Supv Patient Access

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Supervises and coordinates activities and employees related to all patient access processing including: registration, scheduling, admission, verification, pre-certification, transfer, discharge and financial counseling of patients within WVU Medicine East to ensure the financial viability of the clinical and business enterprise.
Ensures that all administrative and departmental policies and procedures are adhered to by staff.
Provides adequate staffing in all areas of the department.
Demonstrates the ability to assertively pursue necessary information and to function independently to secure resolution on staff and patient issues.
Knowledge will include at minimum, all aspect of payer relations, claims adjudication, contractual claims processing and general reimbursement procedures.
Provides coaching and counseling to staff based upon performance management principals.
Provides professional, courteous service to patients, customers and families.
MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1.
High school graduate or equivalent.
PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1.
Associate’s degree, Bachelor of Science, or Bachelor of Arts preferred.
EXPERIENCE: 1.
One (1) year experience in a supervisory capacity preferred.
2.
Three (3) years’ experience in patient registration or physician office scheduling/patient registration experience.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.
They are not intended to be constructed as an exhaustive list of all responsibilities and duties.
Other duties may be assigned.
1.
Responsible for maintaining adequate staffing in all areas of the department.
Performs all interviewing and selection of new hires.
Ensures all new hires receive necessary departmental orientation and training.
2.
Monitors performance of staff on a daily basis to ensure efficient high quality service.
Completes performance evaluations of all staff.
Provides coaching and counseling to staff based upon performance management principals.
Able to perform any and all necessary steps of the WVUHS Corrective Action policy to ensure a safe and productive work environment for all employees.
3.
Conducts monthly staff meetings to communicate information, to develop departmental goals, to solve patient care and departmental problems, and to encourage cooperative, collaborative relationships and promote team efforts.
4.
Is timely and responsive to staff, managers, patients and other employees and follows up with clear and concise communication as appropriate via e-mail, telecommunication and direct personal response.
Clearly and concisely documents issues.
5.
Coordinates and supervises access processing for verification, notification and pre-certification to minimize payment denials.
6.
Organizes and executes daily tasks in appropriate priority to achieve optimal productivity, accountability and efficiency.
7.
Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing.
8.
Assists in monitoring and maintaining the operating budget within the specified limits through the initiation of efforts which promote efficiency, reduce waste and improve services.
9.
Maintains and reports departmental information and statistics for administrative and regulatory purposes.
Monitors daily reports (i.
e.
pre-bill edit report, MSP, etc) to identify accounts that need resolution.
10.
Interprets to staff, and when appropriate to others, policies, procedures, standards of service and practice for the department regarding budget and financial issues.
11.
Follows hospital, state and federal guidelines for ensuring safe environment for workers, patients and public.
Maintains and monitors staff compliance with hospital and department policies and procedures for safety, security, and infection control.
Develops and implements processes to assess and improve the services provided and compliance with regulatory requirements.
12.
Assists in development and upkeep of department policies and procedures.
Explains procedures to staff.
13.
Keeps staff informed of process, policy and other changes thorough presentations at regular staff meetings, face to face communication and e-mail correspondence.
14.
Efficiently and assertively coordinates resolution of problems with other departments as monitored by Manager or Director.
15.
Handles patient/family or staff complaints, investigates complaint and makes recommendations on appropriate resolution.
16.
Demonstrates flexibility to meet the needs of department or hospital in regard to changes in work volume, planned change, scheduling changes and emergency call-backs (i.
e.
weather or disaster).
17.
Is a leader in the knowledge and processes involved in all department work areas.
Stays involved in identifying education needs with front-line staff to identify process improvement.
18.
Assists with training development, testing and implementation with any and all system changes and integrates and applies specific knowledge to staff.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1.
Must meet Department of Labor’s MEDIUM duty standard (MEDIUM WORK- exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly).
2.
Ability to bend, stoop, reach and be capable of normal rotation, standing and walking for an 8-10 hour shift.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1.
May be scheduled to work various shifts based on departmental and patient needs.
2.
May be required to travel between facilities/buildings.
3.
May require unsupervised access to patient confidential information.
SKILLS AND ABILITIES: 1.
Excellent customer service and telephone etiquette.
2.
Uses a computer keyboard, monitor and mouse.
3.
Communicates verbally, written and electronically with healthcare personnel, families and patients.
4.
Excellent oral and written communication skills.
5.
Has a working knowledge of current hospital contracts with third-party payors.
6.
Demonstrates the ability to use tack and diplomacy in dealing with others.
7.
Answers telephones and transcribe messages.
8.
Basic knowledge of ICD-9 and CPT coding preferred.
9.
Basic knowledge of collection procedures preferred.
10.
Basic knowledge of business math preferred.
11.
Basic knowledge of time of service collection procedures preferred.
12.
Projects a mature problem-solving attitude while dealing with interpersonal conflict, dissatisfied patients and time demands.
13.
Maintains knowledge of revenue cycle operations, third party reimbursement, local/state/federal regulations and medical terminology.
Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Exempt) Company: BMC Berkeley Medical Center Cost Center: 545 BMC Patient Access Address: 2500 Hospital Drive Martinsburg West Virginia