Director of Clinic Patient Access

• Develops policies and procedures and revises as needed to put in place and maintain proper workflow within the revenue cycle, focusing on system-wide, front-end clinic operations;
• Assures compliance with regulatory requirements and that processes are in place to verify the System is meeting those requirements to ensure payment;
• Audits and monitors all clinic Patient Access processes overall and individual partner performance to assure compliance with department policies and procedures;
• Keeps up to date on changes imposed by Medicare, Medicaid and Commercial Insurances as well as Federal and Wisconsin and Illinois State laws impacting healthcare;
• Reviews data and develops reports and other tools to identify areas for improvement and to set and track benchmarks based on industry standards;
• Meets or speaks with patients who may have special needs, requests or financial concerns to assist with problem resolution;
• Meets goals and objectives set by Director related to clinic Patient Access functions, especially related to registration accuracy and point of service collections;
• Works with system-wide clinic and other department leadership to educate and promote efficiencies in the Patient Access processes;
• Sets priorities and problem solves situations appropriately and independently;
• Supervises, hires, trains and evaluates staff and monitors their production;
• Conducts employee reviews, presenting and discussing pertinent review findings and recommendations with partner. When deficiencies are noted, monitors partner performance to assure that corrective action is taken;
• Responds to partner and patient issues regarding Patient Access;
• Manages special projects related to improved processes within Patient Access for clinic services (if applicable)
• Ensures the Director(s) are informed of any unusual and significant issues that may affect patient satisfaction, timeliness of services, reimbursement or general patient flow;
• Other duties and projects as assigned.

To perform the job successfully, an individual should demonstrate the following behavior expectations:

Quality - Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals.

Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions.

Partnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals.

Cost - Conserves organization resources; Understands fiscal responsibility; Works within approved budget; Develops and implements cost saving measures; contributes to profits and revenue.

Bachelor's Degree in related field or Associate's Degree in related field with completion of Bachelor's Degree within 24 months; MHA or MBA highly desired.
Minimum of 3-5 years experience in applicable healthcare fields of patient access and revenue cycle operations. Supervisory experience with proven ability to oversee subordinates.

Thorough knowledge of Centers for Medicare and Medicaid (CMS) and Joint Commission (JCAHO) regulations affecting and/or driving Patient Access processes.

Expert knowledge of insurance plans and coverage requirements

Epic Certification

The Special Physical Demands are considered Essential Job Functions of the position with or without reasonable accommodations.
While performing the duties of this job, the employee is regularly required to sit; use hands to operate a keyboard repetitively, talk, and hear. The employee is occasionally required to stand; walk; reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus, particularly as it relates to computer screens.

Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems; employee adherence to annual education and certification requirements

Directly supervises supervisors, team leads and line staff. Supervisory responsibilities are conducted in accordance with directives of management, the organization's policies, and applicable laws.

PAY RANGE:

Mercyhealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected veteran status.

Mercyhealth offers competitive pay and a comprehensive benefits package including:

• Medical, Dental, Vision

• Life & Disability Insurance

• FSA/HSA Options

• Generous, accruing paid time off

• Paid Parental and caregiver leave

• Career advancement and educational opportunities

• Tuition and certification reimbursement

• Certification Reimbursement

• Well-being Programs

• Employee Discounts

• On-Demand Pay

• Financial Education

• Annual recognition/awards events

• Partner appreciation days

• Family entertainment/attractions discount

• Community service/improvement opportunities

Click here for more details regarding Mercyhealth Careers Benefit Information.

At Mercyhealth, we don't simply hire people, we empower employee-partners who are passionate about making lives better. As an integrated health system, we deliver exceptional, coordinated across seven hospitals, 85 primary and specialty clinics, and a team of over 7,500 professionals serving northern Illinois and southern Wisconsin.

Mercyhealth has been nationally recognized for our commitment to our people and culture, including:

• #1 in the nation on AARP's Best Employers for Workers Over 50

• One of Working Mother magazine's 100 Best Companies for Working Mothers

• A Top 50 Company and Top 10 Nonprofit for Executive Women