About The Position

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates. The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time). Position Overview SUMMARY (Basic Purpose of the Job) Supervises areas of responsibility to meet department goals while maintaining budget integrity. Educates and monitors employees and adheres to department and administrative procedures and guidelines to maintain compliance and insure quality. Communicates effectively and works cooperatively with others. Works collaboratively with other departments to improve shared work processes. Utilizes standards, guidelines, and written procedures for performing patient access functions.

Requirements

  • High School Diploma or equivalent.
  • Three years Health Access experience.
  • Effective verbal and written communication skills.
  • Strong customer service skills.
  • Understanding of health care regulations, insurance processes, and revenue cycle management.
  • Excellent understanding of insurance concepts and health plan policies.
  • Knowledge in all areas of hospital scheduling, authorizations, and pre-registration operations.
  • Ability to supervise multiple tasks simultaneously and ability to change priorities when necessary to meet deadlines.
  • Demonstrates good judgment as well as excellent attention to detail.

Nice To Haves

  • Supervisory experience preferred.

Responsibilities

  • Ensures responsibility for the schedule, payroll, and the maintaining of appropriate staffing levels while adhering to the budget.
  • Performs all probationary and annual staff evaluations on or before due date, as measured by reports.
  • Monitors/facilitates staff training and education for new recruits and incumbents, as measured by reports.
  • Assists with interviewing, hiring, and training of new employees as well as plans, assigns and directs workloads; appraises performance; rewards and disciplines employees; addresses complaints and resolves problems on a timely basis.
  • Provides support to the Operations Manager/Director in meeting requirements for special projects and tasks, as measured by reports and observation.
  • Functions in staffing pattern as a Registrar, Financial Coordinator, Team Leader, as measured by those job standards.
  • Serves as a pre-certification/quality specialist as needed
  • Stays up to date with insurance company policy and procedure changes relative to pre-certification and communicates new information to appropriate staff.
  • Monitors and measures quality and productivity of staff and insures that department goals and standards are met.
  • Works with providers and clinical leadership to improve documentation necessary to meet financial requirements for authorizations and medical necessity for difficult cases.
  • Communicates effectively with patient access team members and other departments and is open to feedback and suggestions in order to identify opportunities for improvement.
  • Stays up to date with the department’s procedures for all aspects of the pre-certification and quality team job functions.
  • Provides learning resources and tools to staff to ensure full compliance with revised procedures.
  • Identifies department goals and supports the culture of organization.
  • Responds in a timely manner to departments, physicians, or patient concerns and complaints related to registration or pre-authorization process.
  • Supports department performance improvement initiatives.
  • Assists with accurate data collection in support of quality performance improvement initiatives.
  • Ensures compliance with HIPPA regulations and adhere to all relevant state and government regulations and DNV standards as measured by reports and statistics.
  • Adheres to CH attendance policy as well as interdepartmental policies and procedures.
  • Attends Capital Health assigned meetings.
  • Coordinates department participation in staff meetings and mandatory training sessions.
  • Performs other duties as assigned.

Benefits

  • Medical Plan
  • Prescription drug coverage & In-House Employee Pharmacy
  • Dental Plan
  • Vision Plan
  • Flexible Spending Account (FSA) - Healthcare FSA - Dependent Care FSA
  • Retirement Savings and Investment Plan
  • Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
  • Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
  • Disability Benefits – Long Term Disability (LTD)
  • Disability Benefits – Short Term Disability (STD)
  • Employee Assistance Program
  • Commuter Transit
  • Commuter Parking
  • Supplemental Life Insurance - Voluntary Life Spouse - Voluntary Life Employee - Voluntary Life Child
  • Voluntary Legal Services
  • Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
  • Voluntary Identity Theft Insurance
  • Voluntary Pet Insurance
  • Paid Time-Off Program

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

High school or GED

Number of Employees

501-1,000 employees

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