Director of Patient Access - Tal Healthcare
Staten Island, NY 10310
About the Job
Our client, a not-for-profit teaching hospital serving an ethnically diverse community in New York City, is hiring a Director of Patient Access. The Director of Patient Access is responsible for the daily operations and all functions related to Patient Access Services, including registration, insurance verification, scheduling, financial clearance, and admissions, to provide a seamless experience from pre-admission to discharge. This role involves managing daily operations, optimizing patient throughput and satisfaction, and ensuring the accurate and timely collection of patient and insurance information. Additionally, the Director is responsible for maintaining compliance with federal, state, and local regulations.
This role entails implementing and communicating policies aimed at optimizing processes and facilitating the pre-collection of patient financial responsibilities. The Director will work closely with clinical teams, revenue cycle management, IT, and compliance to maintain high standards of patient care, data integrity, and regulatory compliance, thereby supporting the hospital's overall mission and objectives.
Key Responsibilities:
This role entails implementing and communicating policies aimed at optimizing processes and facilitating the pre-collection of patient financial responsibilities. The Director will work closely with clinical teams, revenue cycle management, IT, and compliance to maintain high standards of patient care, data integrity, and regulatory compliance, thereby supporting the hospital's overall mission and objectives.
Key Responsibilities:
- Team Leadership & Supervision:
- Manage and lead the patient access team, providing training, mentorship, and performance evaluations.
- Ensure proper staffing levels and coverage across shifts to maintain efficient operations.
- Foster a positive and collaborative team culture that emphasizes service excellence and patient-centered care.
- Operational Management:
- Oversee all functions related to patient registration, scheduling, insurance verification, and financial clearance.
- Monitor daily workflows and ensure timely and accurate patient intake processes.
- Implement and maintain standard operating procedures (SOPs) to streamline patient access functions and minimize delays.
- Compliance & Quality Assurance:
- Ensure compliance with healthcare regulations, including HIPAA, CMS, Joint Commission, and state laws.
- Regularly review and audit patient access processes to identify areas for improvement and ensure data accuracy.
- Address patient access issues and escalate complex cases to the appropriate departments when necessary.
- Financial & Revenue Cycle Coordination:
- Collaborate with the revenue cycle, billing, and financial services teams to ensure accurate patient insurance verification, eligibility, and pre-authorization processes.
- Work with patients to resolve financial issues, including payment plans, charity care, and insurance appeals.
- Ensure that co-pays and other patient responsibilities are communicated and collected prior to services when appropriate.
- Patient Experience & Satisfaction:
- Serve as the primary point of contact for patient access concerns and ensure a seamless, compassionate registration process for patients and their families.
- Monitor patient feedback and develop initiatives to enhance patient satisfaction.
- Resolve patient complaints or concerns in a timely and professional manner.
- Data Management & Reporting:
- Maintain accurate records and reporting metrics related to patient access operations, such as registration errors, insurance denials, and wait times.
- Prepare and present regular performance reports to senior management and stakeholders.
- Utilize data analytics to identify trends, opportunities for improvement, and performance benchmarks.
- Technology & Systems Management:
- Oversee the utilization of patient access technology, such as electronic health record (EHR) systems, patient portals, and scheduling software.
- Work with IT and other departments to implement system upgrades and resolve any technical issues affecting patient access.
- Education:
- Bachelors degree in healthcare administration, business administration, or a related field (Masters degree preferred).
- Relevant certifications (e.g., Certified Healthcare Access Manager (CHAM), Certified Revenue Cycle Representative (CRCR), or other applicable certifications) are a plus.
- Experience:
- Minimum of 3-5 years of experience in a patient access, admissions, or revenue cycle management role in a healthcare setting.
- Previous experience managing teams and improving patient access operations.
- Strong knowledge of healthcare regulations, insurance processes, and financial clearance procedures.
- Skills & Competencies:
- Excellent leadership and team management skills.
- Strong communication and interpersonal skills, with a focus on patient service.
- Analytical skills with the ability to interpret data and implement process improvements.
- Familiarity with healthcare technology systems (e.g., EHR/EMR systems, patient portals).
- Ability to work in a fast-paced, dynamic environment and handle multiple priorities.
- Knowledge of insurance verification, authorization, and billing processes.
- This position operates in a professional healthcare environment, with the possibility of occasional evening and weekend shifts.
Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information.
If you are passionate about what you could accomplish in this role, we would love to hear from you!
#LI-DB1
If you are passionate about what you could accomplish in this role, we would love to hear from you!
#LI-DB1
Source : Tal Healthcare
