Job Description

Location: Palo Alto, CA

Duration: 6 months + extension

Pay: $74-$107

Required Skills and Experience

• Bachelor’s degree in business, finance health or public administration or a related field Required
• Bachelor’s degree and eight (8) years of progressively responsible and related work experience or master’s degree and five (5) years progressively responsible and related work experience.
• Epic (Cadence and Prelude) experience in an academic large health system or integrated delivery network (IDN).
• Must have a clear understanding of multiple managed care contracts, multiple specialty insurance and billing practices, and exercise professional competency in reviewing patient accounts to maximize reimbursement and minimize financial risk.
• Successful oversight will result in increased net revenues by reducing bad debt from potential write-offs due to lack of eligibility and denials.
• Superior presentation skills, able to present in a clear and articulate fashion in front of a variety of constituents.
• Demonstrated knowledge and understanding of governmental and non-governmental requirements applicable to registration, admitting and financial counseling.
• Demonstrated abilities in utilizing Lean/Project Management protocols for efficient workflows.
• Knowledge of relevant Hospital Policies, Practices, No Surprises Act and HIPAA regulations.
• Knowledge of and ability to utilize Microsoft Excel, Word, Project or other spreadsheet and/or word processing software.

Job Description

Responsible for patient registration, admitting, financial counseling, patient estimates, and eligibility vendor management for optimal performance of the front-end registration process/revenue cycle. Responsible for front-end data quality for the patient registration and admitting activities across all Patient Access Services and non-Patient Access Services patient facing locations. Ensures that these functions are performed efficiently throughout the enterprise, which includes maintaining an adequately trained staff to handle all patients in both inpatient and outpatient clinic settings. Identifies and implements new and emerging strategies to increase efficiency, improve processes and financial outcomes, and enhance the patient financial experience.

What you will do

• Directs implementation of standards and systems to enhance quality, consistency, efficiency, and timeliness of responsibilities for the enterprise on a 24/7 basis. Ensure the integrity and accuracy of registration data.
• Ensures and creates a positive financial experience by helping patients navigate and understand insurance benefits and potential financial liability.
• Works collaboratively with other departments to ensure the processes and systems for registration, admitting and financial counseling are standardized and optimized for efficient and effective flow of patients within the department and the organization.
• Plan and develop new systematic approaches to maximize upfront collections and accuracy in registrations.
• Ensures admitting, registration and financial counseling functions are performed efficiently throughout the Patient Access services which includes maintaining an adequately trained staff to handle all patients in both inpatient and outpatient settings.
• Provide input and direction to strategic plan and goals to meet imperatives.
• Participate in budget preparation and cost control management.
• Keeps up-to-date on all regulatory and accrediting agency requirements, including Federal and State regulations and Joint Commission standards as they relate to Registration, Admitting, Patient Estimates, and Financial Counseling.
• Ensure accuracy and the timeliness of creating patient estimates
• Ensures compliance with policies and directives issued by Medicare, Medicaid, Third Party Payers, and others as needed; i.e. Medicare Secondary Payer, authorization for inpatient and outpatient services, and verification of eligibility or other primary coverage.
• Assures compliance with the medical staff bylaws, rules and regulations, and hospital and departmental policies and procedures.
• Ensures all productivity and benchmarking (internal and external) standards are met and to develop mitigation plans for corrective action.
• Maintains a complete record of current policies and procedures followed by staff in the director’s areas of responsibility; responsible for having complete knowledge of the patient flow and steps taken by staff to complete these procedures; assures that staff is adequately trained and meets competency requirements and levels.
• Manages appropriate staff levels. Develops goals and priorities, and assigns tasks and projects.
• Develops staff skills and training plans. Counsels, trains, and coaches assigned staff. Implements corrective actions and conducts performance evaluations. Provides leadership, direction, and guidance.
• Represents the department on various committees; conducts regular unit staff meetings.
• Utilizes feedback and needs assessment tools to understand internal customer expectations. Strives to provide services that exceed expectations and works to eliminate barriers to good service.
• Maintains relations with all internal applicable parties, third party payers, and other agencies, as appropriate.
• Designs, develops, and monitors performance improvement processes.

Job Tags

Similar Jobs