Supervise and coordinate a variety of functions within Patient Access Services relating to hospital admissions and discharge, including patient registration, financial counseling and insurance verification. NHMC leaders will at all times uphold the best interests of NHMC and Optum360 / Dignity Health by adhering to the highest standards of ethical and moral conduct committing to the values inherent in Dignity Health's Mission and Philosophy. The person doing this job is responsible for a variety of tasks that lead to a high level of customer satisfaction in the most cost-effective manner. Primary Responsibilities:Supervise and coordinate a variety of functions within Patient Access Services relating to hospital admissions and discharge including, but not limited to, patient registration, cop-pay / financial collection, financial counseling, insurance verification, bed control, pre-admission certification, and patient information services Coordinate the admitting process with medical, nursing and accounting staff to ensure appropriate placement of patients and compliance with third-party payers and other regulations; process patient transfers and discharges according to established guidelines Maintain liaison with insurance companies, health maintenance organizations, managed care contract companies and the third parties to obtain insurance verification data and pre-certification approval for admissions; maintain liaison with physicians, nurses and administrative staff to resolve problems and to address interdepartmental complaints Prepare and/or assist with special reports as requested by management Plan and schedule work for the group ensuring proper distribution of assignments and adequate manning, space and facilities for subsequent performance of duties Review work in process, completed applications and required documentation for compliance with department, hospital, regulatory agency and third party pay or policies Advise patients and family members how to access hospital and community services as needed Review and resolve patient complaints Review and interpret new insurance and regulatory agency requirements, identify topics for and develop training sessions Supervise various personnel actions including, but not limited to hiring, performance appraisals, promotions, transfer, and vacation schedules Maintain written procedures for staff and departmental functions Participate in daily in-patient admission workload as needed Monitor API/TEAM records for direct reports Perform other related duties incidental to work described herein Supervises personnel including recommendations for hiring, firing, performance evaluation, training, work allocation, and problem resolution Develops and establishes policies and objectives consistent with those of the organization to ensure efficient operation of individual operating units Participates in the development of operating goals and objectives for the unit; recommends, implements, and administers methods and procedures to enhance operations Assists in the annual budget planning process and regularly monitors expenditures This position may have access to third party credit card information and transactional systems (cash registers, point of sale devices, applications supporting credit card transactions, and reports or other documents containing credit card information) from multiple transactions or reports and/or files containing bulk transactional information containing unencrypted or un-redacted credit card information Performs other related duties as assigned or requestedThe following job accountabilities are not unique to this particular job but are common to all jobs at NHMC:Complies with NHMC policies and procedures on customer satisfaction and service excellence. Demonstrates professionalism and cultural sensitivity in coordinating activities and communicating with all customers, peers, and the community at large. Conducts self in a professional, respectful and courteous manner during all interactions. Works effectively and collaboratively with others toward common goals Communicates accurately, honestly, supportively and in a timely manner with department and interdepartmental team members. Demonstrates effective business writing and oral communication skills; handwriting is clear and legible Participates in operational aspects of the department, and maintains / participates in performance improvement (PI) activities within the department and house-wideUnderstands and complies with accreditation and regulatory requirements regarding quality control and performance improvement activities for assigned areas of responsibility. Follows the organization's problem-solving / PI model Designs and implements appropriate performance measurement / data collection activities following sound statistical principles, including use of appropriate sampling methods and valid indicator development Understands and utilizes data analysis tools, including but not limited to run charts, bar graphs, control charts and histograms Understands and utilizes PI tools, including but not limited to flowcharts, cause and effect diagrams Understands and utilizes basic team facilitation techniques, including managing meetings to ensure productive outcomes, promoting creative problem-solving through brain-storming and multidisciplinary staff involvement and applying conflict resolution techniques as neededParticipates in all departmental specific training, Environment of Care (illness/injury prevention, fire/life safety, hazardous materials, emergency preparedness, utilities management, medical equipment management, safety and security management), infection control (standard precautions, TB Exposure Control Plan, Bloodborne Pathogen Exposure Control Plan) Demonstrates knowledge of and follows safety practices, including patient safety. Understands the importance of safety in the work place. Maintains a safe environment for self and others Demonstrates leadership priority for organizational performance improvement in patient satisfaction/safety programsEstablishes and maintains a culture of patient safety throughout the Medical Center. Promotes patient safety by recognizing and reducing risks and hazardous conditions that result in medical/healthcare errors and patient injury. Complies with the event reporting process Demonstrates advocacy for the patient/customer and appropriate acknowledges patients, customers and visitors Supports a strong internal non-punitive reporting mechanism. Supports ongoing proactive efforts through implementation of known safe practices. Promotes communication and coordination among individuals and departments to minimize risk to patients as appropriate Understands and complies with accreditation and regulatory requirements and internal processes regarding responding to Sentinel EventsShift flexibility needed between 4 AM -7 PM and Rotating weekends
Required Qualifications:3 or more years of Acute Hospital Admitting / Financial Counseling Experience 2 or more years of Acute Hospital Admitting or related departmental supervisory experience Experience with MS Word, Excel, Outlook, Hospital ADT System Knowledge of third party payer requirements Knowledge of health care utilization review agency requirements Knowledge of third party payer authorization process and eligibility requirements Experience analyzing a variety of data including credit history, income records, etc. Basic mathematical skill (addition, subtraction, multiplication, division, percentages) sufficient to calculate third party payer requirements Experience in management of staff including hiring, training, motivating, delegating responsibility, evaluating performance and taking appropriate disciplinary action Experience in writing grammatically concise and correct correspondence and reports Knowledge of hospital registration compliance requirements Preferred Qualifications: High School Graduate, college degreeCareers 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: patient registration, acute care hospital, admitting, registration, DNFB, POS collections, patient satisfaction, employee engagement, Northridge , CA, California
Internal Number: 742315
About UnitedHealth Group
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.