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Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for managing and organizing the day-to-day registration operations in support of clinical operations to ensure an optimal patient experience support Prisma Health mission and goals. Responsible for a 24/7 operation. The scope of responsibility includes elements that are subject to review by CMS, The Joint Commission, DHEC and other regulatory agencies. Stays abreast of payor, regulatory and compliance requirements. Monitors quality and compliance for areas of responsibility; ensuring timely team member education. Maintains sound credit, collection and cash control procedures. Collaborates as appropriate with other departments to proactively facilitate problem solving on the campus. Effectively manages human resources, supplies and equipment according to established Prisma Health and departmental policies and procedures. Responsible for assisting with the development of the FTE, expense and capital budget for areas of responsibility. This is a patient-facing position.
Essential Functions
Ensures efficient registration processes are in place to support an optimal patient experience. This includes collecting demographic and financial information to facilitate timely payment, discussing the patient estimate and collecting patient balances due. A further responsibility includes recording information in the system that supports the clinical team with health equity and the social determinates of healthcare. This information is audited by The Joint Commission and DHEC. Includes education for team members that outlines specific workflows to be followed. Conducts account reviews to ensure processes are followed and timely feedback is provided to team members. - 30% Ensures documents and forms as required by regulation are available and provided to patients; in some instances, signatures are required. Compliance regarding documents and forms is subject to review by CMS, DHEC and the Joint Commission. These forms/documents include but are not limited to Advance Directives, Lewis Blackman Patient Safety Act, Notice of Privacy Practices, Patient Rights and Responsibilities, Permission to Treat, Limited Visitation Policy, Medicare Admission Questionnaire, Medicare Important Message and Medicare Outpatient Observation Notice. Lack of compliance can create a regulatory finding or jeopardize participation with CMS. - 10% Collaborates with clinical departments, Patient Financial Services and other personnel as appropriate to lead and manage change initiatives designed to transform and improve Patient Access processes. Supports the use of technology as available to automate workflow and reduce errors. - 15% Recruits and selects the most qualified candidates within constraints of the budget. Develops and maintains work schedules within budgeted parameters. Educates team members on policies and procedures of department and Prisma Health, either directly or through subordinates. Establishes standards of performance and monitors for compliance. Recommends and develops improvement plans to enhance employee development. Performs role of Patient Access Specialist as required. - 5% Maintains a working knowledge of third-party payment requirements, including (as applicable) Medicare, Medicaid, managed care organizations, private insurers, and worker's compensation carriers. Provides timely education to inform team members of relevant changes and developments in payor requirements. Proactively pivots to meet the changing needs of payor requirements to maximize cash flow for the organization. - 10% Leads team in developing departmental goals and objectives. Provides regular feedback to team members regarding current departmental progress toward goals and objectives. Leads to ensure the development of plans for continuous improvement in operations and/or financial performance. Ensures annual performance reviews are completed in a timely manner to include effective feedback for the team member. - 15% Ensures appropriate utilization of the Prisma Health progressive corrective action policy for team members with performance, behavior, or irregular attendance patterns. Includes appropriate documentation of verbal counseling, warnings/reprimands, suspensions and for-cause terminations. Reviews personnel actions for compliance with Federal/State laws and regulations and Prisma Health policies. Demonstrates excellent rapport and the ability to encourage open communication with team members and resolve interdepartmental problems and conflicts. -5% Participates in multi-disciplinary process improvement initiatives to improve processes and patient satisfaction scores. - 5% Proficient with reviewing and resolving Patient Access assigned Epic WQs. - 5% Performs other duties as assigned.
Supervisory/Management Responsibilities
Job has direct and/or indirect supervision of team members that may include final budget authority, hire/termination authority, performance appraisal responsibility and disciplinary authority. Job will be considered a member of management staff at Prisma Health or affiliate and will have direct reports.
Minimum Requirements
In Lieu Of
In Lieu of the education and experience requirements noted above, a High school diploma plus seven (7) years of banking/finance, billing/collections, healthcare admissions, insurance or credit/collections including four (4) years related healthcare and four (4) years supervisory experience; or Associates degree in business or related field with six (6) years banking/finance, billing/collections, healthcare admissions, billing, insurance or credit/collections including three (3) years related healthcare and three (3) years supervisory experience.
Required Certifications, Registrations, Licenses
Knowledge, Skills and Abilities
Ability to foster an environment that focuses on an optimal patient experience through accountability, collaboration, team member participation, and effective communication, both written and oral. Knowledge of office equipment (fax/copier) Proficient computer skills including word processing, spreadsheets and database Work Shift Day (United States of America)
Location Baptist
Facility 7001 Corporate
Department 70019237 Patient Access - Baptist
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
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Prisma Health
Dec 21, 2024