Senior Director, Patient Access

Essential Functions

• Directs the management of patient access by establishing and maintaining standards, systems, and effective processes.
• Address identified needs and ensures achievement of established financial goals.
• Schedule management including trending, root cause analysis, and action planning to ensure targets are being met.
• Develops, implements, and administers department policies and procedures in a consistent and timely manner to improve the quality and quantity of work processed.
• Makes recommendations for improvement and ensures policies are communicated and administered consistently.
• Performs strategic planning, effectively presents information, and responds to questions from physicians, management, payers, and patients.
• Develops and manages processes to audit and monitor scheduling, pre-registration, and authorization tasks.
• Work collaboratively with all internal and external customers and departments to ensure timely and accurate patient registration and processing related to all aspects of the patient and revenue cycle process.
• Understands and stays abreast of payer requirements and changes within the industry.
• Provides training and oversight to staff to assure that these requirements are executed.
• Prepares departmental performance reports by collecting, analyzing, and summarizing data and trends.
• Supervise and appraise the performance of direct reports on an ongoing basis, provide training and resources to ensure direct reports continue to develop skills and knowledge of job-related functions, and ensure the same is done for staff reporting to the direct reports.
• Provide tools for Team Leads to sustain, develop, enforce, and report department standards and metrics; recommend actions for improvement.
• Assists the SVP with reviewing the performance of the team regularly to ensure metrics and standards are well within pre-established goals and objectives.
• Assists with developing, implementing, and administering the annual department budget and initiating corrective actions to significant variances.
• Attends required meetings and participates in committees as requested.

Education and Experience

• Bachelor’s degree in clinical informatics, management, Accounting, Finance, or Business Administration or related field or equivalent years of experience.
• Five years in hospital system environment operating in patient access, surgery scheduling, and centralized scheduling models.
• Two to five years of management experience in a call center environment.

Knowledge and Skills

• Knowledge of the health care field and call center operating policies and procedures.
• Knowledge of insurance plans and medical billing.
• Knowledge of supervision and staff development.
• Knowledge of computer systems and Microsoft applications and Contact Center phone systems such as ShoreTel.

Physical/Mental Demands

• Requires sitting and standing associated with a normal office environment.
• Some bending and stretching are required.
• Manual dexterity using a calculator and computer keyboard.
• Organizational Requirements

Environment

• Normal office environment.
• Some travel within the community.