Job Details

Director Of Patient Access

The Director Of Patient Access supporting the overall Health System is responsible for the overall management, organization, and productivity of department operations related to financial pre-admission processes for all of FMOLHS facilities before the patient arrives at a facility. Responsibilities include but are not limited to: referral, insurance verification, and pre-certification processes for all scheduled patients; pre-registration for all scheduled patients, including upfront collections; generating estimates, communication and coordination with financial counseling for patients who may qualify for assistance; collaboration with clinical department management on problematic cases; delay/defer processes; productivity management; and data analysis. Assures development of a high-performance work team through coaching, mentoring, and daily briefings. Ensures compliance with JCAHO standards and HIPPA regulations. Develops and maintains working relationships with physicians and office staff, as well as other customers within and outside the facility. Collaborates daily with leaders at all hospitals and service line admissions teams.

Responsibilities

1. Lead Pre-Registration Functions

• Develops short- and long-term goals for the department which align with FMOLHS overarching principles and goals to ensure the pre-registration function is performed effectively and efficiently.
• Monitors and reports team performance metrics, and ensures the team is managed toward leading industry practice benchmarks by team supervisors. Metrics may include but are not limited to: patient wait times, registration accuracy, registrar productivity, upfront collections, and % of scheduled patients pre-registered.
• Ensures the successful management of daily team operations: conducts regular team and departmental meetings for purposes of education, goal monitoring, and feedback inquiries; institutes changes in techniques and processes as necessary.
• Proposes department budgets and manages function to that budget. Analyzes costs, develop programs to assure compliance with budgetary constraints and provides justifications for budget variances.

2. Lead Pre-Certification Functions

• Ensures all insurance verifications are performed according to standards to capture appropriate revenue and minimize downstream issues.
• Develops processes and procedures to align with best practices.

3. System Wide Reports, WQ and IP Notifications

• Generates standard reports used across the system for Patient Access and Pre-Cert functions.
• Provides user input into Epic application regarding work queue changes.

4. Collaboration, Partnership and Communication

• Attends internal meetings and collaborates with other managers, other department senior administrators, and outside third parties/vendors as needed. Obtains feedback on systems and/or reports. Works with all departments to ensure accuracy and compliance of admissions process.
• Promotes and establishes an atmosphere of continued improvement throughout the department by motivating, coaching and staff development and through evaluation, development and/or revision of department policies and procedures. Communicates staff performance standards (quantitative and qualitative) for jobs.
• Provides leadership in problem identification and resolution and coordinates resolution between departments as needed.
• Educates and ensures that all employees understand Compliance and appropriate procedure for reporting compliance issues for State, Federal and HIPAA. Maintains requirements for Joint Commission for scope of department.
• Communicates compliance issues to leadership and other applicable personnel.
• Directs supervisors and coaches team members on performance expectations

Qualifications

• 7 years relevant healthcare experience (in total); of which
• 4 years should be in patient access management, extensive customer service or other revenue cycle roles; and
• 2 years of manager/supervisor/team lead roles
• Bachelor's degree in related field
• Advanced computer skills: judgment, analytical skills and communication skills required to accomplish goals in settings that are often sensitive.

About Us

FMOL Health is a leading health care innovator in Louisiana and Mississippi. We bring together outstanding clinicians, the most advanced technology and leading research to ensure that our patients receive the highest quality and safest care possible. This commitment is grounded in a history that is more than 100 years old, but reflected today by our strategic vision of transforming healthcare through superior performance and excellent patient care. In the last fiscal year, FMOL Health had:

• 1,747 Licensed Beds
• 65,322 Discharges
• 44,592 OR Procedures
• 10,827 Full Time Employees
• 331,360 Inpatient Days
• 1,915 Active Medical Staff
• 229,296 Emergency Visits

As a nonprofit, mission-focused Catholic healthcare ministry, we give special attention to our citizens who are most in need. During the most recent fiscal year, we provided more than $39 million in unreimbursed care and community support to the underprivileged. Our health system is one of the largest in Louisiana, with hospitals, clinics and physicians located throughout Louisiana and in Mississippi. In fact, we provide care to almost half of Louisiana's citizens, and serve in Mississippi's largest metropolitan area. Because of our size and the partnerships we have with other local organizations, we are able to pool our resources and share cost and service efficiencies and learn from each other, thereby accelerating our ability to improve care and solve challenges. Since our founding in Monroe, Louisiana in 1911, we have been blessed by the guidance of the Franciscan Sisters. Through their guidance and steadfast example, we have committed to assure that we perpetuate their healing ministry for another hundred years. It is a noble purpose we strive to fulfill every day. Headquartered in Baton Rouge, Louisiana, we serve patients across Louisiana and Mississippi through a network of hospitals, clinics, physicians, elderly housing and integrated information system. Our health system has partnered with the State of Louisiana as it transforms its healthcare delivery system. The partnership includes inpatient acute care and primary care delivery in Baton Rouge and Bogalusa. Following in the footsteps of our founders, the Franciscan Missionaries of Our Lady, our team members and physicians are called to provide high quality care and compassion to all people, especially those most in need.

As we look to the future of our healthcare ministry, we chart our course by "going where we are called."