The Director of Patient Access is responsible for the daily operations of all functions and serves as the liaison between the Service Center and the facility. The Director of Patient Access integrates the department's services with the hospital's primary functions, develops/implements policies and procedures that guide or support service, assesses and improves department performance, and ensures orientation and continuing education of departmental staff. As the leader, this person may recommend resources/space needed by the department and may participate in the selection of outside services. They serve as a key promoter of the Service Center, which strives to meet and exceed the needs of its customers. Oversee facility operations of Patient Access functions (e.g. pre-registration, benefit verification, pre-authorization, admission/registration, service pre-payment, etc.) to ensure daily operations are maintained according to standard. Serve as the primary liaison between the PAS and the Facility. Maintain and promote good customer relations with facility management, physicians and physician office staff. Review Patient Access performance to ensure timeliness, accuracy, compliance and standards fulfillment as defined in PAS Service Level Agreements. Inform Regional Patient Access Director of any significant issues in the Patient Access area (e.g., Pre-registration delays, pre-authorization backlogs, etc.). Stay abreast of regulatory requirements and company compliance policies, ensuring timely staff education. Inform staff of relevant changes and developments in payer requirements. Ensure quality review measurements are in place. Facilitate implementation and monitoring of standard master files, processes, reporting and education programs. Oversee management of Patient Access personnel, providing recommendations for hiring, promotion, salary adjustment and personnel action where appropriate. Develop specific objectives, budgets, and performance standards for each area of responsibility. Identify and implement process improvements to lower costs and improve services to facility customers. Perform staff reviews and prepare performance documents for direct reports. Recommends sufficient number of qualified/competent staff. Determines staff qualifications and competence. Develops and maintains accurate initial and annual competency checklists, and initiates completion of initial and annual competency attestation forms. Actively seeks ways to control costs without compromising patient safety, quality of care of the services delivered. Attends in-service sentations, and complete mandatory education week including, but not limited to, infection control, patient safety, quality improvements, MSDS and OSHA.
Supervises the RSC based pre-registration and insurance verification staff.
EDUCATION REQUIREMENTS:
Bachelors Degree a must
EXPERIENCE REQUIREMENTS:
Must have experience related to patient registration; monitor and maintain Daily Preservice Log, Bill45, and Alpha Census
***NOT OPEN TO VENDORS***
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