Serving the community since 1961, WakeMed Health & Hospitals is a nationally recognized, private, not-for-profit health care organization founded and based in Raleigh, N.C. The largest health system in Wake County, WakeMed exists to improve the health and well-being of our community by providing outstanding, compassionate, patient- and family-centered care to all. The 896-bed system comprises a network of facilities throughout the Triangle area; delivering health and wellness services that bring added value to the communities we serve. WakeMed is a leader in cardiac and vascular care, women’s and children’s services, emergency medicine and trauma care, physical rehabilitation, orthopedics and neurosciences. Specialty facilities include the WakeMed Heart Center, Children’s Hospital, Women’s Pavilion and Birthplace, Rehabilitation Hospital, Adult and Children’s Emergency Departments and a Level 1 Trauma Center. WakeMed’s team of more than 8,200 employees, 1,500 volunteers, 1,200 affiliated physicians, and the more than 255 physicians employed by WakeMed Physician Practices use the most advanced technologies along with the best minds and the biggest hearts to ensure the finest quality in health care and community health.
Reports direct to the Director of Patient Access. Works collaboratively with the Director of Patient Access, the Director of Case Management and the Director of Patient Financial Services to anticipate, integrate and coordinate services that optimize clinical and fiscal outcomes and Revenue Cycle goals. Plans, monitors, and is accountable for the overall management and delivery of the following services at Raleigh and North Campus: patient registration, heart center registration, ED registration, pre-service collections, and customer service. Ensures pre-service administrative denials are managed, and prevented to maximize financial reimbursement. Works collaboratively with the Director of Case Management to manage, appeal and prevent both administrative and clinical denials. Acts as an advocate for the patient, physician and hospital relative to compliance with federal, state and third party regulatory requirements. Serves as a liaison with the community, physician offices, and payers related to patient access issues.
Position requires a minimum of 5 years experience in a hospital setting with at least 2-3 years in a management role.
Bachelor's degreerequired. Master's degreepreferred