Associate Administrator, Patient Access, Full Time, Days

Miami, FL Full-Time Rehab Admin

Summary

The Patient Access Associate Administrator is responsible for the direct oversight of daily operations of Patient Access areas related to patient registration, scheduling, and financial clearance to increase cash flow through accuracy of registration data. This includes the overall management, organization, and productivity of Centralized Scheduling, Centralized Registration, Financial Clearance Centers, and Quality Assurance to ensure integrity, accuracy, and security of patient registration. Provides guidance and support in alignment with overall departmental and organizational goals. This position will have a significant role in the administration or preparation of the departments or the organization's budget.

Responsibilities

• Organizes, plans, and directs the daily scheduling, registration, admission, and financial clearance processes for the Jackson Health System.
• Promotes relationships with all Revenue Cycle departments and works closely with peers to ensure communication of key operational targets and goals.
• Provides interface with internal and external resources at multiple levels to optimize operational efficiency.
• Sets achievable and measurable goals for subordinates and reviews individual performance against these metrics continuously throughout the appraisal period, taking action when necessary.
• Works directly in a collaborative manner with the management of clinical and ancillary areas to establish best practice for coordination of patient services.
• 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.
• Ensures Patient Access and Revenue Cycle initiatives have a methodical approach for implementation and follow-up; this includes, but is not limited to, addressing issues in a timely and accurate manner.
• Provides input into strategic plans, objectives, and goals.
• Clearly communicates the mission and vision of the organization to employees.
• Ensures all direct reports are capable of assessing, addressing, and resolving, any issues that directly impact operations.
• 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 the leadership of Uncompensated Care to communicate to staff policies and procedures related to charity care guidelines; and, identify possible funding for self pay admissions, as applicable.
• Operates within department budget and manages staff levels to ensure adequate coverage while staying within allocated FTE hours.
• Enhances professional growth and development through participation in committees, workgroups, continuing education, and literature.
• Maintains strict control and accountability of POS collections.
• Mentors direct reports and appropriately delegates operational responsibility.
• Develops and revises policies and procedures related to the operations of the department.
• Organizes, plans, and directs the daily operational management of patient flow throughout Patient Access areas.
• Collaborates with Revenue Cycle Services to develop mechanisms to reduce gross AR days and bad debt through consistent monitoring of key performance indicators, registration accuracy, and vendor management.
• Participates in the projection of trends in admissions/registration as it directly relates to the fiscal impact to the organization.
• Reports to Risk Management any admission complaints that may have legal implications.
• Consistently monitors Patient Satisfaction scores and applies industry best practices to meet or exceed customer service target goal.
• Utilizes benchmarking techniques to improve operational flow within the department and enhance productivity.
• Monitors and addresses any extended patient wait times in Patient Access areas immediately.
• Identifies methods or resources to increase point of service collections.
• Directs the daily task related to the completion and submission of HCRA applications, special funding authorizations, and/or other funding sources for care provided.
• Assist in the recruitment and retention of qualified staff.
• Informs the Director of Patient Access Services of daily operational needs or adjustments.
• Manages, reviews, and approves leave requests for departmental reports.
• Ensures timely submission or response to request assigned by Director of Patient Access or other requesting party.
• 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.
• Performs all other related job duties as assigned.
  
  

Experience

Generally requires 5 to 7 years of related experience. A minimum of two years of supervisory experience is required.

Education

Bachelor's Degree with 3-5 years of related experience, or 5-7 years of progressive supervisory/management related experience is required.

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 critical thinking and 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.

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).