oEnsures effective monitoring and feedback to all decentralized financial registration areas oAssesses new procedures performed in various ancillary departments in order to capture appropriate charges
¿Provides overall guidance and direction to Patient Access departments oPromotes departmental and organizational activities for providing courteous customer service to patients, families, visitors and external customers.oCoordinates inter-departmental activities in order to provide continuity of care/services for patients oResponds to concerns of patients, families, physicians and staff oTroubleshoots various patient issues as it relates to financial services oKeeps abreast of all federal, state, and county rules and regulations pertaining to Medicaid reimbursement oCommunicates patient-related information to appropriate departments, as necessary
¿Selects, develops, manages and evaluates direct reports; and oversees the selection, development, management and evaluation of indirect reports
¿Maintains positive relationships and align service standards with members of the Revenue Cycle Team. Promotes and contributes positively to the team by working to assist co-workers, contributing ideas and problem solving with co-workers and contributes positively to intra-departmental and inter-departmental relationships.
¿Participates in Leadership Development activities; implement strategies and processes to improve employee morale and performance.
¿Prepares department operating budgets on an annual basis and monitors areas of responsibility for compliance within current budget.
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