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ECU Health · 15 hours ago

Executive Director, Patient Access - Revenue Cycle

Greenville, NC

Full-time

Onsite

Director/Executive

7+ years exp

ECU Health is an academic medical center in North Carolina, serving as a flagship hospital and teaching hospital for The Brody School of Medicine. They are seeking an Executive Director for Patient Access to enhance access to care and oversee patient access operations across all hospital campuses and clinic locations.

Hospital & Health Care

Responsibilities

Provide strategic direction and vision to optimize the day-to-day operations of Patient Access teams for all hospital campuses and clinic locations

Oversee day to day Patient Access operations for Main and Emergency Department registration for all hospital campuses and clinic locations as well as centralized/decentralized resources

Oversee the implementation of Epic and other information systems related to centralized and decentralized scheduling, pre-arrival insurance verification, authorization, registration, and Medicaid enrollment for all areas of responsibility and consults with other areas using these systems and related workflows

Oversee the identification of funding sources for uninsured and under-insured patients who present for treatment by maintaining current knowledge of state, federal, and non-governmental funding as well as developing professional partnerships with area resources

Oversee the implementation of system-wide Financial Assistance and Charity policies and processes to ensure compliance with state and federal regulations as well as to support the system's mission

Oversee system-wide Point Of Service collections policies and processes to ensure compliance with state and federal regulations as well as managed care contracted insurance companies

Manage human and system resources to facilitate successful claim submission including monitoring of data collection accuracy and appropriate insurance verification, pre-certification, and authorization

Monitor work quality, staff productivity and performance results in collaboration with IT, Performance Analytics and Revenue Cycle stakeholders

Monitor denials received related to Patient Access workflows and processes throughout the system and develop action plans to address recurring issues in collaboration with clinical and physician leaders

Develop, implement, and update policies related to patient and guarantor data collection, insurance verification, authorization and other patient access workflows areas assigned in collaboration with peers and stakeholders in Patient Accounting, Case Management, HIM, Coding, and IS&T

Identifies and addresses educational requirements for system staff involved in patient access processes system-wide based on the technical and operational requirements of the system and dynamic and complex payor environment, state and federal regulations and accreditation requirements

Evaluate and recommend system policies, training and system configuration related to patient access related processes and workflows in collaboration with peers and stakeholders throughout the system and participation in appropriate committees and work groups

Mentor team members to encourage personal and professional growth. Encourages ongoing skill development by providing opportunities for continued education

Qualification

Patient Access ServicesFinancial ServicesEpic implementationInsurance verificationAuthorization managementQuality assuranceEmployee trainingPatient experiencePolicy development