JOB SUMMARY : Manages the day-to-day operations for all Hospital Patient Access Areas. Plans, organizes, directs, staffs and controls a wide range of operations and activities pertaining to patient registration, including, but not limited to, insurance verification, scheduling, pre-registration, prior authorization verification, and point of service collections.
Provides daily direction and leadership to assigned staff. Monitors Quality Assurance measures, and oversight in ongoing staff training.
The goal of this position is to ensure high quality service for patients and accuracy of information affecting both pre and post visit services
PERFORMANCE DIMENSIONS AND TASKS
Essential Function
1. Ensures the accuracy and completeness of daily registrations
2. Ensures a high level of quality service provided to patients
3. Responsible for adequate staffing and coverage in all Patient Access areas
4. Responsible for staff development, including training, reviews of progress, and communication of
findings
5. Monitors all Patient Access processes generally and individually works to assure
compliance with department policies & procedures
6. Monitors staff productivity
7. Monitors scheduling interaction and performance with physicians and patients to ensure
appropriateness
8. Offers guidance to employees related to Point-of-Service collection activity
9. Ensures proper utilization of medical necessity and price estimation tools
10. Goals and objectives set expected to be met or exceeded
11. Keeps up to date on changes imposed by Medicare, Medi-Cal, Commercial Insurance as well as
Federal and State laws impacting health care
12. Responsible for recruitment, scheduling, and discipline of staff
13. Problem situations are to be resolved appropriately and independently
14. Ensures staff meet all requirements pertaining to Price Transparency and No Surprises Act
15. Sets priorities appropriately
16. Ensure Director of Revenue Cycle is informed of any unusual and significant issues that may affect patient satisfaction, timeliness of services or reimbursement or general patient flow
17. Must be capable of performing the tasks required of hourly employees
18. Ability to foster an environment that nurtures collaboration, teamwork, and mutual respect.
19. Analytical ability required to evaluate processes and to recommend improvements as necessary
20. Strong commitment to formalized orientation and training of staff on an on-going basis
21. Performs other duties as assigned