Dir Patient Registration and Financial Clearance - Lifespan

Summary:

Under the general direction of the Vice President of Revenue Cycle the Director Patient Registration and Financial Clearance will lead efforts in transforming Patient Registration services to create a consistent convenient and frictionless patient experience. The Director is responsible for developing and implementing an enterprise-wide access strategy to enable a top-notch experience for patients. The Director is accountable for providing direction and leadership to achieve ongoing operational quality productivity and efficiency in patient registration for Hospital inpatient/Outpatient Department (HOPD) and Practice settings. Revenue cycle areas to include but not limited to digital access pre-registration insurance verification point of service collections patient estimates prior authorization financial clearance financial counseling patient registration and work queue management within the parameters of designated performance standards and metrics. This position leads the effort to reengineer ease of access through workflow standardization policy compliance and process improvement efforts resulting in a hardwired sustainable and standard enterprise Patient registration experience. This position has ongoing oversight and accountability for patient registration services across the enterprise and will implement registration initiatives in collaboration with multiple stakeholders including Epic IT Marketing and Finance.

Responsibilities:

The Director is responsible for guiding the development and implementation of philosophy and objectives congruent with the mission and plans of Lifespan. The Director must remain current in trends major advances and business strategies related to Patient registration and healthcare.

Develops goals objectives and key performance metrics for assigned departments to ensure they are consistent with the overall plans for the organization and that they promote cohesive integrated safe and efficient functioning of the hospital.

Directs the preparation of the division�s operating budget focusing on enhancing service improving quality reducing operating costs and driving value.

Manages activities to achieve key operational revenue cycle expense management and quality performance metrics.

Assists department heads/directors in directing work activities establishing system control procedures implementing hospital-wide policies / administrative directives and managing staff performance.

Reviews and approves departmental operating administrative and personnel policies and procedures and oversees implementation and compliance.

Reviews and approves operating and divisional capital expenditures.

Reviews and approves personnel actions such as hiring termination and disciplinary actions. Investigates and mediates employee relations concerns.

Establishes and maintains effective communication within the division.

Plans directs and coordinates construction and capital projects and monitors project progress against accepted timetables. Coordinates relocations as necessary.

Establishes and maintains liaison with hospital administrators and members of the medical staff to foster and maintain effective and productive working relationships.

Manages contracts and leases as appropriate and necessary.

Integrate the department�s services with the hospital�s primary functions develop/implement policies and procedures that guide or support service and assess and improve department performance.

Oversee facility operations of Patient registration functions (e.g. pre-registration benefit verification pre-authorization admission/registration service pre-payment etc.) to ensure daily operations are maintained according to standard.

Attend and participate/present in enterprise-wide calls/meetings (e.g. Integrated Edits Denials Patient Account Directors Meetings Patient registration Directors Meetings)

Development of processes and initiatives designed to improve Revenue Cycle performance in assigned areas which includes:

� Regulatory audit follow-up and compliance

Key revenue cycle metrics and performance indicators and provide reporting of operational and financial performance.

Expertise in healthcare and payer guidelines as it pertains to billing reimbursement and securing visits.

Customer Engagement (Patient Experience and Client Satisfaction):

� Participates in targeted customer engagement improvement initiatives.

� Collaborates with and actively coaches assigned management and frontline staff in the implementation of strategies to improve the satisfaction and experience levels.

� Monitors and evaluates the results of various service / satisfaction surveys and conducts analysis of data to identify and operationalize opportunities for improvements.

Communications (i.e. Patient registration Newsletter Monthly Operational Reports etc.)

Department Status Report compilation and presentation

Workforce Management oversight (Staffing plan work schedules position requisitions productivity and quality monitors disciplinary actions staff orientation evaluation feedback etc.)

Facility-based vendor relations and support (i.e. Self-Pay Medicaid Eligibility staff)

Other information:

QUALIFICATION/EDUCATION

Required: Bachelor�s degree from an accredited college or university in a business healthcare administration or related major

Preferred: Master�s degree from an accredited college or university in a business healthcare administration or related major.

Excellent verbal written and interpersonal skills

Analytical and problem-solving skills

Managerial skills including budgeting and finance

QUALIFICATIONS/EXPERIENCE:

Minimum: Eight years of experience in a health care setting including at least five years management experience (supervisor or above)

Equivalent and relevant combination of master�s level education fellowship or experience may be considered in lieu of total experience.

Prepared: Eight years management experience in a healthcare revenue cycle field

SUPERVISION:

Direct supervision for up to 100 full-time equivalent personnel. Supervision includes interviewing hiring termination scheduling training conducting performance appraisals and recommendation of personnel actions.

Department Preferences

� Excellent communication and interpersonal skills to include the ability to negotiate and resolve conflicts and build teams as well as establish credibility and work effectively in a complex environment.

� Creativity analytic ability and conceptual skills and vision to refine and improve existing operations and to conceive design and implement state of the art technical and human admission access and registration functions.

� Ability to operate in high-pressure situations.

� Ability to work collaboratively across Lifespan entities and disciplines. Demonstrated commitment to patient and family centered care.

� Broad knowledge of modern health care administration practices and principles within a managed care environment and/or an academic medical center.

� Ability to function independently and deal with multiple simultaneous projects.

� Ability to demonstrate a commitment to quality and excellence.

� Ability to delegate and still maintain close managerial and financial oversight.

� Effective leadership abilities:

� Ability to implement change in a positive sensitive and forward-thinking manner.

� Planning and problem solving

� Developing goals and objectives and establishing priorities Inspires confidence appropriate risk taking and achievement of high standards.

� Self-starter with a willingness to try new ideas.

� Positive can-do attitude coupled with a sense of urgency.

� Good judgment and ability to act decisively at the right time.

� Ability to persuade others and develop consensus.

� Ability to create win/win solutions and relationships.

� Ability to interpret evaluate and communicate policies and procedures as they relate to hospital operations and State Federal and local requirements.

� Technical skills/experiences requirements for Revenue Cycle Front End such as Patient Registration and Financial Clearance. EPIC and Provider Call Center will be a plus. Process improvement is a key.

� Proficiency in PC software especially word processing and spreadsheet programs. 

Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status.   Lifespan is a VEVRAA Federal Contractor.

Location: Corporate Headquarters USA:RI:Providence

Work Type: Full Time

Shift: Shift 1

Union: Non-Union