Patient access representative serp_jobs.h1.location_city

JOB DESCRIPTION

Miami, FL Full-Time PFS Transplant Financial Clear

Summary

Patient Access Coordinator is responsible for the daily management of Patient Access staff responsible for patient registration, scheduling, and financial clearance to increase cash flow through accuracy of registration data. This includes the overall supervision and productivity of all areas within Patient Access to ensure integrity, accuracy, and security of patient registration. Provides guidance to lead staff and frontline staff to ensure optimal efficiency and promotes a strong productive team environment. Provides guidance and support in alignment with the overall departmental and organizational goals.

Responsibilities

• Organizes, plans, and supervises a variety of functions within Patient Access Services relating to hospital admissions including, but not limited to scheduling, registration, admission, and financial clearance processes. Assist in training new and existing employees.
• Creates a team environment characterized by honesty, trust, and open communication. Attends meetings as needed as it relates to the operational improvement of the department and provides input into strategic plans, objectives, and goals.
• Promotes relationships with all Revenue Cycle departments and works closely with peers to ensure communication of key operational targets and goals.
• Demonstrates flexibility, dependability, and cooperativeness in responding to departmental / organizational needs. Reviews individual performance with frontline staff against established metrics on a monthly basis, taking action when necessary and provides timely feedback.
• Researches all denied cases in conjunction with Case Management and the Centralized Business Office.
• Responds to all request for information in a timely manner.
• Recommends disciplinary action for any subordinate in consultation with the Patient Access Management and Labor.
• Ensures all patient accounts and information are documented, verified, and scanned according to department standards.
• Reviews and prepares daily statistics related to consent chart audits. Adheres to, and enforces all hospital and department policies, safety measures, and standards which includes, but is not limited to, Joint Commission readiness, HIPAA, EMTALA, Medicare, and other federal / state regulatory guidelines related to billing and patient rights.
• Clearly communicates the mission and vision of the organization to employees.
• Resolves patient / physician, employee, or interdepartmental complaints in a timely and sufficient manner. Maintains staffing levels within approved FTE budget and provides coverage as required.
• Consults with Manager / Director for approval of additional coverage as needed.
• Completes employee annual performance appraisals in a timely manner.
• Monitors daily point of service cash to ensure departmental target goals are met; assist with follow-up collection efforts.
• Reviews all process flows within the scheduling, registration, and financial clearance process and implements changes as necessary to improve patient throughput and efficiency.
• Coordinates the admission and utilization review process with clinical staff to ensure appropriate placement of patients and compliance with third party payers and other regulatory requirements.
• Assist in the daily activity to determine appropriate deposit amounts for self pay accounts in conjunction with the Utilization Review, Transfer Center, Managed Care contracting division, Director of Patient Access, and VP of Revenue Cycle.
• Works in conjunction with uncompensated care to identify possible funding for self pay admissions, as applicable.
• Enhances professional growth and development through participation in committees, workgroups, continuing education, and literature.
• Maintains accountability of POS collections in accordance with established cashiering policy and procedures.
• Mentors direct reports and appropriately delegates operational responsibility.
• Collaborates with Revenue Cycle Services to develop mechanisms to reduce gross AR days and bad debt through consistent monitoring of key performance indicators and registration accuracy.
• Participates in the projection of trends in admissions / registration as it directly relates to the fiscal impact to the organization.
• Reports to Patient Access leadership and Risk Management any admission complaints that may have legal implications.
• Monitors and addresses any extended patient wait times in Patient Access areas immediately. Identifies methods or resources to increase point of service collections.
• Supervises the daily task related to the completion and submission of HCRA applications, special funding authorizations, and / or other funding sources for care provided.
• Informs the Patient Access Manager of daily operational needs or adjustments. Manages leave requests for departmental reports.
• Participates in the development, implementation, and evaluation of information system enhancements or other quality improvement initiatives.
• Ensures completion of all annual or mandatory education and compliance training and orientation to maintain competency in job skills and regulatory requirements for self and departmental staff.
• Prioritizes and organizes work within the unit to meet changing priorities.
• Performs other related duties and special assignment projects as required.
• Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).

Experience

Generally requires 3 to 5 years of related experience.

Education

High school diploma is required. Bachelor's degree in related field is strongly preferred.

Skill

Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with professional composure. Ability to understand and follow instructions. Ability to exercise sound and independent judgment Knowledge and skill in use of job appropriate technology and software applications. Qualified candidates will have : A general knowledge of accounting principles that directly impact the accounts receivables, adjustments and financial class changes, good organizational and interpersonal skills, and the flexibility to work varying hours and shifts, including occasional weekend rotation. Ability to demonstrate literacy in using computerized information systems. Position requires exercise of independent judgment.

Credentials

Valid license or certification is required as needed, based on the job or specialty.

Unit Specific Credential

Working Conditions

Physical Requirements - Job function is sedentary in nature and requires sitting for extended periods of time. Function may require frequent standing or walking. Must be able to lift or carry objects weighing up to 20 pounds. Jobs in this group are required to have close visual acuity to perform activities such as : extended use of computers, preparing and analyzing data and analytics, and other components of a typical office environment. Additional information and provision requests for reasonable accommodation will be provided by the home unit / department in collaboration with the Reasonable Accommodations Committee (RAC).

Environmental Conditions - Jobs in this group are required to function in a fast paced environment with occasional high pressure or emergent and stressful situations. Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public. Function is subject to inside environmental conditions, with occasional outdoor exposures. Possible exposure to various environments such as : communicable diseases, toxic substances, medicinal preparations and other conditions common to a hospital and medical office environment. May wear Personal Protective Equipment (PPE) such as gloves or a mask when exposed to hospital environment outside of office. Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions. Additional information and provision requests for reasonable accommodation will be provided by the home unit / department in collaboration with the Reasonable Accommodations Committee (RAC).