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Job Title: Asst. Director Patient Access

Company: NorthEast Provider Solutions Inc.

City/State: Valhalla, NY

Category: Executive/Management

Department: Patient Accounts-WMC Health

Position: Full Time

Shift: Day

Req #: 8931

Job Details:

Summary The Asst. Director of Patient Access oversees the daily functions and operation of, pre-registration, insurance verification, authorization and financial counseling for both inpatient and for outpatient services. The Asst. Director is responsible for the successful implementation of policy, ongoing management, and process improvement, integrates, develops policy, and overall success of the patient access functions in collaboration with Westchester Medical and the Mid-Hudson hospitals. Candidate should possess a combination of training, college education or healthcare certification equivalent and leadership experience in healthcare. The Asst. Director should have an in-depth knowledge of concepts, practices, medical terminology, and the ability to read and understand clinical documentation, anatomy and ICD codes with emphasis on inpatient and outpatient services. A comprehensive understanding of authorization requirements, procedures, preps, functions of studies, contraindications and radiologist protocol. Must be comfortable with data entry utilizing multiple patient access programs and software. Knowledge of word processing and excel spreadsheets. Work effectively in a multi task fast paced environment prioritizing and completing tasks in a timely manner. A high level of problem solving skills is essential. Attention to detail to assess and resolve conflict in a timely manner. Proficient in oral and written communications. Handles difficult or upset callers with the utmost professionalism and compassion. Role models professional behaviors, approaches and attitudes, particularly in stressful and conflicting situations. Communicates cooperatively and constructively with patients, area supervisors, families, co-workers, administration, other clinical departments, providers, community agencies, referral sources and other health team members. Expeirence Responsible for all administrative functions that contribute to the management and execution of insurance verification, authorization, pre-registration and financial counseling of inpatient and outpatient services. Manages non clinical staff in a manner that promotes optimal productivity, achieves patient and physician satisfaction and engages employees to perform at their highest level, all consistent with the Westchester Medical Health System. Provides on-site direct leadership and management, by coaching, developing and empowering direct reports. Develops and implements process for responding to patient and employee concerns and issues. Serves as a liaison between physician practices, management, and supporting departments. Utilizes education, experience and analytical judgment to perform critical job elements ensuring patient and physician satisfaction, fostering positive relationships. Coordinates process improvement and daily quality monitoring of key performance metrics and accuracy of accounts. Establishes a monitoring system to understand trends, system issues and make appropriate recommendations for process improvement, proactively developing and focusing on implementation of changes Coordinate the integration of pre-registration, pre-certification insurance verification and medical necessity checks for all patients for each facility with Scheduling to ensure resolution of relevant matters. Various personnel actions including but not limited to hiring, performance evaluations, schedules, and termination and weekly time cards. Ensures adequate professional staffing levels. Responsible for the coordination of staffing needs to support accurate completion of all scheduled patients prior to the date of service Comply with denials management policy to determine cause, resolve and assist with preparation for appeal or re-bill for inpatient or outpatient denials for New York. Upgrade, build, block and maintain all programs associated with the patient access financial clearance functions. IV. Additional Responsibilities 1. Train new employees on all applications associated with registration, eligibility and benefits, authorizations and financial counseling, including post follow up- updates and education. 2. Resolve duplicate MRN, resolve charity email, dashboards and worklists associated with the financial clearance functions, 3. Attend meetings and conferences related to job functions and responsibilities.