Patient Access Director

JOB DESCRIPTION

Your job is more than a job.

The Director of Patient Access provides leadership, direction, and support for developing, implementing, and managing the efficiency and effectiveness of the Patient Access operations of LCMC Health System.

This includes related activities specific to pre-admission, pre-registration, admission, centralized and decentralized scheduling, financial counseling, and Patient Access vendor management.

This leader will work closely with all Operational areas such as Clinical Services, Case Management, Corporate Compliance, and HIM to apply new and emerging approaches for LCMC's Patient Access Services areas.

The Director will provide leadership and insight development of technology and initiatives that improve the effectiveness and enhances patient experience by meeting the service needs of all departments, patients, and customers.

The Director of Patient Access, will actively look for partnering opportunities with leadership throughout the system to transform the patient experience with a focus on improving both patient access and satisfaction as well as providing leadership and accountability for strategic business units that impact patient access and service pillars of the organization.

The incumbent will focus on opportunities to maximizing patient capture and retention rates by strategically re-engineering the patient access processes to improve the patient experience, increase patient volumes and retains current patients by expanding access.

This position is responsible for a budget of upwards of $2+M with an overall impact of $M of Net Revenue and a span of control of over associates.

The Director of Patient Access will exhibit behaviors consistent with the standards for organizational values of LCMC Health System.

Demonstrates actions consistent with LCMC's "Expectations" as duties are performed on a daily basis. Span of control includes the following areas;

Pre-Admission, Insurance Verification, Pre-Certification, Pre-Service Utilization Review, Centralized and De-Centralized Patient Scheduling, Hospital Registration, Financial Counseling.

Your Everyday

Service :

• Manages Department Initiatives to improve process and maximize efficiency.
• Provides leadership and recommendation to the Vice President of Revenue Cycle in operational decisions and policies.
• Provides Administrative Leaders, Medical Staff, Department Directors and hospital staff with education and financial information related to the Access Services within the healthcare industry, LCMC Health System, and various departments and areas of responsibility.

Quality :

• Interprets and enforces financial policies, standards, controls and procedures with impacts.
• Creates and enforces work standards, quality measures and process improvements, consistent with the organization's goals and objectives.
• Ensures regulatory compliance with CMS and state authorities and any external governing authority and enforce safeguards against fraud and abuse.
• Oversees to all internal controls and collection and customer service processes with regulatory compliance enforcement with policy and procedures.
• Reads and evaluates all regulatory updates that affect registration and billing systems. Coordinates all system modifications with the Information Systems department.
• Ensures that staff receives timely and ongoing education regarding regulatory updates; coordinates audits of staff performance to ensure both strong understanding as well as corporate compliance.

Manages People :

Ensures that all staff are provided with job descriptions, performance stands, competency / developmental binders, and mission and goals statements.

Ensures that all staff employees are properly trained, developed, and provided ample opportunity for professional growth.

• Performs staff evaluations on direct reports as well as feedback on a regular and consistent basis via annual performance evaluations, using all available objective performance management data and personnel file information.
• Manages employees in a positive and participative manner, modeling behavior that is consistent with the organization’s mission and values.

Finance :

• Develops and performs analyses of financial process efficiency, cash flow, reimbursement accuracy, contract compliance, and efficiency of resource allocations.
• Participates in Managed Care meetings regarding proposed managed care contracts, evaluating not only reimbursement terms but also registration and managed care terms from a collections and system perspective.
• Participates in the preparation of annual operational, capital and personnel budgets.
• Maintains appropriate internal control safeguards over confidential documents, sensitive information, A / R and collection of cash.

Growth :

• Working knowledge of patient accounting systems.
• Working knowledge of Microsoft Office.
• Functional in computer-based applications in assigned areas.
• Exhibits behaviors that promote and model continuous improvement within the PAS area.
• Attends staff meetings, in-services, and continuing education.

The Must-Haves

Minimum :

EXPERIENCE QUALIFICATIONS

• 7 years total experience Customer service-related position, such as hospital, clinic, medical office, business services / revenue cycle, front line registration, financial counseling, banking, retail or hospitality, to include 4 years of direct patient access experience (Required)
• 2 years Management Experience.

Required)

EDUCATION QUALIFICATIONS

• Required : Bachelor’s degree in health services administration, or business-related field.
• Required : May substitute any equivalent combination of secondary education and training that provides the desired years of experience.
• Preferred : Masters Education in finance and / or business operations

LICENSES AND CERTIFICATIONS

Certification Name : CHAM, CHAA, Certification as a Medical Assistant of other medical specialty-based certificationIssuer : Licensure Speciality : Entity :

SKILLS AND ABILITIES

• Working knowledge in areas of patient registration, billing, accounts receivable (AR) and cash management requirements, managed care contractual terms and requirements, health insurance practices, industry regulatory requirements, business office operations, AR and financial reporting technology, wage and hour regulations, basic accounting, and industry standards for healthcare revenue resolution management practices.
• Ability to analyze and resolve problems that affect the claim submission process, regardless of whether the problem originates in an area under direct or indirect control.
• Financial management skills, including the ability to financially analyze data for operations, budgeting, auditing, forecasting;

basic accounting knowledge; AR and reserve analysis, staffing and financial reporting skills.

• Knowledge of billing and payment schedule procedures, diagnosis coding, and credit and collections procedures.
• Ability to apply and adhere to capital and operating budget constraints and management.
• Advanced knowledge of computer applications, including Microsoft Word, Excel, and Outlook.
• Ability to analyze information to form logical and consistent conclusions, and to communicate the logical process to customers, co-workers, and staff.
• Demonstrated ability to deal with difficult situations / people in a calm and professional manner, and ability to demonstrate good customer relations and interpersonal skills.
• Ability to handle a large volume of detailed work in a timely manner.
• Demonstrated ability of excellent communication skills and ability to supervise and direct the work of others.
• Advanced skills with : Microsoft Office products (Word, Excel, Power Point, Outlook), Access database.

WORK SHIFT :

Days (United States of America)

LCMC Health is a community.

Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way.

Celebrating authenticity, originality, equity, inclusion and a little come on in attitude is the foundation of LCMC Health’s culture of everyday extraordinary

About University Medical Center

University Medical Center, a world class academic medical center in LCMC Health’s incredible community of care, is the largest medical training center for healthcare professionals in Louisiana and has long served as the region’s safety net hospital for poor and underserved communities for +.

Learn more about University Medical Center’s legacy and our vision of becoming the epicenter of medical care, education, and research.

Your extras

• Deliver healthcare with heart.
• Give people a reason to smile.
• Put a little love in your work.
• Be honest and real, but with compassion.
• Bring some lagniappe into everything you do.
• Forget one-size-fits-all, think one-of-a-kind care.
• See opportunities, not problems it’s all about perspective.
• Cheerlead ideas, differences, and each other.
• Love what makes you, you - because we do

You are welcome here.

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work.

This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

Simple things make the difference.

1.To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.

2.To ensure quality care and service, we may use information on your application to verify your previous employment and background.

3.To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.

4.To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

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