The manager is responsible to coordinate, plan, lead, and supervise all aspects of daily operations related to the patient access and operational support processes. Plans and organizes processes related to patient scheduling, registration, and service delivery for all non-clinical functions across all assigned imaging locations. Processes include, but not limited to registration, scheduling, pre-certification, verification, and other administrative support functions that support the provision of clinical care. Provides leadership, organizational structure, and management for long-range planning as well as efficient daily operations.
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, EXPERIENCE, AND/OR LICENSURE:
1. Bachelor in Finance, Business Administration or related fieldANDThree (3) years’ experience in healthcare operations.
ORHigh School Diploma or equivalentANDTen (10) years of experience in a healthcare patient access environment.
PREFERRED QUALIFICATIONS:
EXPERIENCE:
1. Three years of supervisor level experience in patient access or healthcare finance
CORE DUTIES AND RESPONSIBILITIES:The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Ensures the prompt efficient and courteous registration, scheduling, and/or admission of patients to all imaging services. Maintains twenty-four (24) hour responsibility for processes.
2. Coordinates scheduling, access, pre-certification, authorization, and verification functions to ensure registration and billing compliance, in conjunction with all applicable parties.
3. Implements processes to respond to changing requirements. Ensures activities across all imaging support services are well coordinated, efficient and patient focused.
4. Monitors and evaluates quality and efficiency and determines staffing needs and schedules to ensure adequate coverage at all times.
5. Coordinates information systems requirements as it relates to support services requirements.
6. Proactively works to identify issues, collect and analyze data, present issues and associated proposals for solutions to make informed management decisions.
7. Keeps abreast of all regulations and standards issued by governmental/regulatory agencies and third party payers; implements changes, as required, ensuring compliance.
8. Collaborates with clinical leadership for all support services and meets the needs of all stakeholders in the provision of services.
9. Represents Patient Access unit at scheduled meetings with all related departments and entities, third party payers and customers, as needed. Revises policies and procedures to reflect any required changes.
10. Coordinates staff education programs to ensure procedures are revised as needed and staff are trained on new or revised procedures.
11. Establishes and implements procedures that coordinate all patient entry functions and informational requirements to ensure accurate, timely processing to eliminate the amount of redundancy for patients and providers.
12. Designs and/or prepares appropriate reports to monitor accuracy of information collection, sets target accuracy goals, monitors against goals and re-establishes over time for compliance, accuracy, and efficiency.
13. Tracks key performance measures/success factors as related to patient access and support services functions.
14. Acts as liaison with internal and external customers as it related to access to the imaging services for WVUH, WVU Medicine Children’s, and UHA.
15. Trains and coaches new and existing personnel to assure adequate knowledge of patient access related processes and protocols.
16. Prepares and delivers written performance evaluations within defined standards and timeframes.
17. Prepares job descriptions for positions within the department and actively recruits and interviews for the most qualified candidates for the position.
18. Maintains current and complete knowledge of human resource policies specific to employees. Identifies and implements corrective action procedures, within hospital defined standards of practice.
19. Identifies and implements staffing changes which will measurably increase productivity of department operations. Staffing changes may be temporary, based on current backlog report, or may be permanent changes to reflect changing internal and external environments.
20. Critically evaluates need for position replacements and presents with documented support and justification.
21. Conducts and facilitates activities that drive performance and optimize the patient access and support services impact and contribution to the department and organization as a whole.
22. Provides feedback, as needed, in the development and maintenance of the operations and capital budget.
23. Participates in goal setting, planning, implementing change and improving productivity through actively leading meetings, committees, task forces, projects, etc.
24. Continually keeps Director informed of the status of operations, personnel evaluations and/or other problems that impact the operations of the department.
PHYSICAL REQUIREMENTS:The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
WORKING ENVIRONMENT:The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Standard office environment.
SKILLS AND ABILITIES:
1. Financial, technical and professional skills.
2. Oral and written communication ability to effectively represent the School of Dentistry in interactions with third party payers, patients, dentists, and other departments.
3. Analytical and problem solving skills as well as the ability to work and communicate effectively with other departments.
4. Working knowledge of local, State and Federal regulations pertaining to patient access and support services
5. Ability to perform a variety of duties, ranging from direct involvement in various projects to coordination and supervision of the activities of co-workers.
6. Knowledge of spread sheet, word processing and office software applications.
Additional Job Description:
Scheduled Weekly Hours:
40
Shift:
Exempt/Non-Exempt:
United States of America (Exempt)
Company:
WVUH West Virginia University Hospitals
Cost Center:
4151 WVUH CH Pediatrics Radiology Diagnostic
Address:
1 Medical Center Drive
Morgantown
West Virginia
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.
Please view Equal Employment Opportunity Posters provided by OFCCP here.
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
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