Patient Access Director

Overview:

RiverView Health, is a community owned, membership based non-profit organization that was formed in 1898 and continues to be the sole community hospital in Crookston, MN.

RiverView Health operates a 25 bed Critical Access Hospital, RiverView Recovery Center; a chemical dependency outpatient treatment program, RiverView Home Care and five primary care and specialty clinics in the hospitals service area.

Other benefits include employer pension matching, shift differential, incentive/premium pay, free annual biometric screening and paid volunteer time off.

RiverView is an Equal Employment Opportunity employer.

Responsibilities:

Ensures that programs align with RiverView Health’s strategic initiatives with emphasis on customer service and the overall patient experience. This is an Exempt level position. Salary range for this position is $70,000 - $105,000 annually; starting wage is dependent on experience.

• Coordinate and manage the day to day operations of Patient Access, ensuring timely and accurate verification of insurance benefits and other front end revenue cycle activities.
• Ensure Patient Access provide quality, efficient, and non-judgmental customer service to internal and external customers.
• Hire and supervise Patient Access colleagues, which includes work allocation, training, auditing, coaching and achieving established productivity standards and key revenue cycle metrics.
• Collaborates with the Revenue Cycle Management team (PFS, Supply Chain, Finance and HIM Directors) in the planning, implementation, and evaluation of existing operations, coding, systems and procedures to ensure reimbursement maximization.
• Develops departmental budget and operates within budget guidelines
• Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines that impact patient access including EMTALA, HIPPA and Affordable Care Act. Develops effective internal controls that promote adherence to these guideline and programs. Seeks advice and guidance as necessary to ensure proper understanding.
• Effectively functions as a liaison among clinical service line leaders in coordinating inter-departmental billing efforts and addressing patient access, scheduling, major charge and billing and reimbursement matters
• Functional understanding of core systems for patient registration, insurance verification and scheduling

• Fully supports and demonstrates the mission, vision and values both individually and organizationally
• Builds relationships based on trust and respect through honesty, integrity, openness and fulfilling commitments
• Leverages differences in thought while promoting team and organizational decisions
• Serves the organization and it’s colleagues
• Shows commitment through communication, dialogue, collaboration and inclusion
• Determines individual and organizational strengths and weaknesses and plans and develops accordingly
• Strives for organizational perfection through continuous individual and organizational improvement
• Ability to mentor staff and provide consistent performance management
• Seeks opportunities to advance individual development and organizational growth

Qualifications:

• Minimum: Associate degree in a relevant health and human services field such as Patient Access.
• Preferred: Bachelor’s Degree in Business Administration, Healthcare Administration, or related field

Experience:

• Required: Two or more years of supervisory experience, in a healthcare setting.
• Preferred: Experience with insurance verification
• Preferred: Patient Access Specialist Certification
• Preferred: Two or more years’ experience as a patient access representative or scheduler

Special Skills/Equipment/Competencies:

• Strong communication (verbal & written), organization, leadership, and problem-solving
• Advanced knowledge of all MS Office such as Word – Excel - PowerPoint etc.
• Experience in creating reports using MS office products
• Attention to detail and ability to handle multiple tasks
• Ability to work effectively in a team environment and provide leadership in patient access operations