CORPORATE DIRECTOR PATIENT ACCESS

About the role

The Corporate Director of Patient Access is responsible for achieving annual and periodic goals for significant statistical indicators of Patient Access performance, including appointment scheduling, pre-registration, registration/admission, financial counseling, and ancillary registration (Mammography, Transport, Centra Lab).

Responsibilities

• Operational management of the Department, creating a clear, simple customer-centered vision, and consistently searching for and applying the best practice ideas.
• Motivate and energize employees, consistently execute new ideas, and continually strive to improve the timeliness, quality, and accuracy of the patient access process.
• Adhere to all state and federal regulations, insurance verification including pre-authorization, time of service collection, Centra Lab registration, and system maintenance and optimization.
• Supports or further develops process by which scheduled patients are preregistered prior to the scheduled appointment to ensure accuracy and completeness of information with an emphasis on customer service.
• Negotiate rates and premiums, bind coverage, approve policies, make operations changes that impact claims and insurance programs, approve authorize settlements, and/or negotiate claims.
• Retain and supervise defense counsel, coordinate organization's response to discovery requests, develop standards for selection and evaluation of outside service providers relating to claims, set reserves (expense and indemnity), attend and participate in mediations, arbitrations, and settlement conferences, ensure that organization's administration and executive management are kept informed on high exposure cases, aggregate claims experience, and issues impacting the risk financing program.
• Ensures compliance with all aspects MMSEA federal reporting. Notifies carriers of actual or potential claims, establishes and maintains claim files, and coordinates investigations.
• Establishes, promotes, and develops ongoing patient access training and education programs for existing and new employees that support job training and regulatory requirement education.
• Manages enterprise scheduling according to best practices and develops further collaboration with internal and external areas to improve efficiency and revenue cycle efforts.
• Ensures that all required pre-authorizations and/or pre-certifications are obtained according to third party requirements.

Qualifications

• Required Education: Bachelor's degree in business related field
• PREFERRED Education: Master's degree in business related field

Salary Range

$111,860 - $178,975