Regional Director Patient Access - New York

Trinity HealthAlbany, NY
1d

About The Position

Purpose Accountable for the performance, regulatory readiness & results of large, strategic/diverse disciplines cross-functional teams or departments over a large functional domain or multiple domains such a a region, service area or multiple RHMs. Enables regional level strategy to address internal or external business & regulatory issues; provide functional expertise & ensure fulfillment of performance & service standards. Identifies, defines & solves complex problems that impact the management & direction of the business; Collaborates with Service Area, Regions & Health Ministries to ensure consistency & integration of strategy & operations. Provides decision support, operations & / or optimization leadership focus. Has responsibility for making decisions & managing risk that impact day-to-day reginal, service area, or health ministry functional operations, with potential for a short- to mid-term impact on the enterprise as a whole. Oversees a direct staff that includes managers with direct reports Note: “patients” refers to patients, clients, residents, participants, customers, members Essential Functions Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions. Leadership: Providing advice, guidance, & leadership to RHM & Region leaders in developing strategies & in the achievement of performance goals. Enable Collaboration across & within System Services area, RHM, & Regions to ensure consistency & integration of strategy & operations Actively guides, trains, mentors & monitors colleagues while contributing to the development & execution of RHM, Regional, Service Area, & System Office based strategic plans. Direction & Growth: Providing advice, guidance, & leadership to System Office, Service Area, & RHM. Leading standardization/systemness & optimization of policy, process, methodology, establishing a national community of practice Oversee Vendor/Contract Labor Management including centralizing strategy & optimizing spend Strategic Support & Accountability: Collaborates in system-wide strategy development & deployment of functional area priorities & initiatives Responsible for supporting regional efforts to comply with functional area priorities Accountable for the selection, evaluation, & overall success of the functional leadership teams Organization-wide focal point for establishing functional strategies & governance over financials & staffing Accountable for communication between System Services functional area, Service Area, Regional, & RHM leaders Operational Delivery: Responsible for measuring & reporting KPIs/metrics & value delivery Providing advice, guidance, & leadership for the colleague life cycle Maintains a working knowledge of applicable Federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe practices Functional Role (not inclusive of titles or advancement career progression) Director, Patient Access Directs and provides oversight for the operations of the Patient Access Department Responsible & accountable for patient throughput & cashiering to ensure all patients are processed timely, accurately. Director, Pre-Service Directs and provides oversight for the operations of Pre-Service Department. Responsible & accountable for all pre-service activities including, but not limited to scheduling, pre-registration & all time-of-service points of registration & duties such as registration & financial clearance. . Director, Patient Access, Regional & Director, Pre-Service, Regional Provides strategic leadership & responsibility for promoting the financial viability of the multi-Health Ministry (HM) Region by effectively managing all aspects of Patient Access or Pre-Service functions for an assigned region. Directs & oversees the responsibility for securing reimbursement for all elective & emergent admitted services. Directs all Patient Access or Pre-Service functions which includes scheduling, NoVA (Notification, Verification and Authorization) & ensuring financial clearance of planned, emergent & transfer center admissions. Oversight responsibility for all decentralized areas, such as ancillary services and Critical access hospitals, & makes certain all processes meet internal & regulatory requirements regardless of reporting structure. Directs, coordinates & synchronizes the work efforts of geographically dispersed Pre-Service Access or Patient Access work teams to ensure adherence to the established Standards of Excellence Responsible for establishing relationships & leading collaborative efforts with physicians, physician office personnel, clinical service line leaders; may provide education to the professional partners relative to rules & regulations that govern Pre-Service Access or Patient Access functions & ultimately drive reimbursement outcomes Oversees & ensures local leadership & teams have appropriate internal controls over accounts receivable records, clinical record integrity, cash collections, patient valuables, etc. Responsible for serving as primary liaison for any new Pre-Service or Patient Access related systems, enhancements or other related initiatives that affect the region's patient access operations, which includes ensuring at least annual review of departmental policies & processes in accordance with JCAHO & other regulatory considerations.

Requirements

  • Bachelor’s degree in finance or related area or equivalent combination of education & experience in patient registration, financial assistance programs, 3rd party eligibility requirements, point of service collections & appointment scheduling.
  • Seven (7) to Ten (10) years of experience in Patient Access Management
  • 5 years progressive leadership experience in leading a 24x7 team.
  • Ability to obtain national certification in HFMA CHFP or CRCR and / or NAHAM CHAM within 1 year of hire.

Nice To Haves

  • Master’s degree preferred.
  • Leadership experience in a multi-facility, integrated health care delivery system with direct responsibility for all aspects of financial clearance.
  • Patient Accounting leadership experience is strongly preferred with an exceptional knowledge of denial management.
  • Strong background in working with varying levels of leadership across the organization, including C-Suite.

Responsibilities

  • Providing advice, guidance, & leadership to RHM & Region leaders in developing strategies & in the achievement of performance goals.
  • Enable Collaboration across & within System Services area, RHM, & Regions to ensure consistency & integration of strategy & operations
  • Actively guides, trains, mentors & monitors colleagues while contributing to the development & execution of RHM, Regional, Service Area, & System Office based strategic plans.
  • Providing advice, guidance, & leadership to System Office, Service Area, & RHM.
  • Leading standardization/systemness & optimization of policy, process, methodology, establishing a national community of practice
  • Oversee Vendor/Contract Labor Management including centralizing strategy & optimizing spend
  • Collaborates in system-wide strategy development & deployment of functional area priorities & initiatives
  • Responsible for supporting regional efforts to comply with functional area priorities
  • Accountable for the selection, evaluation, & overall success of the functional leadership teams
  • Organization-wide focal point for establishing functional strategies & governance over financials & staffing
  • Accountable for communication between System Services functional area, Service Area, Regional, & RHM leaders
  • Responsible for measuring & reporting KPIs/metrics & value delivery
  • Providing advice, guidance, & leadership for the colleague life cycle
  • Maintains a working knowledge of applicable Federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe practices
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