Director Patient Access Services

POSITION SUMMARY:

The Director of Patient Access will be responsible for creating and directing efficient systems for registration staff in the Emergency Department, Admitting, Same Day Surgery and Labor and Delivery.  This position is responsible for directing and managing patient access and financial counseling for the hospital.  The Director will collaborate with staff and leadership within the organization to drive standard processes and ensure consistency of practices as well as continuous process improvement within the Revenue Cycle domain.

The Director will provide financial management, leadership and expertise in managing all details of assigned operations and works in conjunction with other departmental leadership.  The Director fosters and promotes a culture of excellence in customer service to internal and external clients.  Additionally, they will build trust and collaboration amongst the team by enhancing employee engagement, addressing performance results, and providing coaching and mentoring

This role also plays a key leadership role with the Health System Revenue Cycle Team, with involvement in decisions affecting all areas of the revenue cycle.

Position: Director

Department: Patient Access Services

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

Collaborating with hospital and physician leadership, this position works closely with Revenue Integrity, Coding, Billing, Cash Posting, and Case Management in defining vision, strategy and priority setting for system wide-revenue operations system initiatives, including:

• The integration and distribution of information that contributes to the capture, management, and collection of hospital patient service revenue using a holistic perspective to ensure that the business processes are operating in an integrated, efficient state to achieve maximum effectiveness;

• Improving business processes to maximize and protect the assets of the enterprise by enhancing and maintaining a properly functioning revenue cycle process through a cross-department organizational structure;

• Establishing and maintaining key revenue cycle performance indicators for the enterprise in support of BMC’s strategic plan.

• Ensuring business operations and revenue information systems are effective and compliant with all state and federal regulations, third party payer requirements and the policies and procedures of the enterprise.

• Works with business partners to interpret trends in Key Performance Metrics which will guide management decisions for achieving the periodic goals of the revenue cycle and the overall financial performance of the enterprise.

• Ensures that appropriate controls exist to create accountability and effective management of the enterprise revenue cycle. 

• Participates and/or chairs various committees to provide leadership and lend revenue cycle expertise.

• Manages and develops a results oriented team, including manager, supervisor, and team lead levels.  Continuously assesses and develops an organizational structure that ensures high performance and achievement of goals.

• Ensures adequate training and education occurs to the staff in the various departments reporting to the Director.  This training may be specific to any regulatory, industry, third party payers, federal, or state requirements, or a course that adds a new higher-level skill or builds upon an existing one, or knowledge specific to an information system, or is specific to the requirements of their roles and responsibilities.

OTHER DUTIES:

• Completes (or contributes to the completion of) various financial forecasts, including cost center salary and direct expenses, month-end financial reporting, receivables levels (days in AR and aging), cost center productivity, and any long-range strategic plans.

• Ensures the planning, coordination, and preparation for year-end audits with public accounting firms and third-party auditors as they relate to enterprise revenue operations.

• Mediates and resolves conflicts regarding public accounting firms, third-party auditors, and investigative parties.

• Fiduciary responsibility for ensuring that compliance standards for providing accurate information on all patient billings are followed for the enterprise.

• Assesses and responds to the needs of the organization and customers with innovative programs to ensure customer satisfaction.

• Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers.

Directs ongoing programs for staff development, which include:

• Demonstrates and promotes BMC’s model for positive patient experience (AIDET) throughout the ED/Admitting areas.

• Hiring and training for leadership positions and directing the hiring and training of all staff in the revenue operations. 

• Completing (or directing the completion of) all necessary human resource documentation and adhering to all human resources expectations for subordinates;

• Communicating regularly and effectively with subordinates and superiors regarding the status and condition of the business operations under control of the director;

• Developing multi-disciplinary teams to enhance quality and efficiency.

Carries out other assignments or special projects as assigned.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

JOB REQUIREMENTS

REQUIRED EDUCATION AND EXPERIENCE:

• Bachelor’s degree (preferably in business, healthcare or public administration, management, accounting, finance or a related field) and 8-10 years of health care/patient access experience, of which 5-6 years must be management experience; or equivalent combination of education and experience.

PREFERRED EDUCATION AND EXPERIENCE:

• Master's degree

CERTIFICATES, LICENSES, REGISTRATIONS PREFERRED:

• Epic certification

KNOWLEDGE, SKILLS & ABILITIES (KSAs):

• Expertise in the best practices of patient access

• Functional understanding of health care operations and physician practices.

• Leadership skills to motivate cross-functional teams to strive for excellence while utilizing consensus-building management styles.

• Comprehensive knowledge of regulatory requirements and the ability to provide documentation of such requirements when needed.

• Possesses strong understanding of various reimbursement methodologies with expert knowledge of the requirements for hospital and professional billing for all payers.

• Strong quantitative, analytic, and problem solving skills to evaluate all aspects of a problem or opportunity and draw valid conclusions to make or facilitate appropriate and timely decisions.

• Strong organizational skills to manage multiple diverse priorities with high visibility and extremely detailed information.

• Ability to present and communicate complex information effectively in both written and oral forms to a variety of audiences, including hospital and physician leadership.

Equal Opportunity Employer/Disabled/Veterans

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