Health Care Administrator I - Patient Access

Position Summary:

The Manager, Registration, Patient Access will provide operational oversight, management, and leadership for pre-arrival, registration, insurance verification, and financial clearance processes. The individual in this position is expected to demonstrate initiative, independent judgment, and discretion in determining priorities and ensuring efficient and effective operations. The success of this position will be measured by the Patient Access Center's ability to provide consistent and sustainable excellence in customer service, while achieving performance metrics.

Duties & Responsibilities:

• Achieves departmental registration and referral operational objectives by preparing and completing action plans to achieve days out and financial clearance; implementing productivity, monitor quality/quantity, and customer-service standards; identifying and resolving problems; completing audits; determining system improvements; implementing change to support UI Health revenue cycle objectives.
• Accomplishes departmental human resource objectives by recruiting, selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining employees; communicating job expectations; planning, monitoring, appraising, and reviewing job contributions; enforcing policies and procedures.
• Reviews competencies and follows up with associates who score below Department defined acceptable levels.
• Completes performance assessment for their staff.
• Manage the compilation, analysis and reporting of metrics in support of continuous lead days out in work queues.
• Take accountably for the accuracy of all data collected in the registration and financial clearance process; help solve workflow problems and provide solutions.
• Reviews productivity to identify authorization errors to provide feedback to employees and management regarding process improvements (i.e. WQ audits, documentation audits, call audits.)
• Enhances patient care delivery system by maintaining open communication channels with clinics/ancillary staff and professional staff.
• Accomplishes the hospital's goals by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to operations and workflows.
• Manage to and optimize standardized workflows across the pre-access process and solution capabilities.
• Identify opportunities to allocate resources cross-functionally to achieve the optimal workflow and outcomes.
• Ensures adherence to professional standards, hospital policies and procedures, federal, state, and local requirements, and Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards.
• Monitors and coordinates staff compliance to UIC, State and departmental mandatory in-service/training and competencies.
• Maintains active involvement with all regulatory compliance functions by maintain up to date working knowledge of latest healthcare trends in referral authorization, insurance verification and benefits, reimbursement, claims denials, and hospital/clinical management.
• Maintains professional and technical knowledge by attending educational workshops and conferences, reviewing professional publications.
• Distribute and delegate assignments to staff.
• Establishes competency measures for each staff member.
• Meets departmental financial objectives by estimating requirements; Making recommendations for the annual budget; scheduling expenditures; analyzing variances; implementing corrective actions.
• Perform other related duties and participate in special projects as assigned.