Location: New York,NY, USA
Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as diverse as the patients they serve. Interpreter services can be provided at any time of the day or night in over 130 languages. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Work Shifts 8:00 A.M - 4:00 P.M Job Description Purpose: Responsible for coordinating and implementing initiatives to improve the Front-End Revenue Cycle operations and enhancing financial performance. Supervise and assist the Finance Team tasked with financially securing accounts by performing insurance authorization activities, enrolling into health insurance or H+H Financial Assistance Programs maximizing reimbursement for services in accordance with policies, guidelines and systems established by the Corporation. Specific Duties and Responsibilities: The [Patient Access Director] is charged with and responsible for: Overseeing the daily operations of the Revenue Cycle staff responsible for performing Financial Clearance of Admissions, Ambulatory Surgery, Emergency Department, Behavioral Health and Outpatients. Financial Clearance to also include insurance verification and authorizing services, enrollment into Health Insurance, NYC Care or the H+H Option Financial Assistance program. •Monitoring the HB AR Overview Dashboard for the designated Finance Inpatient, Outpatient, and Emergency Department: Account, Claim Edit and Patient Workqueues. Oversee the resolution of the claims and accounts populating these workqueue to ensure accounts are corrected and billed in a timely manner. •Plans and implements prevention strategies to reduce denials stemming from registration errors and unauthorized services.Coordinate the implementation of facility initiatives designed to increase revenue by enhancing and standardizing the financial clearance process. •Participates in weekly/monthly meetings with Finance and Ambulatory Department Managers to discuss and resolve issues related to the Front-End Check in process, registration errors and claim edits populating the Ambulatory Care Workqueues. Attend meetings & work in conjunction with Revenue Cycle Services, •H2O Team, including consultants in regard to resolving issues and enhancing patient and staff workflows in EPIC. •Generating EPIC productivity and statistical reports, spreadsheets or documents and be able to report and address the data appropriately. Utilize reports to adjust staffing and workflow to improve patient care, patient satisfaction and revenue cycle operations within the facility. •Manage Departmental PS and OTPS budget. Periodically reviews and responds to any request for explanation or documentation related to PS or OPTPS budget. Reviews PS budget to verify accuracy of staff roster. •Evaluates personnel performance, progress of work, and makes recommendations regarding placement, salary, reclassification, transfer, promotion, demotion, release and disciplinary action where appropriate in the implementation of Corporation 's Personnel Rules and Regulations. •Selects personnel and recommends appointments, personnel changes and placement. •Maintains Managed Care membership data and provides to CFO monthly and Board Report on a quarterly basis. •Perform all duties in alignment with the mission, vision, values, and behavioral expectations of NYC Health + Hospitals. Perform all duties in alignment with the mission, vision, values, and behavioral expectations of NYC Health + Hospitals. Minimum Qualifications 1. A Baccalaureate Degree from an accredited college or university with a major in Accounting, Finance, Business Administration or related field; and, 2. Six years of experience in accounting, finance or business administration, two years of which must have been in a responsible supervisory or managerial capacity in areas normally related to a hospital, medical center or health care facility; and, 3. Three years of experience as indicated in (2) in areas related to the management of patient's accounts or credits; or, 4. A satisfactory equivalent of experience, education and training. Department Preferences •Experience and expertise with healthcare and payer guidelines as it pertains to billing, reimbursement and securing visits as well as of the overall operational impact to the clinical departments. •Understand key revenue cycle metrics and performance indicators and provide reporting of operational and financial performance •Knowledge of the Epic Hospital Billing system •Ability to plan, prioritize, and solve problems •Computer literacy required including working knowledge of relevant software packages such as Microsoft Office •Excellent written and verbal communication skills •Ability to manage multiple complex projects simultaneously and to work independently •Effectively supervising, leading, and delegating tasks and authority. •Utilize the ICARE model of customer services to provide a better experience when under our care. If you wish to apply for this position, please apply online by clicking the Apply Now button. NYC Health and Hospitals offers a competitive benefits package that includes: