Director, Patient Access Services

Job Description

Role is based out of North Shore university Hospital. Directs, organizes, and monitors financial, patient registration, financial counseling, and cashiering services. Works in collaboration with Information Services and Finance Department to ensure optimal system registration flows. Ensures the integrity of all data collected for reimbursement and billing by working with all appropriate on-site departments. Keeps informed and disseminates all pertinent regulatory and insurance related information in order to promote timely and efficient billing of all inpatient and outpatient services.

Job Responsibility

• Leads a Patient Access Services group by communicating with and developing staff members, and building consensus for programs and goals that support a business, function or geographic area.
• Develops and articulates a short-term strategic vision for areas of responsibility.
• Oversees and manages the administrative direction of the staff; 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 all 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 all cash reconciliation and auditing functions are in compliance with the finance department’s policies and procedures; in conjunction with Information Services and Finance, ensures 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 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 all decentralized financial registration areas.
• Keeps abreast of insurance issues as they relate to reimbursement, and regulatory requirements; works in conjunction with Faculty Practice Plan regarding related insurance and managed care issues; assesses registration practices as it relates 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 charges; provides overall guidance and direction of Registration and Cashiering, 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 reimbursement; communicates patient-related information to appropriate departments, as necessary.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

• Bachelor's Degree required, or equivalent combination of education and related experience.
• 8-12 years of relevant experience and 7+ years of leadership / management experience, required.