MIN REQS: Education: High school graduate or equivalent with post high school courses in business and/or management and medical terminology. Experience: 3 years (5 years preferred) experience in an acute health care setting which includes admissions, bed reservations, emergency and outpatient registration. Knowledge of third party payor billing and managed care requirements is required. This is a variable shift position.
SUMMARY: The Patient Access Supervisor is responsible for the accurate and timely admission process for patient's access to Santa Rosa Memorial Hospital. She/he is responsible for monitoring and supervision of the Patient Access Department functions including staffing and scheduling. She/he is responsible for the supervision of personnel assigned to these areas. She/he contributes to the development of patient access and PBX policies and procedures. She/he is responsible for monitoring productivity and accuracy of patient information. She/he is responsible for ensuring prior authorization, insurance verification and financial counseling activities.
RESPONSIBILITIES: 1. Establishes work schedules for the Patient Access Department. Provides On Call support during week-end and holiday periods as needed. 2. Responsible for the recruitment and retention of qualified staff members 3. Establishes work assignments to staff according to departmental and hospital needs to ensure appropriate standards are met. Monitors employee performance 4 Conducts periodic staff meetings to facilitate communication and provide appropriate information regarding changes in office policies and procedures. Provides mechanism for employee feedback. 4. Maintains accessibility for 1:1 communication with staff and provides avenue for appropriate follow up 5. Establishes long and short term unit goals and objectives to support department and hospital strategic plan; directs staff in accomplishing same according to schedule. 6. Ensures that employee performance evaluations are conducted in a timely manner, are fair and consistent and that performance expectations are communicated. Reviews employee timecards and payroll records to ensure accuracy. 7. Using audit process monitors admitting and outpatient registration documents and reports to ensure accuracy of demographics and billing information. Provides feedback to employees regarding errors and disciplinary action when appropriate. Ensures Insurance verification is completed per department standards. 8. Responsible for the appropriate orientation, development and on-going training of staff members. Develops and implements effective training programs to address training needs of the department. 9. Facilitates employee in-service education regarding regulatory and provider changes to ensure awareness and proficiency for all points of registration. Manages department compliance with established policies and procedures of SJHS, regulation of applicable regulatory agencies and standards of JCAHO. 10. Establishes procedures for financial counseling to review inpatient information to ensure accuracy for demographic and/or insurance billing information. Insures timeliness of authorizations and UM notification. 11. Establishes effective pre-admissions department to ensure accuracy of information, verify benefits and ensure that necessary prior authorizations are obtained before elective procedures. 12. Ensures excellence in customer service through employee development, according to hospital standards and utilizing performance improvement techniques. 13. Responsible for appropriate conduct management of staff members. Perform conflict resolution, present employee commendations, conduct problem solving and implement progressive disciplinary actions appropriate to SJHS policies and procedures. 14. Reviews departmental budget variance reports to ensure compliance. Participates in budget process with Manager or Director. Assists in the development, implementation and control of the department budget. Provides justifications for budget variances. 15. Maintains knowledge of Managed Care, Medicare and Medi-Cal requirements concerning admitting and registration. Attends meetings, seminars and in-services to keep abreast of rapid changes in managed care environment. 16. Performs other duties as assigned.
Join St. Joseph Health System-Sonoma County, winners of the Gallup Great Workplace Award for 2007, and see how different working for a values-based, community-focused organization can be! Our vision is to bring people together to provide compassionate care, promote health improvement and create healthy communities. We serve five surrounding counties at our state-of-the-art facilities, which include the region's only Level II trauma center.
Santa Rosa Memorial Hospital
1165 Montgomery Drive
St. Joseph Health - 9 months ago