Director, Patient Access Services, Pre-Services

Hackensack Meridian Health•Edison, NJ

1d•Remote

About The Position

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Director of Patient Access Services, Pre-Services at Hackensack Meridian Health, oversees the pre-service financial aspects of patient care, ensuring accurate verification of insurance, prior authorizations, and understanding of patient financial responsibility. The position works closely with key stakeholders and leadership throughout the department and the designated site hospital location to deliver comprehensive and coordinated access. The position oversees pre-registration, insurance verification, financial clearance, including patient estimates and point of service collections, data integrity, and training. The position is a key leader who promotes teamwork, encourages innovation, serves as a catalyst for change, and promotes creative solutions by serving as a role model. The position offers a remote work option.

Requirements

Bachelor's degree in Business Management or a related health field.
Minimum of 8 years experience in front end revenue cycle.
Minimum of 5 years of progressive management experience.
Demonstrated experience with IT functionality.
Excellent written and verbal communication skills.
Strong analytical skills and attention to detail.
Ability to maintain high morale in the workplace.
Ability to train team members as well as manage and direct as needed.
Excellent written and verbal communication skills.
Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.

Nice To Haves

Master's degree in Business Management or a related health field.
Project management experience

Responsibilities

Insurance Verification & Authorization Oversees the process of verifying patient insurance eligibility and obtaining necessary prior authorizations for procedures.
Ensures adequate and accurate patient information is collected and verified at the time of scheduling, pre-registration, and registration to ensure seamless access to care.
Ensures patients understand their financial obligations, including copays, deductibles, and balance responsibilities.
Collect co-insurance, co-payment, or provide estimated out-of-pocket costs for the service.
Ensures timely and accurate cash collections across the enterprise and point of service collections reconciliation.
Quality Assurance and Training Development Ensures detailed monitoring, audits, and feedback loops for front-end errors, preventative denials, estimates, and point-of-service collections.
Ensures and coordinates on-demand training and development for internal and external customers related to front desk operations. In addition, this position provides oversight, guidance, and facilitation for enterprise-wide EMR management and upgrade enhancements.
Establishes a clear vision for Access Services, PFS Team business & operations that supports HMH's Vision, Mission, and Shared Values; maintains a big picture view; foresees challenges and opportunities; scans and assesses environmental and industry trends to identify opportunities, assesses need to shift strategic direction, challenges status quo thinking and assumptions, and identifies innovative and breakthrough ideas that create value.
With awareness of the manager's goals, develops a succession plan and operates independently, and conveys information effectively to team members to plan, implement, measure, motivate, and achieve these goals.
Reviews the clinical performance of all providers annually and acts as a resource for medical issues for providers.
Monitors and advises referrals to specialists.
Ensures credentials of providers are complete and current.
Understands the value of growth to proactively optimize the strengths of entities/departments for the benefit of the organization as a whole.
Other duties and/or projects as assigned.
Adheres to HMH Organizational competencies and standards of behavior.