Job Summary:
The Regional Director will provide administrative direction and leadership for Patient Access processes across designated facilities. The Director manages, advises and coordinates the overall functions of Patient Access and acts as a liaison for other Revenue Cycle departments. The individual is responsible for establishing and implementing standard procedures and controls to ensure appropriate quality of service to our customers, while protecting revenue and securing cash flow. The Regional Director is responsible for the oversight and management of the Patient Access personnel which includes maintaining an adequate productivity level, quality scores and ensuring all processes and functions involved in the registration of patients and financial clearance of patients are performed accurately, completely and in a timely manner.
Essential Functions:
- Interact and collaborate extensively with the Site CFOs, Executives and other members of Corporate Management across the health care system to ensure Patient Access goals are met.
- Direct and coordinate activities concerning patient access, patient account programs, financial screening, patient flow and other activities related to identifying potential financial risk to the health system and to assure reimbursement for services provided.
- Provide leadership and direction for future state visioning around Patient Access, system enhancements or selections, and issue resolution.
- Collaboratively work with Facility Directors, Central Director, Charge Integrity Director, Patient Access departments, and other members of the Revenue Cycle to coordinate and facilitate the patient access functions are aligned with organizational goals and objectives.
- Establish major schedules, task assignments and allocation of human capital, space and equipment to ensure conformance with departmental commitments.
- Assists Facility Directors/Central Access Directors in analyzing management information and developing departmental goals and objectives.
- Collaborate with the System Business Office to identify systemic trends, training or individual disciplinary action where appropriate.
- Monitor POS cash and ensure coaching/ discipline occurs as required and address downward trends with site directors/CFOs.
- Ensure delivery of consistent training (process and IT&S) for all Patient Access staff.
- Facilitate communication and escalation of department root cause issues between Central Access Director, Site Directors and CFOs.
- Develop and implement operating policies and procedures relating to the admission, registration and financial advising of patients.
- Plan and conduct meetings with staff to ensure compliance with established practices, to implement new policies and to keep employees aware of current changes and standards.
- Direct various human capital actions including, but not limited to, hiring, performance appraisals, promotions, transfers and vacation schedules.
- Prepare reports and analyses to include financial reports, setting forth progress, adverse trends and appropriate recommendations or conclusions. Perform other related duties incidental to the work described herein.
Job Requirements:
- Bachelor s degree in business or healthcare management or equivalent experience.
- 10 years of relative Revenue Cycle experience; minimum of 6 years in management.
- Must have in depth experience with registration, billing requirements, insurance processing and scheduling of patients in a Hospital Setting.
- Thorough knowledge of insurance rules and regulations including Medicare, Medicaid, managed care, and commercial insurance.
- Excellent knowledge of healthcare payor reimbursement and registration process.
- Excellent problem solving and analytical skills.
- Good team management skills.
- Ability to work in a fast paced environment with sustained attention to detail and positive outlook.
- Ability to generate results through influence in an environment with multiple and diverse stakeholders.
- Effective organizational and interpersonal skills including written and verbal communication skills.
- Demonstrated capability to interact directly with C-level leaders.
- Highly skilled at identifying information resources, research methods, data analysis and fact-based decision-making.
- Possesses keen ability to judge and prioritize issues and implications for RWJBarnabas Health.
- Demonstrated proficiency Word, Excel, and PowerPoint.
Other Duties:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Additional Information:
We offer a great work environment, competitive rates and excellent benefits, including:
- Medical/Dental/Vision plans
- 401 (k)
- Vacation/Personal/Holiday/Sick Time Off
- Short & Long Term Disability
- Basic Life & Accidental Death Insurance
- Tuition Reimbursement
- Health Care/Dependent Care Flexible Spending Accounts
RWJBarnabas Health is the most comprehensive health care delivery system in New Jersey and the state s second largest private employer with more than 32,000 employees, 9,000 physicians and 1,000 residents and interns. The system includes eleven acute care hospitals, three acute care children s hospitals and a leading pediatric rehabilitation hospital (Children s Specialized Hospital).