Manager-Hospital Registration Operations

Company: Carle Health
Location: Urbana
Posted on: January 26, 2023

Job Description:

Position Summary:




Manages the daily activities of Carle Foundation Hospital hospital registration, convenient care and ED Registration to ensure effective registrations/admissions and high quality customer service is being maintained. Improve/streamline revenue cycle activities for registration, eligibility verification and point of service collections to reduce denials and improve overall AR performance. Understands regulatory and third party payer guidelines for the Emergency Room visits, Inpatient and Outpatient admissions to ensure registration functions and staff remain in regulatory compliance. Reviews SVR (Staffing Variance Reporting) to ensure that budget guidelines are met, and to provide appropriate resources based on the department volumes and activities. Oversees training, education, and staff development by department supervisor, leads, and trainers. Promotes cross training and develops staff to enhance job function and responsibilities so that maximum flexibility and adaptability within the team is achieved. Coordinates and communicates process updates and flows with internal departments at Carle and external departments when necessary, to ensure that registrations have been completed prior to the patient's service date to increase patient satisfaction and ensure reimbursement to the organization. Takes an active role in denials reduction efforts, timely filing expectations for registration and authorization claim error resolution, and serves as a SME (Subject Matter Expert) for Revenue Cycle operations for registration, eligibility and collections.









Qualifications:




EDUCATIONAL REQUIREMENTS
Bachelor's Degree in Healthcare Administration or related field

CERTIFICATION & LICENSURE REQUIREMENTS
Certified Healthcare Access Manager (CHAM) within 2 years.

EXPERIENCE REQUIREMENTS
Two years relevant experience in Healthcare leadership.

SKILLS AND KNOWLEDGE
Systems experience (preferably EPIC) with registration, eligibility, collections and billing/claims. Ability to successfully manage a Patient Access department with multiple applications, including multiple EMR systems. Analytical skills necessary to collect and analyze data, identify problems, research regulatory topics, interpret federal regulation, and develop meaningful solutions and recommendations. Organizational skills and abilities to manage daily operations, coordinate multiple projects simultaneously, multitasking while implementing workflow changes, regulations and guidelines to monitor outcomes and actions. Microsoft Office proficiency necessary. Strong communication skills, both written and verbal, and the ability to effectively lead and manage both on site and remote work from home staff. Must be able to observe and maintain a high level of confidentiality. Must be able to demonstrate and role model Carle Behavior Standards and hold staff accountable to these standards. Performs complex tasks requiring independent knowledge and its application in non-routine situations. Ability to effectively manage large volumes of administrative work and department work concurrently. Must be able to function effectively in a fast paced environment and the flexibility to adjust to ever changing demands and priorities









Essential Functions:

• Continuously streamlines processes/systems to achieve maximum efficiency, effectiveness and outcomes
• Ensures that all employees are properly oriented and trained in operations and equipment, annual competencies and certifications, licensures and education requirements are correct and/or fulfilled.
• Ensures the accuracy and completeness of patient information entered into the system(s)
• Maintains payroll to ensure accuracy of labor hours. Enforces various organizational policies consistently
• Manages daily activities of Carle Foundation Hospital hospital registration, convenient care and ED Registration departments to ensure quality and quantity of work is maintained, and information with ordering and performing departments regarding patient registrations and eligibility is properly communicated in a timely manner
• Operates departments in a cost-effective manner by monitoring labor hours, supply expenses, and volumes. Ensures adequate staffing levels are maintained to provide timely patient service and submission of authorizations
• Performs department audits to identify registration and eligibility errors and provides continuous written and verbal feedback to staff and management regarding audit outcomes
• (Add) Reviews status of work queues on a daily, or more frequent basis, to ensure they remain current
• Assigns and delegates tasks as needed
• Works closely with ED, Inpatient and Outpatient leadership, ASC's (Ambulatory Surgical Centers) leadership, Revenue Cycle leadership, Patient Financial Services, Inpatient Case Coordination services, Information Technology, Payor Contracting. Facilitates and communicates necessary changes to department leadership to improve processes.
• Ensures high level of patient service provided by all areas of responsibility.
• Assists staff with patient service and insurance issues, utilizing Payer Contracting and Insurance Payer Representatives when needed
• Maintains active involvement with all regulatory compliance functions by maintaining up to date working knowledge of latest healthcare trends in registration, insurance verification and benefits, collections, reimbursement, claims denials, and hospital/clinical management
• Identifies, discusses, plans and implements processes that align with state and government regulations as needed
  • Monitor and analyze workflows and processes to ensure that operations - e.g. registration, authorization, financial counseling, pre-service estimations and collections, and all other Patient Access Function are delivering the best outcomes for patients and the organization
  • Lead employees in The Carle Experience with accountability of expectations by mentoring, coaching, discipline, etc.
  • Perform audits to identify authorization errors while providing feedback to employees (i.e. WQ audits, documentation audits, Voicecert/Pixcert audits, WQ audits)
  • Interview, hire, and onboard new employees with the assistance of department supervisors and peer interviewers, with a 90 day process as well as evaluations for new / existing employees
  • Adhere to all leadership expectations of the Carle Experience through rounding, AIDET audits, Patient Experience scores, as well as benchmarking and 90 day action plans
    
    
    
    
    
    
    
    
    
    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: human.resources@carle.com.
    
    
    
    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.
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    

Keywords: Carle Health, Champaign , Manager-Hospital Registration Operations, Executive , Urbana, Illinois