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This position offers $180,000.00-$230,000.00 per year
Executive Director-Patient Access & Financial Clearance
Highlights
Sets vision and provides overall strategy and financial/operational direction of patient services offered by Admitting, Pre-registration, Registration, Patient Estimates, Financial Counseling, Insurance Verification, Payor Authorizations, and Point Service Collections. Assembles and leads a high-performing team, deploying an exceptional customer-centric approach to the revenue cycle components, to achieve its overall strategic and financial goals. Drives the transformation of the health system front-end revenue cycle operation to be a value-added business enterprise and intelligence agent driving and enabling: hybrid reimbursement model operations; process redesign supporting new clinical models; technology integration across all domains; and business intelligence guiding real-time decision support via feedback loops. Establishes necessary governance and the ultimate integration and operational control of disparate revenue cycle management functions to drive best-practice and optimal revenue cycle management performance.
Responsibilities
Actively participates in committees and task forces as appointed: participates in performance improvement activities to facilitate the identification of opportunities to improve patient care and financial outcomes, defines strategies to achieve improvement, defines process and outcomes measures to monitor the impact of changes, and communicates improvements to the health system.
Creates a culture of continuous improvement and establishes performance metrics to assess effectiveness and outcomes.
Develops and implements best practices, new programs, and special projects by leading and establishing task forces, committees, or individual approaches
Develops plans and initiate responses to legislative changes to ensure compliance with local, state, or federal regulations.
Directs and reviews the administration of all business operation policies and procedures consistent with Finance Department objectives.
Directs overall business planning, budgeting, trend analysis, and evaluation of department services and performance.
Ensures compliance with key government regulatory requirements such as ABN (Advance Beneficiary Notice), EMTLA (Emergency Medical Treatment and Active Labor Act), MSPQ (Medicare Secondary Payer Questionnaire), and privacy notice.
Evaluates ongoing operations and programs for the efficient use of resources and technology for optimal benefit and reimbursement to the Health System.
Plans, directs, and monitors an infrastructure that supports efficient registration and financial clearance for inpatient and outpatient customers ensuring: customer satisfaction, and positive financial outcomes, minimizes Bad Debt, authorizations, and insurance verification write-offs, and meets compliance requirements. Integrates all components of the operations of the department with the functions of other hospital/clinic departments and services.
Prepares annual objectives; develops short and long-range goals and plans of action, and capital and operating budgets to meet the fiscal and administrative of the Health System.
Provides overall strategic direction and leadership to all front-end revenue cycle operations.
Administers and coordinates areas of training, communication, and education, ensuring key performance metrics are meeting and/or exceeding performance, and any other identified areas with Patient Access and Financial Clearance Services.
Education Qualifications
Bachelor’s degree in a work-related field/discipline from an accredited college or university required
Advanced degree preferred
Experience Qualifications
Eight (8) or more years of progressively responsible and directly related work experience within the Revenue Cycle required
Required Knowledge, Skills, and Abilities
Ability to interact with C-level executives and present Revenue Cycle Front-end and IT perspectives, roadmaps, and strategies for increased efficiencies.
Detailed knowledge and expertise across the entire hospital and professional revenue cycle continuum.
Strong executive presence, including communication skills that enable appreciation of others’ perspectives and the ability to offer compelling insights and recommendations.
Outstanding management abilities and a demonstrated track record of leadership.
Expertise with responsibility for large groups of employees is required.
Strong analytical capacity.
Capability to serve as both a leader and a coach with demonstrated ability to work as a team or independently.
Thorough understanding of healthcare financial trends and financial systems/tools.
A proven leader with significant revenue cycle experience to lead the integration of all front-end revenue cycle processes.
Proven record in leadership, mentoring, and development of previous direct reports.
Demonstrates a desire to guide to help direct reports achieve growth, established goals, and desired outcomes
True “change agent” able to lead diverse groups in implementing new programs and ideas.
Skilled in leading change management to implement new and “best practice” approaches to business processes to improve customer service, operational effectiveness, and financial outcomes.
A courageous, innovative, and energetic individual with a “can-do attitude” can inspire an organization to do its best and stay the course even in difficult circumstances.
Exhibits strength of character to champion risk-taking; a self-starter and self-motivated.
A true collaborator, that can influence by actively listening and bringing multi-disciplinary teams (clinical operations, care providers, administration, etc.) together.
Prepares organizational leadership to recognize and mitigate risks brought on by organizational changes.
Serve as the transformation advocate to generate enthusiasm and excitement for the change.
Strong understanding of information technology and its applications in revenue cycle management.
Demonstrated ability of strong written and verbal communication skills and the ability to make persuasive presentations to key internal and external stakeholders, senior leadership, peers, and board members. Ability to communicate and listen effectively at all levels of the healthcare organization, internal as well as external.
Ability to successfully function in a fast-paced, service-oriented environment.
