Director, Patient Access Operations

This leader plans, develops and directs the activities of the Patient Access operations. In this role, the leader sets the tone and models positive leadership behavior, while ensuring successful completion of department and division projects and responsibilities in support of organizational goals.

- Require a bachelor's degree in business or related field; master's degree preferred.
- Require ten (10) years of experience in Registration, billing, insurance verification/authorization, patient scheduling, or patient financial assistance, as well as seven (7) years of prior management experience.
- Require Certified Healthcare Access Manager (CHAM) certification from the National Association of Healthcare Access Management (NAHAM).

- Prefer seven (7) years of experience with computers using information systems including scheduling, registration, medical necessity, insurance eligibility/benefits, and other software and application used in the Revenue Cycle division.
- Prefer demonstrated knowledge of International Classification Determination Tenth Revision (ICD-10) coding and Current Procedural Terminology (CPT).
- Prefer demonstrated knowledge of Medicare Nation Coverage Determination (NCD) and Local Coverage Determination (LCD) protocols for medical necessity/Advanced Beneficiary Notice.
- Prefer strong knowledge of insurance rules and regulations including Medicare, Medicaid, Managed Care, and Commercial Insurance.
- Prefer demonstrated ability in establishing and maintaining effective working relationships.
- Prefer demonstrated ability to analyze problems and consistently follow through to solution.
- Prefer demonstrated ability to take initiative and exercise independent judgment, decision-making, and problem-solving expertise.
- Prefer demonstrated effective oral and written communication skills at all levels.
- Prefer demonstrated leadership skills and understanding of group processes, teamwork, and cost center-based management.