If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm) The Director of Patient Access Services directs, plans, organizes and evaluates the staff and activities of on-site financial and patient registration. Partners with Information Services department to ensure optimal system registration flows. Ensures the integrity of data collected for reimbursement and billing by working with appropriate on-site departments. Keeps abreast and disseminates pertinent regulatory and insurance related information in order to promote timely and efficient billing of all inpatient and outpatient services. Primary Responsibilities:Oversees and manages the administrative direction for patient registration and insurance verification Assesses and makes recommendations to improve the efficiency of current systems/processes for all applicable registration and financial services Formulates and implements policies and procedures to facilitate the efficient functioning of related departments Develops and maintains current departmental manuals, where applicable. Develops financial programs consistent with changing regulatory and fiscal environment in accordance with institution's mission and vision Promotes optimal efficiency and productivity by integrating functions across service lines Ensures cash reconciliation and auditing functions are in compliance with the finance department's policies and proceduresPartners with Information Services to ensure optimal registration flows as they relate to financial billing and regulatory requirements Assesses the front-end inpatient and outpatient system registration and insurance screens; incorporates the financial billing requirements Integrates system needs and requirements based upon the care coordination model and decentralization of services in conjunction with all appropriate departments Ensures compliance and the integrity of data with billing and regulatory requirements Provides guidance and direction to various departments regarding current insurance regulations and payment policies Serves as a liaison, troubleshoots questions, issues regarding insurance regulations, for the ancillary departments Communicates on an on-going basis, all pertinent insurance information to decentralized financial registration areas Keeps abreast of insurance issues as they relate to reimbursement, and regulatory requirements Works in conjunction with Clinical Practice Plan regarding related insurance and managed care issues Assesses registration practices as it related to outpatient procedures and hospital reimbursement and communicates accordingly Ensures effective monitoring and feedback to all decentralized financial registration areas Assists departments/registration sites with payment arrangements Assesses new procedures performed in various ancillary departments in order to capture appropriate chargesProvides overall guidance and direction to Finance departments Coordinates inter-departmental activities in order to provide continuity of care/services for patients Responds to concerns of patients, families, physicians and staff Troubleshoots various patient issues as it relates to financial services Keeps abreast of all federal, state, and county rules and regulations pertaining to Medicaid reimbursement Communicates patient-related information to appropriate departments, as necessarySelects, develops, manages and evaluates direct reports; and oversees the selection, development, management and evaluation of indirect reports Performs related duties, as required *ADA Essential Functions
Required Qualifications:3+ years' experience of management experience in a hospital setting (preferred) with progressive responsibility in healthcare revenue cycle Prior experience in a healthcare leadership role that includes accountable involvement with the strategy and execution of change and process improvement Ability to plan, direct and control affairs of large complex registration areas and manage decentralized workforce Ability to establish rapport and cooperation between staff in patient accounting and health information, utilization review management, IT and all other departments that impact patient access functions Must possess a working knowledge of patient management and patient accounting functions and metrics, understand how they impact organizational performance, the revenue cycle, and a strong business understanding of the departments overall financial implications to the system Proven excellence in communication and interpersonal skills, assisting individuals of all levels in the organization in discussing and resolving process flow, process improvement and patient account concerns are required Knowledge of medical terminologyPreferred Qualifications:Union ExperienceCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world?s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Job Keywords: director or patient access services, information services, financial reporting, Valley Stream, NY, New York
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.