The Director of Patient Access oversees Patient Access operations for health system. Analyze, plan, implement and monitor services provided by staff in assigned patient access areas. Develop policies and procedures to govern the operation of those areas in compliance with regulatory bodies. Act as a liaison for decentralized registration areas. Ensure registration training and staff competency of Coordination Center, Outpatient Center and Outpatient Scheduling and decentralized registration. Work directly with Patient Financial Services and Medical Records to ensure and enhance revenue collection at time of service.
The experience expected from applicants, as well as additional skills and qualifications needed for this job are listed below.
Essential Duties
Accountable for team providing outstanding customer service to external and internal customers.
Analyze, communicate and implement government and payer reimbursement changes to ensure continued compliance.
Conduct ongoing analyses and assessments of operational performance for continuous process improvements, improved efficiency and improved customer service.
Develop staff in assigned departments to ensure growth and leadership development.
Other related duties as assigned.
Partner with clinical service departments to ensure effective and efficient processes, which are documented and followed for timely and accurate revenue capture and reconciliation.
Proactively evaluate, recommend, and implement systems and practices that would enhance and improve processes.
Provide oversight and leadership for Physician Revenue Cycle process.
Provide oversight and leadership for access areas including centralized Access, Outpatient Center, Outpatient Scheduling and Labor Pool.
Provide oversight of responsible areas to ensure accuracy and adherence with governmental and payer billing rules and regulations.
Provide oversight to ensure responsible areas are at best practice standards for Key Performance metrics and provide monthly statistical and financial Key Performance metrics report card for internal functions and outsourced business partners.
Responsible for employee satisfaction and staff retention through practices that promote communication, rewards/recognition, teamwork and administration of effective employee relations.
Ability to travel to remote office locations, as needed.
Required Experience
5 years experience in healthcare access with at least three years experience in a leadership role.
Comprehensive knowledge of regulatory requirements and practices related to patient access required. Experience with computerized electronic medical record system required.
Required Licensure/Education
Master's degree in Business or Health Administration or Related Field required
Employee Health Requirements
Exposure/Sensory Requirements
Exposure to:
Chemicals: Refer to MSDS sheets
Video Display Terminals: Average
Blood and Body Fluids: Unlikely to be exposed
TB or Airborne Pathogens: The only risk is that associated with contact with the general public.
Sensory requirements (speech, vision, smell, hearing, touch):
Speech: Needed for training/presentations, telephone communication, facilitating meetings.
Vision: Needed for computer entry, reading memos and literature.
Smell: Needed for electrical/fire safety.
Hearing: Needed for telephone communication, meetings and listening to employee concerns.
Touch: Needed for writing, computer entry, filing.
Activity/Lifting Requirements
Percentage of time during the normal workday the employee is required to:
Sit: 50%
Twist: 1%
Stand: 10%
Crawl: 0%
Walk: 40%
Kneel: 0%
Lift: 2%
Drive: 0%
Squat: 1%
Climb: 0%
Bend: 1%
Reach above shoulders: 1%
The weight required to be lifted each normal workday according to the continuum described below:
Up to 10 lbs: Occasionally
Up to 20 lbs: Occasionally
Up to 35 lbs: Not required
Up to 50 lbs: Not required
Up to 75 lbs: Not required
Up to 100 lbs: Not required
Over 100 lbs: Not required
Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.):
Maximum consecutive time (minutes) during the normal workday for each activity:
Sit: 50
Twist: 1
Stand: 20
Crawl: 0
Walk: 30
Kneel: 0
Lift: 1
Drive: 0
Squat: 1
Climb: 0
Bend: 1
Reach above shoulders: 1
Repetitive use of hands (Frequency indicated):
Simple grasp up to 35 lbs.
Normal weight:
Pushing & pulling Normal weight:
Fine Manipulation: Calculator, keyboard, writing instruments, patient care skills
Repetitive use of foot or feet in operating machine control: Not required
Environmental Factors & Special Hazards
Environmental Factors (Time Spent):
Inside hours: 8
Outside hours : 0
Temperature: Extreme cold to Extreme hot
Lighting: Average
Noise levels: Average
Humidity: Normal Range
Atmosphere:
Special Hazards: None
Protective Clothing Required: None