Medical Group Director Patient Registration

American Addiction Centers • Winston-Salem, NC

29d • $58 - $87

About The Position

Oversee and direct the coverage assistance process to increase gross self-pay charges converted to Medicaid or other coverage while providing excellent customer experience throughout. Direct operations contributing to the collective review of over 45,000 patients annually to secure coverage opportunities, generating $1B+ in gross self-pay charges converted to Medicaid. Ensure compliance with Medicaid, marketplace or other regulations related to the eligibility and enrollment process. Manage, direct, and evaluate all processes to adhere to quality, productivity, and effectiveness standards. Demonstrate accountability through continuous quality improvement ensuring metrics and key performance indicators are met and exceeded. Specifically increased reimbursement by securing Medicaid or other coverage opportunities for patients. Build and develop a highly effective team to provide oversight for staffing, performance management and regulatory support. Participate in the design and continuous improvement of all processes that ensure accounts are managed promptly and effectively to secure Medicaid or other coverage. Collaborate and build synergies with internal and external partners Ensure optimal resource utilization and institute measures that result in greater cost effectiveness and efficiency in operations while ensuring high patient satisfaction. Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale. Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.

Requirements

• Bachelor's Degree.
• Typically, requires 7+ years of experience in revenue cycle operations, preferably in scope with health coverage eligibility and enrollment.
• Minimum of 5 years in supervisory role managing staff, budgets, reimbursement and receivables management.
• Demonstrated leadership skills including project management, process improvement, problem-solving, decision making, prioritization, delegation, team building, customer service and conflict resolution.
• Strong interpersonal, communication and organizational skills.
• Strong financial analysis and management, long range planning and forecasting, and negotiation skills.
• Strong background and knowledge in both hospital and revenue cycle operations/principles preferred.
• Strong background and knowledge in program management, government health plans and regulatory compliance
• Experience in executing change and results based upon data analytics and directed goal sets of the leader of billing operations.
• Previous experience with system conversion and office re-structure
• Demonstrated interest in employee development, ability in interpersonal communications and sensitivity to teammate needs.

Responsibilities

• Oversee and direct the coverage assistance process to increase gross self-pay charges converted to Medicaid or other coverage while providing excellent customer experience throughout.
• Direct operations contributing to the collective review of over 45,000 patients annually to secure coverage opportunities, generating $1B+ in gross self-pay charges converted to Medicaid.
• Ensure compliance with Medicaid, marketplace or other regulations related to the eligibility and enrollment process.
• Manage, direct, and evaluate all processes to adhere to quality, productivity, and effectiveness standards.
• Demonstrate accountability through continuous quality improvement ensuring metrics and key performance indicators are met and exceeded.
• Build and develop a highly effective team to provide oversight for staffing, performance management and regulatory support.
• Participate in the design and continuous improvement of all processes that ensure accounts are managed promptly and effectively to secure Medicaid or other coverage.
• Collaborate and build synergies with internal and external partners
• Ensure optimal resource utilization and institute measures that result in greater cost effectiveness and efficiency in operations while ensuring high patient satisfaction.
• Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
• Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.

Benefits

• Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
• Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance
• Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program

What This Job Offers

• Job Type: Full-time
• Career Level: Manager