Primary Location:

250 E Liberty St

Address:

250 East Liberty St. Louisville, KY 40202

Shift:

Varied (United States of America)

Job Description Summary:

About UofL Health:
UofL Health is a not-for-profit 501(c)(3) fully integrated regional academic health system with six hospitals, three medical centers, Brown Cancer Center, Eye Institute, more than 250 physician practice locations, and more than 1,200 providers in Louisville and the surrounding counties, including southern Indiana.
With more than 14,000 team members – physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care.

Job Description:

Position Summary and Purpose
The Director of Patient Access provides leadership, direction, and administrative guidance to Pre-Access and all Registration areas within the inpatient units, scheduling, written orders, insurance verification, medical necessity, authorizations, and all points of registration entry. Individual must promote a culture to provide very good service to patients, physicians, department staff, and ancillary areas with the expectation to achieve improved patient and team member satisfaction. Participates in establishing policies, procedures, and accountability to meet best in class metrics and operates within the CMS guidelines, and accreditation standards of quality performance standards. Designs a revenue producing mindset and aligns department goals to create a positive patient financial experience.
Essential Functions:
•    Oversees and achieves success in departmental operations based on staffing, census, regulatory changes, budgetary and administrative controls, and market/industry changes, 
•    Maintains responsibility for the overall development, implementation, and monitoring of consistent operational processes in each area of the Patient Access Department,
•    Provides leadership to management team and employees of the Patient Access Department including the growth/mentoring of leaders and ensures staff engagement are committed to strategy, mission, and goals of the department,
•    Utilizes benchmarking data to improve departmental outcomes; develops goals and objectives, which support organizational goals and objectives; communicates expectations and progression towards the departmental goals,
•    Develops and motivates Patient Access team members by evaluating, updating, and effectively communicating staff competencies for each department position,
•    Investigates denials to determine “root causes” and patterns to avoid denials and assure claims are processed without errors,
•    Identifies areas hindering performance, including technology and/or processes; develops and implements action plans, as identified,
•    Implements process improvement initiatives continuously focused on meeting metrics and proactively identifying areas of opportunity by working collaboratively, professionally and fostering positive relationships with both internal and external peers,
•    Oversees the hiring, orientation, training, coaching, counseling, and terminations as deemed necessary for the department,
•    Prepares and conducts evaluations for Patient Access leadership, 
•    Reviews and accurately approves employee payroll on a bi-weekly basis,
•    Oversees and closely monitors compliance of CMS guidelines, i.e. Admit Source, Medicare Secondary Payor Questionnaire (MSP), Medicare Outpatient Observation Notice (MOON), and Important Message from Medicare notice, and Surprise billing,
•    Oversees and closely monitors that authorizations are obtained, and medical necessity is checked on scheduled procedures prior to service (minimum 24-48 hours). 
•    Oversees the screening of self-pay patients for Medicaid eligibility and understands the importance of enhanced payments and uncompensated care to the organization,
•    Creates and maintains a patient collection (Point of Service Collections) strategy (what patients can expect to pay),
•    Ensures guidelines of the healthcare assistance (charity) policy is consistently followed and administered,
•    Ensures quality assurance audits are executed and written analysis is provided to leadership,
•    Guides the process of the correct insurance plan assignment at time of registration, creation of job aids, identification of new plans that should be created to align with electronic and correct “clean” claim submission,
•    Operates the department in a cost-effective manner by: (a) developing budgetary objectives for operational costs (b) Maintaining departmental operations within established budgetary guidelines (operating costs, minimizing o