Patient Access Manager, Mary and Elizabeth Hospital

Job Description

UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center. With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.

Job Summary / Job Purpose

Oversees the scheduling, orders management, insurance verification, pre-authorizations, financial counseling, and all points of patient registration for the University of Louisville and Brown Cancer Center. This position will lead the registration teams including supervisors, educators, analysts, and coordinators promoting a team approach, competent and accountable environment to produce successful outcomes of all patient encounters. This includes oversight of department operations 24/7.

Essential Functions

• Provides leadership to the Patient Access department through example and mentoring.
• Maintains solid knowledge of the Registration systems with thought and collaboration to ensure regulatory compliance and financial performance objectives are achieved that are related to clinical and revenue cycle initiatives.
• Manages the process to reduce duplicate medical record and account numbers; identifies ways to prevent the occurrence.
• Guarantees all team members are familiar, understand and abide by the EMTALA regulations as it relates to registration.
• Affirms processes are in place that insurance coverage is verified at point of registration and benefits are obtained within 24 hours of admission.
• Identifies reasons for write-offs for scheduled tests not meeting medical necessity and implements procedures to decrease denials.
• Encourages “up-front” collections; identifies ways to continually increase collections prior to service and at time of registration.
• Manages overtime and other departmental expenses within budget; analyzes month-end expenses actual to budget.
• Provides explanation for variance overages and reasons for any significant expenses under budget.
• Minimizes supply inventory using “just in time” method to prevent overstocking.
• Contributes to positive business results by maintaining a workplace characterized by high performance, mutual support and respect, and teamwork.
• Regularly searches for and identifies opportunities for quality and process improvement resulting in improved efficiency and increased productivity.
• Responsible for keeping staff up to date with any specific policy changes.
• Prepares weekly report summarizing inventory statistics, staff productivity and collections performance.
• Identifies deficiencies in staff performance and backlogs in inventory statistics in a timely manner and acts to address outstanding issues.
• Maintains in-depth knowledge of the Registration system; actively participates in conversion/upgrade processes; provides direction/instruction regarding systems issues to others.
• Keeps Revenue Cycle leadership abreast of issues and concerns that affect cash flow and/or staff efficiency or morale.
• Holds regular meetings with staff.

Additional Job Description

• Collaboration & Teamwork: works cooperatively and collaboratively with others toward the accomplishment of shared goals.
• Valuing Diversity: recognizes and embraces the unique talents and contributions of others.
• Service Orientation: desire to serve and focus one’s efforts on discovering and meeting the needs of internal and external customers.
• Achieves Results: reflects a drive to achieve and outperform. Continuously looking for improvements. Accepts responsibility for actions and results.
• Organizational Alignment: ability to align people, processes and organizational structure with UMC’s strategic direction.
• Developing Others: views people, their knowledge and capabilities as assets and provides opportunities that allow employees to continuously learn and develop.
• Communication: practices attentive and active listening and can restate opinions of others; communicates messages in a way that has the desired effect.
• Integrity: conducts business with honesty and professional ethics. Seeks to achieve results in the best interest of the organization. Models and reinforces ethical behavior in self and others.

Skills, Knowledge Or Abilities

• Critical Thinking: ability to think through issues and identify appropriate options.
• Computer Skills: Advanced knowledge in Excel with Experience in Microsoft Office application.

Education / Accreditation / Licensure

• Education: Bachelor’s degree in healthcare, business, accounting or equivalent leadership experience.
• Licensure: Certification preferred (can be acquired post hire).

Experience

• Experience: 3 - 5 years’ experience in Patient Access operations.
• Extensive knowledge of relationship between Admitting, Clinical Areas, Financial Areas, and pre-service and point-of-service clearance activities.

Additional Responsibilities

• Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times.
• Adheres to and exhibits our core values: Integrity: Moral wholeness, soundness, uprightness, honesty and sincerity as a basis of trustworthiness. Excellence: Outstanding achievement, merit, virtue; continually surpassing standards to achieve/maintain quality.
• Maintains confidentiality and protects sensitive data at all times.
• Adheres to organizational and department specific safety standards and guidelines.
• Works collaboratively and supports efforts of team members.
• Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community.