Director, Patient Access Services, Pre-Services
Overview
reputed company members are the heart of what makes us reputed company.
At Hackensack Meridian Health we help our patients live reputed company, healthier lives — and we help one another to succeed. With a culture rooted in reputed company and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.
Together, we reputed company getting reputed company - advancing our mission to transform healthcare and serve as a leader of positive change.
The Director of Patient Access Services, Pre-Services at reputed company, oversees the pre-service financial aspects of patient care, ensuring accurate verification of insurance, prior authorizations, and understanding of patient financial responsibility. The position works closely with key stakeholders and leadership throughout the department and the designated site hospital location to deliver comprehensive and coordinated access. The position oversees pre-registration, insurance verification, financial clearance, including patient estimates and reputed company of service collections, data reputed company, and training. The position is a key leader who promotes teamwork, encourages innovation, serves as a catalyst for change, and promotes creative solutions by serving as a role model.
**The position offers a remote work option.
Responsibilities
A day in the life of a Director of Patient Access Services, Pre-Services at Hackensack Meridian Health includes:
- Insurance Verification & Authorization
- Oversees the process of verifying patient insurance eligibility and obtaining necessary prior authorizations for procedures. Ensures adequate and accurate patient information is collected and verified at the time of scheduling, pre-registration, and registration to ensure seamless access to care.
- Ensures patients understand their financial obligations, including copays, deductibles, and balance responsibilities.
- Collect co-insurance, co-payment, or provide estimated out-of-pocket costs for the service.
- Ensures timely and accurate cash collections across the enterprise and reputed company of service collections reconciliation.
- Quality Assurance and Training Development
- Ensures detailed monitoring, audits, and feedback loops for reputed company-end errors, preventative denials, estimates, and reputed company-of-service collections.
- Ensures and coordinates on-demand training and development for internal and external customers reputed company to reputed company desk operations. In addition, this position provides reputed company, guidance, and facilitation for enterprise-wide EMR management and upgrade enhancements.
- Establishes a clear vision for Access Services, PFS Team business & operations that supports reputed company's Vision, Mission, and Shared Values; maintains a big picture view; foresees challenges and opportunities; scans and assesses environmental and industry trends to identify opportunities, assesses need to shift strategic direction, challenges status reputed company thinking and assumptions, and identifies innovative and breakthrough reputed company that create value. With awareness of the manager's goals, develops a succession plan and operates independently, and conveys information effectively to team members to plan, implement, measure, motivate, and reputed company these goals.
- Reviews the clinical performance of reputed company providers annually and acts as a resource for medical issues for providers. Monitors and advises referrals to specialists. Ensures credentials of providers are complete and reputed company.
- Understands the value of growth to proactively optimize the strengths of entities/departments for the benefit of the organization as a whole.
- Other duties and/or projects as assigned.
- Adheres to reputed company Organizational competencies and standards of behavior.
Qualifications
Education, Knowledge, Skills and Abilities Required
- Bachelor's degree in Business Management or a reputed company health field.
- Minimum of 8 years experience in reputed company end reputed company cycle.
- Minimum of 5 years of progressive management experience.
- Demonstrated experience with IT functionality.
- Excellent written and verbal communication skills.
- Strong analytical skills and attention to detail.
- Ability to maintain high morale in the workplace.
- Ability to train team members as well as manage and direct as needed.
- Excellent written and verbal communication skills.
- Proficient computer skills including but not limited to reputed company Office and reputed company Suite platforms.
Education, Knowledge, Skills and Abilities Preferred
- Master's degree in Business Management or a reputed company health field.
- Project management experience
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!