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Director, Patient Access Services

$144.4k - $341.8k

University of California

Description

Patient Access Services

Lead enterprise-wide patient access operations that supporttimely care access, strong revenue cycle performance, and a positive patientexperience. As the Director of Patient Access Services, you will overseeadmission, registration, pre-registration, insurance verification, financialcounseling, and financial clearance functions across inpatient, outpatient, andemergency settings. This role provides leadership for a large, multi-site teamand manages a $10M budget while partnering with Revenue Cycle, clinicaloperations, IT, Finance, Care Coordination, Managed Care, and other healthsystem leaders to improve access, throughput, compliance, and financialoutcomes.

In this role, you will:

* Lead enterprise patient access operations acrossregistration, admitting, pre-registration, insurance verification, financialcounseling, and financial clearance.
* Develop and implement strategies, policies, staffing plans, and performancestandards to improve access, clean claims, authorization accuracy, the patientexperience, and preventable balance write-offs and adjustments.
* Advance digital front-door, automation, and technology initiatives thatimprove efficiency, accuracy, and operational performance.
* Monitor KPIs and translate data into actionable operational and financialimprovements for executive leadership.
* Oversee daily operations, department budget, expense review, and monthlyreporting for patient access functions.
* Ensure compliance with EMTALA, the No Surprises Act, CMS requirements, HIPAA,payer rules, and other patient access regulations.
* Partner with audit and compliance teams to mitigate risk, address findings,and strengthen internal controls.
* Recruit, mentor, and develop leaders and staff while fosteringaccountability, innovation, and continuous improvement.
* Collaborate with clinical departments, IT, Finance, Care Coordination, FPG,Transfer Center, and Managed Care teams to improve workflows and resolve accessbarriers.
* Serve as an executive leader for patient access transformation, surgeplanning, emergency preparedness, system capacity initiatives, and changemanagement efforts.

Salary Range:

$144,400 to $341,800 annually

Qualifications

Required

* Bachelor's degree in healthcare administration, business,or a related field.
* 12 or more years of progressive experience in hospital-based patient accessor revenue cycle operations.
* 7 or more years of leadership experience overseeing hospital patient accessservices, including large, multi-site teams.
* 3 or more years of experience leading projects that implement automation ortechnology enhancements within patient access areas.
* Deep understanding of state and federal regulations impacting patient accessfunctions.
* Deep understanding of hospital billing, payer contracting, and reimbursementmethodologies.
* Strong knowledge of Epic electronic health records, ADT functionality, andreporting.
* Extensive knowledge of delegated payment models and authorizationrequirements.
* Strong financial and analytical skills to manage budgets, forecasts,performance metrics, and operational outcomes.
* Ability to lead teams, drive performance improvement, manage change, andcommunicate effectively across clinical, financial, and operational partners.

Preferred

* Master's degree in healthcare administration, publichealth, business, or a related field.
* Certification through NAHAM, HFMA, or AAHAM is preferred.
* Lean Six Sigma or Project Management Professional certification is preferred.

Required
Preferred
Job Industries
  • Other
Vacancy posted 10 hours ago
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