You Make Us Grow. You Make Us Sharp.

Hours:

Shift Start Time:

Variable

Shift End Time:

Variable

AWS Hours Requirement:

8/40 - 8 Hour Shift

Additional Shift Information:

Weekend Requirements:

As Needed

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$63.400 - $81.810 - $100.210

The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.  The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.

As part of our recruitment process, you may receive communication from Dawn, our virtual recruiting assistant. Dawn helps coordinate scheduling for screening calls and interviews to ensure a smooth and timely experience. Rest assured, all candidate evaluations and hiring decisions are made by our recruitment and hiring teams.

What You Will Do
The Director Patient Access Services-SCV is responsible for ensuring the functional alignment of financial and patient service standards and the resulting workflows to support optimal revenue cycle outcomes. The Director works closely with Information Technology, Health Information Management, Patient Access and Patient Financial Services, Case Management, Bed Placement, Corporate Compliance, Finance, and Clinical Informatics to achieve the integration of business and clinical processes. The Director works collaboratively across business units and teams, building consensus and developing strategic vision for system initiatives, regulatory mandates and complex projects, implementation and standardization of best practices for both revenue cycle metrics and service metrics, ensuring that the hospital revenue cycle is preserved and improved through the entire continuum.

Required Qualifications

• Bachelor's Degree in Business or HealthCare.
• 10 Years Progressive revenue cycle management in an integrated healthcare environment with experience in all phases of hospital revenue cycle.
• 10 Years Technical experience working with ADT/AR, EHR, coding and ancillary systems.

Preferred Qualifications

• Master's Degree

Essential Functions

• Works closely with Revenue Cycle System Directors and hospital Senior leadership to collaborate on advancing strategic direction and represents Access and Revenue Cycle in matters related to the operational performance of Patient Access.
• Is responsible for one or more major functions or implementations at all PAS departments for all hospitals, as assigned. Examples include, but are not limit to: EPIC implementation, regulatory compliance, productivity standards, analytics and KPI’s, quality control, auditing, and compliance.
• Provides leadership to a variety of system projects and initiatives that impact the revenue cycle. This includes leading and participating on workgroups for centralized bed placement, Price Transparency, Good Faith Estimates, No Surprises Act, ADT/AR upgrades, EDI transaction development, and implementation of insurance eligibility and payer notification processes. Supports initiatives of clinical documentation improvement and medical necessity status determination and alignment between physician order/accommodation code/claim payment request.
• Ensures the optimal and standardized use of front-end solutions for Patient Access Services to produce a zero-defect and fully compliant claim within 3days of discharge. Front-end solutions currently in use include hold bills/alerts, integrated electronic eligibility, financial status/application referral evaluation and reporting.
• Leads standardizing, creating, and sustaining a common culture and high performing operations. Motivates, facilitates, mentors, and coaches Patient Access teams to deliver high-quality, cost-effective services. Enforces a spirit of continuous performance and process improvement.
• Serves on community forums and tasks forces representing the hospital system in the arena of public access and community needs. Develops tools necessary for transition to Health Benefit Exchanges, providing unfunded patients with appropriate and timely information regarding their financial obligation.
• Collaborates with hospital/system peers and staff to increase operational excellence, decrease risk (financial or clinical), and promptly address operational needs surrounding workflow, policy and procedures.
• Collaborates on education and communication related to system initiatives to support user adoption and accuracy. Includes clinical and ancillary department education related to charging and coding. Works closely with Case Management to redesign the process for concurrent review and authorization documentation. Consider technology alternatives and contract language that protect the hospital from concurrent review denials.
• Collaborates with interdisciplinary teams including but not limited to Physicians, Nurse Practitioners and Physician Assistants, Physician Informaticists, Clinical Informaticists, Quality, Case Management, Health Information Management, Revenue Cycle, and Finance to provide data and solution development. Promotes a strong collaborative working relationship across all teams.
• In conjunction with clinical, technical and revenue cycle leadership, sets short and long term goals for strategic progress towards success across the Sharp Pillars of Excellence. Makes decisions for accomplishment of objectives using data including: EHR, revenue cycle; expense management; employee, and physician satisfaction.
• Develops a thorough and proactive understanding of systems, processes, regulatory requirements, compliance exposure, and payer specific authorization requirements contributing to the proactive identification of opportunities for revenue cycle improvement and enhancement.

Knowledge, Skills, and Abilities

• Able to professionally respond, both orally and in writing, to physician, executive, patient and employee requests/complaints/queries.
• Extensive knowledge of billing compliance and regulatory requirements for Title XXII, JCAHO, CMS, HCAI.
• Extensive knowledge of regulatory requirements impacted by Access and Financial Service staff including, but not limited to Medicare Conditions of Participation, HIPAA, PHI, Fair Pricing, No Surprises, Price Transparency and EMTALA.
• Extensive knowledge of patient accounting systems, admitting and registration processes, and billing and collection processes.
• Understanding of processes and risks of combining/merging patient records and identities.
• Able to develop and manage to department budgets.
• Able to draft and execute department strategic plans.
• Familiar with ICD10 and CAC (Computerized Assisted Coding).
• Understanding of both Business and Clinical processes affecting Revenue Cycle and Patient Satisfaction.
• Case Management background beneficial.
• Good understanding of financial and analytic technologies and/or systems.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

Master's Degree; Bachelor's Degree