Director, Patient Access (Hospital Onsite)

Job Family:

Patient Access General

Travel Required:

Up to 10%

Clearance Required:

None

What You Will Do:

The Director, Patient Access will be responsible for all people, processes, policies, and technology relating to Patient Access, Eligibility hospital client and provider-based AR management.  As a member of the Operations Leadership Team, he/she is responsible for onsite leadership to produce highest practice results contributing to obtaining high patient and customer satisfaction.  Additionally, activities and operations related to Billing, Insurance Follow-up, Denial Appeals, and resolution of credits/refunds the Director, Patient Access will work collaboratively with senior management, client leadership and other operational leaders to identify and implement state of the art practices, identify enhancement to technology solutions, training programs, and enhance the service and technical quality, continuously improving outcomes in productivity, quality and key performance for Patient Access and Eligibility. The Director, Patient Access will possess both technical and business skills to manage the accounts receivables & patient access successfully and will perform all job-related duties as assigned.

• 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:

• Requires a Bachelor's Degree and a minimum 12 years of prior relevant experience or an Associates Degree and 1