Director, Patient Access & Revenue Cycle Services

Location: Winchester, MA
Job ID: 169969-1A
Date Posted: Aug 18, 2021
Category: Professional

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Job Description

Welcome To

Welcome to Shared Services, our team uses a coordinated approach to delivering administrative and operational services across Lahey. Our Shared Services colleagues leverage resources across the organization to ensure we provide high-quality, high-value care to the communities we proudly serve.  The Shared Services team includes colleagues who focus on business and network development, legal services, facilities and real estate, human resources, information technology, finance, philanthropy and marketing and communications.

 

About the Job

Reporting to the Vice President, Epic Revenue Cycle Operations, the Director, Patient Access (Winchester Hospital) is responsible for the efficient, effective, and timely performance of all patient access revenue cycle operations, in support of Patient Access Services’ success in its mission to provide optimal access to care as well as accurate and timely collection and completion of accurate financial information.  Leading a team of patient access revenue cycle personnel, and in partnership with key stakeholders, the director works collaboratively to design, implement, oversee and continuously improve people, process, and/or technology-oriented workflows assuring that:

  1. All patient appointments are processed in accordance with Lahey Health policies and expectations, and to the satisfaction of patients/families, third party payers, and regulatory agencies. 

  2. Access to care and both financial and clinical information is delivered at the optimal level in all related arenas.

 

Essential Duties & Responsibilities including but not limited to:

 

Together with other leaders in Patient Access Services and across all appropriate Winchester Hospital/Lahey areas/departments, the Director:

 

  1. Advances the institutional effort to provide patient and family-centered access to care, financial and clinical information.  Creates and fosters an atmosphere of continuous improvement.  Communicates an understanding of optimal access resulting in higher quality clinical outcomes, increased clinical revenue and greater satisfaction of patients, families, referring physicians, and Winchester/Lahey colleagues.

  2. Identifies opportunities to improve access.  Leads or participates in multi-disciplinary, work groups charged with making workflows across departments and locations efficient, cost-effective and satisfying to patients, families and providers.

  3. Oversees all aspects of the Patient Access Revenue Cycle within the Patient Access Services departments, including management of teams, regulatory compliance, technology optimization, and operating performance - as assessed by key performance indicators for financial and access operations.  Verifies health plan eligibility, benefits, co-payments, coinsurance, and deductibles.  Processes access related denials.  Works with all patients to assure their understanding of financial liabilities associated with care sought – including the provision of estimates.  Offers referral/counseling for available resources.  Administers Beth Israel Lahey Health’s (BILH) Financial Assistance and other state assistance programs.  Processes referrals and precertification requirements for hospital and group practice accounts.  

  4. Works collaboratively with peers across Lahey and BILH to support excellence in Patient Access, development and consistent application of standards as well as policies and procedures, information sharing and best practices.

 

Minimum Qualifications:

 

Education:

  • Bachelor’s degree required.  Master’s degree in Business, Hospital or Healthcare Administration preferred.

Licensure, Certification & Registration: None.

 

Experience:

  • Minimum 8 years of experience and measurable record of success, leading patient access operations in a complex health care delivery environment. 

Skills, Knowledge & Abilities:

  • Comprehensive knowledge of applicable Federal and State regulations as well as payer requirements for the successful processing of patient accounts. 
  • Excellent management skills, including written and oral communication, relationship management, customer service, and organization.

Preferred Qualifications & Skills:

  • Epic experience

 

About Us

Beth Israel Lahey Health is dedicated to improving health and wellness and making a difference in the lives of our patients, their families and all members of the communities we serve.  Formed in March 2019, Beth Israel Lahey Health is a patient-centered, integrated care delivery system providing a continuum of services spanning academic, tertiary and community hospitals, dedicated orthopedic and psychiatric hospitals, primary and specialty care, community acute care, ambulatory care, behavioral services and home health.  Beth Israel Lahey Health Performance Network is a unified joint contracting and population health management organization, jointly governed by participating physicians and hospitals.

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.