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Exec Dir Patient Access Svcs

Kennestone Hospital • Marietta, Georgia • Day Shift • Full Time • JR-24230

Facility: Kennestone Hospital

Job Summary: Under the management of the Assistant Vice President of Patient Access Services, the Executive Director of Patient Access Services is responsible for the planning, coordinating and directing of all Patient Access Services functions. This position develops and enforces organizational policies and procedures to ensure quality delivery of services and exceptional customer service. Other responsibilities include the development and monitoring of a system-wide budget; close collaboration with other departments; and the responsibilty for the utilization of resources to deliver quality intake service to WellStar's customers and to contribute to the achievement of the organization's financial objectives. Core Responsibilities and Essential Functions: Budget/Financial, Planning, Responsible for the financial contribution, strategic and long-range goals and objectives for Patient Access Services, ensuring support for WellStars Strategic Plan. Supports and participates in the system, hospital, revenue cycle and department performance improvement efforts to enhance and improve services - Develops, implements and monitors department budget and strives to provide required services within budget constraints. Includes forecasting utilization, determining cost and justifying staff requirements. - Maintains collections at time of service rates at 1. of net revenue. - Provides pertinent feedback to the areas of PFS, Utilization Management, and Denial Management in an effort to control deductions from revenue and increase net revenue by identifying and correcting errors at their root cause. Results in improved cash flow and improved profitability system-wide. - Develops and monitors incentive programs for employees to consistently elevate the level of services to WellStar customers. - Ensures workflows are consistently analyzed to determine the most appropriate allocation of resources (FTEs) to meet expected levels of service. - Responsible for development and implementation of PAS goals and objectives, including 90-day Action Plans. - Ensures PAS Directors are planning, organizing, prioritizing and managing PAS operations, goals and objectives. - Communicates and promotes goals and objectives to PAS management team. - Represents the department at various WHS meetings and functions. - Participates in system and department special projects and assumes accountability as appropriate - Analyzes results of quality monitoring, program evaluations and needs assessments to identify improvement opportunities. - Pro-actively reviews and monitors processes for efficiency, organization structure and compliance with WellStar policies. Establishes performance standards. - Continually strives to reduce departmental expenses by making viable suggestions toward the positive financial performance of the department. Leadership, Human Resource Management, and Training/Education/Professional Development- - Responsible for the leadership, sound management and consistent coordination of Patient Access Services. - Collaborates with Senior Leadership (CFO, Senior and Executive Vice Presidents, Vice Presidents, Presidents, and Executive Directors, Directors) to design, plan and implement provision of appropriate services to facilitate the vision of WellStar. - Demonstrates effective leadership for system-wide department and provides direction to the directors and managers in the performance of their supervisory functions. - Directs all administrative support activities. - Motivates employees to excel. Contributes to cohesive group relations, cooperation, and teamwork. - Recommends and provides assistance with hiring, dismissals, special recognition, disciplinary action, promotions and transfers of all PAS employees as needed/as appropriate. - Responsible for director and manager performance reviews and annual evaluations. - Responsible for ensuring that proper training and education (initial and ongoing) is provided to all employees. Responsible for the management and implementation of the Patient Access Services newhire OperationsTraining program. - Provides leadership and assistance with ongoing staff training, departmental projects and presentations. - Maintains an appropriate knowledge of all Patient Access Service functions, employee positions and job requirements. - Maintains a high degree of continuing education, always keeping current on government directives, electronic solutions, as well as benchmark performance by other providers Customer Service and Communication- Responsible for ensuring excellence is pursued in all areas with regards to customer service, including service recovery. Maintain courteous, cooperative, flexible and positive working relationships with all levels of management, employees, physicians, customers and the general public. - Provides high quality, customer-driven services ensuring Press Ganey scores are within acceptable limits. - Responds appropriately to inquiries from customers, including Senior Leadership, physicians, patients, and other WellStar departments. - Maintains positive relationships and open communication with other hospital departments to ensure their satisfaction with the level of quality of PAS services. - Interacts with Senior Vice Presidents, Executive Vice Presidents, Vice Presidents, Asistant Vice Presidents, Executive Directors, and Directors from various facilities and departments regarding a myriad of issues. - Responsible for the accurate preparation and dissemination of departmental statistics (Quality and Performance Monitoring) regarding productivity, quality and performance measures. - Conducts and documents regularly scheduled management meetings and ensures information is disseminated to all levels of the department Policy Development, Compliance/Regulatroy adherance- Develops and enforces organizational policies and procedures to ensure quality delivery of services, exceptional customer service, and high staff productivity. - Responsible for coordinating and maintaining the Patient Access Services Policy Procedure Manual. - Develops, designs and implements in conjunction with Information Systems, software that allows PAS to achieve maximum efficiency while taking advantage of the latest technologies. - Adheres to and educates staff about the importance of HIPAA and patients personal health information, including the management of periodic audits for HIPAA compliance. - Assures that all PAS personnel are trained in corporate compliance, Fraud and Abuse, and the integrity of billing and coding related activities is maintained. - Works closely with Corporate Compliance to ensure knowledge of governement (Medicare/Medicaid) regulations. - Communicates with and obtains assistance from various type governmental and regulatory agencies, in the interpretation of critical regulations and procedures as necessary. Required Minimum Education: Bachelor's Degree Business Management or Healthcare Administration or related field Preferred and Master's Degree Preferred Required Minimum License(s) and Certification(s): All certifications are required upon hire unless otherwise stated.
  • Cert Healthcare Access Mgr or Cert Healthcare Financial Prof or Certified Revenue Cycle Rep
Additional License(s) and Certification(s):Required Minimum Experience: Minimum 7 years to ten years experience in managing hospital admissions, business office or related area. Required and Must have a thorough understanding of healthcare revenue cycle functions, operations and collection control points. Required and Proven performance improvement and change management experience. Required Required Minimum Skills: Strong interpersonal, problem solving, public speaking and writing skills, with a take charge attitude. Effective critical thinking, analytical and negotiating skills. Must be comfortable interacting with physicians and senior leadership. Strong leadership skills including the management of multiple departments in physically separate locations and varying work environments. Must be able to perform a wide variety of tasks that require independent judgement, ingenuity, and initiative. Proficient with MS Word, Excel and PowerPoint.
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