Director Patient Access
Company: Carle Health
Posted on: August 5, 2022
Directs and administers the registration, scheduling, prior
authorizations and check out functions for responsible areas.
Develops and implements processes to ensure registration standards
and regulatory requirements are met for all intake areas of the
enterprise; serves as the internal consultant/subject matter expert
in this regard. Understands third-party payer guidelines for
admissions, discharges, and ambulatory billing and coding so the
organization and intake staff remain in compliance. Coordinates
activities with other departments to ensure patient satisfaction is
enhanced and patient dissatisfaction issues are addressed and
Bachelors Related Field
CERTIFICATION & LICENSURE REQUIREMENTS
Certified Healthcare Access Manager (CHAM) within two (years) of
being in position. EPIC Prelude and ADT certifications within first
year in position
Minimum of five (5) years management experience in a healthcare
setting. Experience to include program development and staff
supervision. Experience in a large, integrated health care system
that includes physician practice and acute care hospital.
Ability to maintain composure in stressful situations and ability
to prioritize multiple simultaneous tasks is a necessity. Patient
Access experience helpful. Multitasking and re-prioritizing based
upon organizational needs. Excellent written and verbal
communication skills. Ability to collaborate with all levels in the
organization. Proficient in Microsoft Office products including but
not limited to: Excel, Word, Power Point, MICROSOFT Outlook and
- Monitors employee performance and ensures timely communications
for the purpose of goal setting, performance evaluations, wage
increases and continued personnel actions.
- Develops, analyzes, and manages capital and operating budget
within agreed upon standards
- Ensures smooth operation of all departmental functions
according to approved policies and in accordance with all state and
federal law and applicable accreditation standards.
- Establishes and ensures that the overall objectives relating to
the Carle Experience are achieved.
- Provides leadership, vision, and management to assigned
department(s). Sets departmental strategic direction and goals and
develops appropriate tactical plans to meet them
- Oversees the development, review, and revision of department
policies and procedures.
- Continuously streamlines processes/systems to achieve maximum
- Ensure that all employees are properly oriented, trained, and
that annual competencies, certifications, and licensure and
education requirements are current.
- Serves as the internal consultant / subject matter expert for
all areas in the organization that perform intake functions.
- Operates the departments in a cost-effective manner by
monitoring man-hours, supply expenses, and volume. Ensures adequate
staffing levels are maintained to provide good customer
- Oversees department audits to identify billing errors. Provides
continuous feedback to staff and management regarding audit
- Works closely with Health Information Systems (HIS), Patient
Accounting (PA), Compliance, Inpatient Case Coordination (IMPCC)
and Information Technology (IT) departments to optimize coding,
billing and documentation efforts. Facilitates technological
changes and analysis by working closely with IT to improve system
- Ensures appropriate auditing processes are in place and
maintained to identify registration quality improvements. Develops
new processes to enhance and streamline work related to
registration, coding, billing, compliance, and regulatory
- Develops new processes and systems to assist patients with
financial responsibilities and to optimize the organizations
revenue & reimbursement.
- Leads business process redesign activities related to the
implementation of new products and or system enhancements.
- Participates on various committees, work groups, and teams;
promotes effective communication between departments and entities,
acting as a liaison to facilitate information sharing,
collaborative problem solving and adequate provision of support
services; fosters and maintains collaborative relationships
throughout the organization, and with external agencies.
- Collaborates with senior management to define desired
organizational goals and outcomes, fostering a culture of learning
and partnering with key leaders to facilitate change.
We are an Equal Opportunity Employer and do not discriminate
against any employee or applicant for employment because of race,
color, sex, age, national origin, religion, sexual orientation,
gender identity, status as a veteran, and basis of disability or
any other federal, state or local protected class. Carle Health
participates in E-Verify and may provide the Social Security
Administration and, if necessary, the Department of Homeland
Security with information from each new employee's Form I-9 to
confirm work authorization. - For more information:
Effective September 20, 2021, the COVID 19 vaccine is required for
all new Carle Health team members. Requests for medical or
religious exemption will be permitted. With an approved exemption,
healthcare workers must do weekly testing and verify a negative
Keywords: Carle Health, Champaign , Director Patient Access, Executive , Urbana, Illinois
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