Director Patient Access - AHN St. Vincent - Full time

West Penn Allegheny Health System; Federal Hill (PA); In loco; USD 90.000 - 120.000; Tempo pieno

Descrizione del lavoro

Highmark Health is seeking an experienced administrator to direct patient access operations across inpatient, outpatient, emergency and ancillary services. You will supervise staff, manage budgets, and coordinate with hospital departments to ensure smooth financial clearance and accurate patient eligibility verification.

You will drive revenue cycle performance, maintain compliance with HIPAA and relevant policies, and sustain high levels of customer service.

Competenze

• Bachelor's degree or relevant experience as determined by the company in lieu of bachelor's degree.
• 5 years’ experience in healthcare access management.

Mansioni

• Oversee HR and expenses to meet productivity standards and budget objectives.
• Coordinate with hospital departments and leadership for policy, process, and program development and coordination.
• Oversee financial clearance policies and patient eligibility verification including coordination with financial counselors and physician staff.
• Maintain a high level of customer service.
• Collaborate with system leadership to achieve revenue cycle goals.
• Develop and manage department budgets.
• Ensure compliance with HIPAA and organizational policies.

Conoscenze

Staff supervision

Budget management

Revenue cycle

Customer service

Policy development

Formazione

Bachelor's degree

Descrizione del lavoro

GENERAL OVERVIEW

Directs all administrative and fiscal components for patient access points including inpatient, outpatient, emergency and ancillary registration, scheduling, pre-registration, cash management/posting, and bed management where applicable.

ESSENTIAL RESPONSIBILITIES

• Effectively manages human resources and expenses, achieving both department productivity standards and budget objectives. Supervises staff, evaluates work, and recommends and implements approved disciplinary action. (35%)
• Works with all hospital departments and corporate leadership for the purpose of facilitating problem resolution, development of policies, processes and programs, coordination of services and organization cohesiveness.
• Actively involved in carrying out financial clearance policies and patient eligibility assistance insurance verification including financial review, interaction with financial counselors, facility leadership and physician staff.
• Maintains a high degree of customer service (25%)
• Works with system leadership to achieve established WPAHS revenue cycle operational goals. (25%)
• Develops, administers, and is accountable for department budgets. (10%)
• Assures compliance with federal, state, local, Joint Commission, and hospital policies and regulations relative to patient registration and education. (5%)

QUALIFICATIONS

Minimum Bachelor's degree or relevant experience and/or education as determined by the company in lieu of bachelor's degree 5 years’ experience in healthcare access management

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. California Consumer Privacy Act Employees, Contractors, and Applicants Notice Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services. Highmark Health’s businesses proudly serve a broad spectrum of health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.