Regional Director of Patient Access

Regional Director, Patient Access

The Regional Director, Patient Access will provide oversight and support to the Patient Access Directors to improve patient access priority initiatives, results and outcomes. They will also work closely with key stakeholders including, but not limited to, hospital leadership, physicians, practice managers, patient access staff, corporate patient financial services, shared service center (SSC) leadership, that service the hospitals to effectively coordinate initial patient touch points in registration, patient flow, and financial data capture processes throughout the hospitals.

This role would oversee Arizona, New Mexico, and Alaska sites. Must be willing to travel. Essential Functions include :

• Ensuring that all organizational activities and operations comply with local, state and federal regulations, JCAHO standards and laws governing healthcare operations.
• Assisting hospitals with the development of new processes and operational patient workflow to assure correct insurance verification, increase point of service collections and reduce authorization and denials.
• Assisting hospital revenue cycle management with operational training of financial counseling and patient access staff as needed. This includes but is not limited to appropriate registration process; time payment management including patient estimates and establishment / maintenance of prepayment processes, etc.
• During site visits, monitoring all Revenue Cycle duties for any noncompliance paying close attention to any Internal Audit or Compliance department findings. Assistant in samplings of accounts, develop action plans, and follow up training with the staff.
• Monitoring patient access KPI's for the hospitals and provide support to improve results to meet or exceed leading industry practices.
• Maintaining and promoting good customer relations with facility management, physicians and physician office staff.
• Reviewing Patient Access performance to ensure timeliness, accuracy, compliance and standards fulfillment.
• Identifying any significant issues in the Patient Access area (e.g., Registration delays, pre-authorization backlogs, etc.).
• Demonstrating knowledge of regulatory requirements and company compliance policies, ensuring timely staff education.
• Informing staff of relevant changes and developments in payer requirements.
• Ensuring quality review measurements are in place and understood.
• Identifying and implementing process improvements to lower costs and improve services to facility customers.
• Practicing and adhering to the "Code of Conduct" philosophy and "Mission and Value Statement".
• Demonstrating leadership effectiveness in managing interpersonal relationships and managing self.
• Performing other duties as assigned.
• Maintaining regular and reliable attendance.
• Complying with all policies and standards.

Qualifications include :

Knowledge, Skills and Abilities include :