Director, Patient Access

Job Family:

Patient Access General

Travel Required:

Up to 75%+

Clearance Required:

None

What You Will Do:

• Serve as client services liaison.
• Create, provide, and present reports and statistical information for clients and senior management.
• Monitor internal and client KPIs and develop plans to ensure the achievement of those targets.
• Continual improvement of process flows to lower cost and improve outcomes.
• Meeting with clients and client managers to explain performance and Patient Access operations.
• Develop and manage to budgets.
• Collaborate with sales and help to close sales to drive revenue growth and scale.
• Responsible for special client projects
• Build and maintain relationships with key client hospital and ambulatory leaders.
• Provides analysis and context for monthly performance data including but not limited to Hospital Finance
• Attends and participates in committees and task forces as assigned.
• Comprehensive knowledge of HFMA MAP metrics
• Ability to successfully prioritize and manage numerous tasks simultaneously
• Establishes and develops collaborative relationships with other leaders in the Revenue Cycle
• Works with Managed Care Department for Underpayment Analysis
• Upon identification of issues, research issue to determine whether it is an isolated instance or a trend and follows up the appropriate Revenue Cycle leadership to facilitate communication and resolution of the issues
• Attends and participates in committees and task forces as assigned
• Prepares materials for and with experience conducts and chairs project meetings.
• Maintains current knowledge of regulatory standards, which may impact utilization of processes and systems.
• Maintains strict confidentiality of all patients, employee, and physician information.
• Seeks out opportunities for individual growth and development, including attending various meetings, conferences, and courses, as required.
• Uses tact and sensitivity when communicating with patients, visitors, co-workers, and other Health System personnel.
• Participates in the development of PFS policies and procedures.
• Serves on department and/or institutional committees as requested.
• Performs all other job functions related to this job.
• Develop goals and objectives for the department based on interpretation of institutional policy and goals.
• Project future budgets based upon analysis of current operations.
• Ensure that the service standards are met or exceeded by utilizing customer satisfaction, best practices, and market information to improve customer service and satisfaction.
• Create an organizational culture (both within and across departments) that provides a safe, satisfying, and enriching environment for employees and provides a qualified, competent staff to meet patient needs. Demonstrate a leadership style that is facilitative and collaborative

STAFF

• Hire, review, discipline, and separate employment
• Monitor and report daily/monthly productivity
• Ensure Team Member compliance with Navigant Guidehouse policies and procedures
• Compile and forward Team Member timesheets to Navigant Guidehouse payroll for processing
• Verify and monitor time off requests
• Able to fill in for Managers

What You Will Need:

• Experience within a hospital and clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or customer service.
• Knowledge of insurance and governmental programs, regulations, and billing processes e.g., Medicare, Medicaid/Medi-Cal, Social Security Disability, Champ VA, Supplemental Security Income Disability, etc., managed care contracts and coordination of benefits is highly desired.
• Minimum of 12 years of Patient Access and Eligibility Leadership in acute care hospital and ambulatory/medical group.
• 5 years in a management operations position
• Bachelor’s Degree
• Advanced skills in MS Office (i.e. Excel, PowerPoint, Word, OneNote)
• Travel within the assigned region 75%

What Would Be Nice To Have:

• 10 years of applicable experience in healthcare financial management
• Extensive knowledge of scheduling and registration technology.
• Multi-hospital experience, prefer vendor experience managing multiple clients.
• Flexibility and ability to manage multiple concurrent activities and change.
• Ability to work independently and meet deadline constraints