Director, Patient Access

Prisma Health•Greenville, SC

1d•Onsite

About The Position

Responsible for administering, coordinating, and reviewing system-wide patient access functions. Provides vision, leadership, and operational oversight, serving as an advisor to more than 550 Patient Access team members across the organization. Develops and supports Patient Access leaders and promotes team-building relationships and collaboration with Revenue Cycle team members to support a successful and compliant Revenue Cycle process. This management role has direct reports and may include final budget authority, hiring and termination authority, performance appraisal responsibility, and disciplinary authority. The position is based at Independence Pointe in the Corporate facility, within Revenue Cycle Administration, and is a day shift role in the United States.

Requirements

Bachelor's degree in Business Administration, Healthcare Administration, Accounting, or a related field, or an accepted substitution.
Five years of experience with Patient Access Services in a hospital or practice setting.
Three years of management experience.
Knowledge of office equipment.
Computer skills, including word processing, spreadsheets, and databases.

Responsibilities

Develop and maintain an effective, visible, and respected team by selecting, evaluating, coaching, and managing qualified professionals.
Track staffing levels and collaborate with department managers on cross-training and support as needed.
Conduct random audits to check regulatory compliance, adherence to AIDET guidelines, and patient experience expectations.
Monitor policies and procedures and recommend improvements to Revenue Cycle functions.
Oversee the central Patient Access Insurance Verification and Authorization teams.
Oversee day-to-day registration operations, including Pre-Registration, POS registration, eCheck-in, and Notice of Admission.
Ensure effective registration workflows and workflows for claim edits and registration edit work queues.
Oversee the central Financial Assistance team and update and maintain the Financial Assistance Policy and patient application process.
Collaborate with Access Health and other charity programs to support a consistent, efficient financial assistance program.
Oversee patient estimate and pre-service collection teams and ensure compliance with NSA Estimate requirements.
Ensure quality estimates are generated and estimate work queue workflows are maintained.
Assist with preparing the annual department operating budget and establishing departmental goals; manage operations within the approved budget.
Manage relationships with Medicaid Eligibility vendors and collaborate with ITS and vendors on system build and performance expectations.
Analyze payer denials and lead the Prisma Health Denial Prevention program.
Consult with and assist the IS department in implementing Patient Access functions on Epic and other appropriate systems.
Partner with Organizational Development on front-end operational workflows for user training.
Perform other duties as assigned.