Full employer posting
Responsible for monitoring activities within the clinic Patient Access areas which includes clinic registration and centralized scheduling services to include pre-registration and pre-certification services. Collaborates with Patient Accounts to identify charge delays, claim denials and subsequent root cause mitigation tactics to resolve and prevent revenue loss. Collaborates with Ancillary Departments and nursing leadership, designs and ensures implementation of processes that systematically monitor, analyze and contribute to the accurate and appropriate patient and billing disposition for medical services.
Responsible for directing the activities of the managers/supervisors and staff to create an environment of excellent customer service and identifying opportunities to aid in setting goals, priorities and optimizing staff performance through education, quality assurance, process redesign, policy/procedures and communication. Plans, develops and implements new systematic approaches to maximize upfront collections and minimize denials.
Optimizes Staff performance through process re-design, policy/procedure implementation, communications, and outcome feedback. Responsible for statistical reporting, budgeting, productivity and regulatory reporting. Skills 1.
Strong organizational, leadership, customer relations, and ability to prioritize, multi-task and delegate for effective communication with patients, physicians, public, staff and administration. 2. Ability to adapt and respond effectively to a constant changing service environment. 3. Strong financial analysis capabilities. 4.
Ability to demonstrate leadership in establishing and achieving goals. 5. Effective written and verbal communication skills required. 6. Analytical and problem-solving skills required under stressful situations. 7.
Ability to facilitate transitions through sound process improvement methodologies. 8. Ability to negotiate and resolve conflict. 9. Ability to foster and implement team-building strategies. 10.
Skill in the use of computer systems and related software applications. 11. Willingness to embrace change and manage it effectively. 12. Analytical and problem-solving skills required. 13.
Must be able to demonstrate understanding of and ability to interpret third party payor principles and terms. Must be proficient in determining applicants eligible for Charity Assistance according to Hospital District Charity/Indigent Care guidelines. 14. Ability to establish and maintain effective working relationships. 15.
Bilingual English/Spanish preferred. 16. Knowledge of medical terminology, familiarity with HCPCS and ICD10 coding, pre-arrival, authorizations, verification, insurance, and reimbursement contracts. 17. Knowledge of computer software programs (Excel, Word Preferred) and use of basic office equipment.
Work Experience Five (5) years of Supervisory/Management experience required. Strong background in healthcare revenue cycle required. Working knowledge of principles and fundamentals of budgeting, accounting, record-keeping and business writing.
License/Registration/Certification None Education and Training Bachelor degree in Accounting, Finance, Business Administration, Healthcare Administration or related field required.
Full Time - Days
About the role
Responsible for monitoring activities within the clinic Patient Access areas which includes clinic registration and centralized scheduling services to include pre-registration and pre-certification services. Collaborates with Patient Accounts to identify charge delays, claim denials and subsequent root cause mitigation tactics to resolve and prevent revenue loss.