Patient Access Director - MarinHealth Medical Center - San Rafael, CA - Optum
San Rafael, CA 94911
About the Job
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The Director is responsible for effectively leading and directing the work of assigned staff within the parameters of designated performance standards and metrics. The Director is expected to support Patient Access leadership and to motivate staff to achieve the highest levels of customer satisfaction and to meet the organization goals for customer service and financial performance. The Director is responsible to ensure the department meets key metrics established by the client and sets targets to meet and exceed performance standards. This position leads the team through the change management process and focuses to identify gaps within registration to improve deficiencies where opportunity exists. The Director works to build relationships with client administration and works in tandem with local leadership to interact with other departments including internal customers within the revenue cycle team. The incumbent attends managerial meetings as required and supports the core values of Optum, which is an integral part of this position
Although this position is primarily focused upon the provision of service at the Facility (Hospital and/or Clinics), the position has frequent contact with the Regional Patient Registration Directors and the Corporate Patient Registration Directors and Managers, as well as facility-based clinical and administrative leadership.
Primary Responsibilities:
- Provides facility level oversight of the following areas:
- Financial Clearance
- Registration / Check-in, including Point-of-Service Collections
- Financial Counseling
- Patient Satisfaction / Customer Service
- Other duties as assigned by the local client, including but not limited to Patient Scheduling, Bed Management / Patient Placement and Switchboard and for the development of processes and initiatives designed to improve Revenue Cycle
- performance in assigned areas
- SLA and MSA compliance
- Regulatory audit follow-up and compliance
- Client Liaison (i.e., Relationship development, program coordination)
- Communications (i.e., Patient Access Newsletters, CFO Presentations, Monthly Operational Reports, etc.)
- Department Status Report compilation and presentation
- Workforce Management oversight
- Other duties as assigned
- Provides system level oversight for Optum client improvement programs and initiatives related to assigned Patient Access activities, working with the Regional Patient Registration Directors and other Patient Access leaders, Facility administration and leadership, and others from the Optum team, as warranted
- Leads by example promotes teamwork and operational relationships by fostering a positive, transparent, and focused working environment which achieves maximum results. Facilitates growth and development opportunities for their leaders and mentors when applicable to foster exemplary leadership
- Maintains and demonstrates expert knowledge of the application of Patient Access processes and best practices; drives the integration of Optum Patient Access related business objectives within the client environment. Understands the importance of compliance, follows local state and federal guidelines, and can articulate such knowledge and share with their team
- Serves in a leadership role and promotes positive Human Resource Management skills
- Provides leadership for departmental services through collaboration with customers, employees, physicians, clinics, other Optum departments and services, vendors, etc.
- Manages assigned staff to ensure steady workflow balance and high-quality outcomes
- Educates physicians, physician office staff, and organizational associates regarding assigned Patient Access requirements
- Identifies action plans to improve the quality of services in a cost-efficient manner and facilitates plan implementation.
- Other duties as needed and assigned, including but not limited to leading and conducting special projects.
- Maintains a working knowledge of applicable federal, state, and local laws and regulations, Optum’s Compliance, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Years of post-high school education can be substituted/is equivalent to years of experience
Required Qualifications:
- 5+ years of experience in a supervisory / management role, working in a hospital Patient Registration Department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle role
- Consulting and project management experience in revenue cycle design and optimization
- Proficiency with Microsoft Excel, Word, Project, PowerPoint, and SharePoint
- Proven excellent organizational skills required (ability to multi-task, produce rapid turnaround, and effectively manage multiple projects)
- Ability to work on-site at Marin Health Center and travel to local off-site (5 days onsite per week)
Preferred Qualifications:
- Certification within Healthcare Financial Management Association (HFMA) and/or the National Association of Healthcare Access Management (NAHAM)
- Patient access experience using Epic EMR
- Operational knowledge of Federal and State regulations pertaining to patient admissions, as well as standards from regulatory agencies and accrediting organizations (DHS, HCFA, OSHA, TJC)
- Demonstrated client service orientation
- Demonstrated ability to work with a variety of individuals in executive, managerial and staff level positions. The incumbent frequently interacts with staff at the Corporate/National, Regional and Local organizations. May also interact with external parties, such as financial auditors, third party payer auditors, consultants, and various hospital associations
- Demonstrated ability to attract, develop, deploy, and retain a world class revenue cycle team, capable of performing as a team and of evolving with the organization’s vision and with cutting edge technologies
- Proven exemplary level leadership and business driver skills (ability to make hard decisions focusing upon operational goals and business requirements)
- Proven exemplary level ability to influence change and serve as primary change agent
- Proven solid program management skills with the ability to lead and manage multiple, concurrent running projects, prioritize tasks, and adapt to frequent changes in departmental priorities
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.