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5May

Director, Patient Access & RHM Financial Services

MercyOne, Dubuque, IA

Responsible for leading and directing the work of the assigned Ministry Organization (MO) Patient Access and Revenue Management functions including: reception/check-in, bed management, registration, financial counseling, clinic back office departments, (transcription, charge entry, coding, training, and revenue management support in both hospital and clinic systems). Motivates staff to achieve the highest levels of customer satisfaction and to meet the organization goals for customer service and financial performance. Optimizes staff performance through process redesign, policy/procedure implementation, communications, and outcome feedback. Interacts with other departments within the Shared Services Center (SSC) as well as within the Ministry Organizations (MO), as required and serves as a representative of the department. Attends managerial meetings as required and supports the core values of Trinity Health, which is an integral part of this position.

Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. Educates physicians, physician office staff, and organizational leadership and associates regarding scheduling (as assigned), registration, bed management, medical necessity review, Point-of-Service collections, financial counseling, eligibility assistance, customer service, transcription, charge entry, coding, and cashiering functions. Functions as a consultant to Ministry Organization Directors and leadership, physicians, case managers and others regarding Medicare, Medicaid, and commercial insurance guidelines for Patient Access Services and clinic revenue cycle operations.

Directly responsible for managing the intake functions of the assigned MO Patient Access department.  Manages/supports multiple supervisors with clerical staff working 24/7 to perform a variety of functions. MO Patient Access:  Reception/Check-In, Registration (IP Admission, Outpatient, Series, Emergency Department, etc.), Medical Necessity Review/Patient Admission Designation (if responsible), Medical Necessity (ABN Delivery), Point-of-Service Collections, Financial Counseling, Eligibility Assistance, Customer Service, and Cashiering; and Revenue Management Support in both hospital and clinic operations:  Quality Assurance and Training in patient access and clinic revenue operations, DNFB/Hold Maintenance, Pre-Bill Charge Audits, Pre-Bill Edits, Late Charge Monitoring, Charge Description Master (CDM) Maintenance, Technical Denial Follow-Up, TIS Support and other related activities.

Must possess a demonstrated knowledge of Patient Access, Pre-Service and Revenue Management functions for hospital and clinic, as normally obtained through a Bachelor's degree in Healthcare or Business Administration, Nursing, or a related field, or an equivalent combination of years of education and experience.  Three (3) or more years of experience managing functional areas of Registration, Pre-Service/Financial Clearance, Financial Counseling, Case Management/Utilization Review, or other management functions related to revenue cycle activities in a complex, multi-site environment.  Working knowledge of computer operations and electronic interfaces is required.  Formal software course training is preferred. Certified Healthcare Access Manager (CHAM) as awarded by the National Association of Healthcare Access Management (NAHAM) or eligible candidate preferred.

Displays a demonstrated understanding of project management, revenue cycle technology infrastructure and related issues. Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

Please reach out to Tiffany.Anderson003@trinity-health.org with any questions.

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Job Details

Req Num 00000
ID 752898
Location
Dubuque, IA
Positions 1
Type
Employee
Status
Full Time
Pay --
Categories
Health Care
Management/Executive
Shifts
First Shift
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Retirement Plan
Paid Vacation
Paid Sick Leave
Paid Holidays
Tuition Reimbursement

Preferred Candidates

Years of Experience 5-10 Years
Education Bachelors

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