Easter Seals Jobs

Company :

Allegheny Health Network

Job Description :

JOB SUMMARY

This job oversees and leads all administrative and fiscal components for patient access points for the Allegheny Health Network (AHN), including inpatient, outpatient, emergency and ancillary registration, scheduling, pre-registration, cash management/posting, and bed management where applicable, along with related initiatives.

ESSENTIAL RESPONSIBILITIES

• Develop and implement policies, processes and programs, coordination of services and organization cohesiveness within Allegheny Health Network (AHN). Establish operational goals for Allegheny Health Network. Oversee problem and conflict resolution. Responsible for financial clearance policies and the patient eligibility assistance insurance verification process.

• Provide strategic leadership and performance management of all components, of the revenue cycle, that impact the collection of receivables. Specifically focused and benchmark performance relating to: point of service collection improvement, reduction of eligibility denials, management of ABN processes, and ensure that all scheduled services have pre-certification prior to the patient visit. Monitor the effectiveness and efficiency of management practices and productivity indicators.

• Ensure that all access employees have formal education on how to perform duties. Monitor all staff’s production and quality performance and provides refresher courses to under performing staff members.

• Identify new technology, tools and key initiatives in Patient Access that will reduce cost and/or improve yield across the revenue cycle.

• Maintain a working knowledge and ensures compliance with federal, state, local, JCAHO, and hospital policies and regulations relative to patient registration and education.

• Develop, administer, and oversee department budgets. Develop department productivity standards and budget objectives.

• Other duties as assigned or requested.

EDUCATION

Required

• Bachelor’s Degree in Healthcare, Nursing or Business related field or an equivalent combination of education and direct revenue cycle and payor experience required

Preferred

• Master’s Degree in Healthcare, Nursing or Business related field

EXPERIENCE

Required

• 7 - 10 years experience with Hospital Revenue Cycle Management, payor experience with an insurance carrier, with significant experience overseeing Admitting, Registration and/or Eligibility departments, preferably in large hospital systems

• 10 years of progressive experience with 5 years at the supervisory/management level

Preferred

• Strong knowledge of Healthcare Operations in a multi hospital, or multi clinic large health care system

LICENSES or CERTIFICATIONS

Required

• None

Preferred

• None

SKILLS

• Organizational and analytical skills

• Working knowledge of information systems

• Demonstrated strategic thinking and ability to influenceinnovation to establish and execute planning process

• Demonstrated excellent organizational skills,strong analytical and conceptual skills, and critical thinking skills

• Documentedsuccessful experience demonstrating strong capabilities regarding persuasion and influence

• Demonstrated ability to develop and maintain strong working relationshipswith colleagues at different levels of the business

• Must be a change agent that improves overall customer experience

Language (Other than English)

None

Travel Requirement

0% - 25%

PHYSICAL. MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Based

Teaches / trains others regularly

Does Not Apply

Travel regularly from the office to various work sites or from site-to-site

Does Not Apply

Works primarily out-of-the office selling products/services (sales employees)

Does Not Apply

Physical work site required

Yes

Lifting: up to 10 pounds

Frequently

Lifting: 10 to 25 pounds

Does Not Apply

Lifting: 25 to 50 pounds

Does Not Apply

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

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Req ID: J247365