Location: Danvers, MA
Job ID: 175475-1A
Date Posted: Apr 19, 2022
Welcome to Beverly Hospital, part of Beth Israel Lahey Health. Beverly Hospital is a full service, community hospital providing leading-edge, patient-centered care to North Shore and Cape Ann residents. The hospital provides a full-range of state-of-the-art care and services including primary care, cardiovascular care, surgery, orthopedics, emergency care, maternity, pediatrics, as well as many other specialties. Beverly Hospital is nationally recognized for patient safety as it is one of only 42 hospitals in the United States to be awarded an “A” grade from The Leapfrog Group – the nation’s leading nonprofit watchdog on hospital quality and safety.
Beverly Hospital promotes the culture and philosophy which enables employees to give and receive the best of care. You can become a part of the team that achieves this success through our CREATE values of Community, Respect, Excellence, Accountability, Teamwork and Empathy.
About the Job
Manages the day-to-day activities and staff of the hospital site. Oversees the operational aspects of the hospital site. Ensures that all staff performing the Patient Access functions has been trained properly and follows up with staff that is making consistent errors. Ensures that all information necessary for the full registrations to collect proper financial reimbursement is entered into Epic. Creates the budget for the respective cost center that the manager oversees and works to stay within that budget and avoid any negative variances by avoiding overtime and unnecessary expenditures for supplies. Monitors the statistics in your area and keeps the Director informed of any negative changes. Evaluates the department for effective and efficient utilization of staff and resources and consistently works to identify the best practices and procedures to function in the most efficient and cost-effective manner. Accountable for creating a culture of compliance, ethics, and integrity. Maintains clear and confident communication skills. Maintains departmental quality controls, while ensuring adequate staffing. On a daily basis, monitors the Patient Workqueues to evaluate how the staff is performing and who may require follow up or re-training. On a daily basis, works the Hospital Billing, Professional Billing, and Account Workqueues that have to do with registration, authorizations, and referrals in an effort to push the claim back to Patient Financial Services so that they can send it out the door to obtain reimbursement for the hospital services performed as soon as possible. Works closely with Patient Financial Services to resolve that the accounts in the workqueues are able to be billed and do not have to be written off; this is the main goal for a positive revenue cycle. Monitors the appeals that have been filed by Patient Access Services until the payment has been received from the insurance company. Maintains knowledge of all governmental and insurance regulations that affect the hospital. Constantly working with the Director of Patient Access Services to achieve a positive outcome for our revenue cycle. Leads by example exhibiting exceptional judgement skills under pressure and excellent customer service standards. Responsible for bringing all issues of concern to the Director of Patient Access Services with options for resolution. Participation in long-range planning and departmental goals. Represents the Director of Patient Access Services and/or the Patient Access Services’ Department on committees and projects that directly impact Patient Access Services. Enforces all health and safety requirements and regulations. Performs all other duties as assigned.
40 hours per week, days. This position is located at Lahey Outpatient Center, Danvers.
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.
Bachelor’s Degree (or 10 years’ experience in a Leadership role within Patient Access Services or Patient Financial Services)
Licensure, Certification & Registration:
At least five years prior experience in a health care setting requiring knowledge of insurance coverage, reimbursement, and/or medical terminology and coding. Experience providing customer service, while processing and verifying electronic demographic, financial or other business-related information and data.
Skills, Knowledge & Abilities:
Leadership skills and mentoring staff is essential. Working with Epic ADT and Prelude on a daily basis and knowledge to work the HB, PB and Account Workqueues is a plus.
Knowledge of scheduling, registration, authorizations, and referral processes and the impact that these have on the revenue cycle.
Able to work successfully in a fast-paced, multi-task environment; where daily independent decision making is essential. Able to process electronic information and data accurately and efficiently.