The Director of Patient Access Services is responsible for strategic activities as it relates to the front end patient related revenue cycle activities for OHSU Clinical Enterprise. The operational functions would include positive patient identification, patient registration for inpatient, outpatient and emergency room patients, financial & Medicaid services, centralized managed care services, verifying insurance eligibility and benefits, securing all accounts to assure hospital and physician reimbursement, Patient reservations, pre-admissions, cash collections and reconciliation and denial management. ED Registration staff provide 24/7 patient registration and insurance verification, ambulance arrival, cash collection, and after hours bed placement services. Ambulatory Registration provides registration, insurance verification, and assignment of financial allowance for all enterprise wide patient hospital, outpatient physician practice and ancillary service visits. This activity includes collecting patients demographic and financial information, verifying insurance eligibility, and review of financial application and supporting documentation, and determining eligibility for assistance.
The position is also responsible for patient financial clearance processes including patient estimates, patient financial assistance policy and process, enterprise wide pre-service and point of service cash collection process, denials, benefit verification, prior authorizations for scheduled and unscheduled admissions and centralized outpatient authorization activity, denials, notice of admission, determination of eligibility for Medicaid or other assistance programs, and financial counseling.
This position also includes responsibility or oversite of Epic foundations build including master file maintenance and facility structure, and the development of Epic and operational revenue cycle workflows.
This position reports to the Senior VP/CFO OHSU Healthcare and has oversite responsibility for the staff and duties related to the functions described above, as well as directing strategic initiatives and enterprise wide performance improvement initiatives, to ensure smooth revenue cycle operations the meets the patient care and financial needs of OHSU in a way the demonstrates compassion and service to our patients and their families. The Director is responsible for budgeting and planning for four departments with an annual budget of $82,000,000 and 126 FTEs. This is an integral part of the revenue cycle and Patient Access activities directly affect annual net revenues of $1,500,000,000 for FY 16.