Regional Director, Pre-Service Access

Employment Type:

Full time

Shift:

Day Shift

Description:

The Regional Director, Pre-Service Access provides strategic leadership and responsibility for promoting the financial viability of the multi-Regional Health Ministry (RHM) Region by effectively managing all aspects of Pre-Service functions for an assigned region. They direct and oversee the department responsible for securing reimbursement for all elective and emergent admitted services. They are responsible and accountable for directing and overseeing all Pre-Service functions which includes Scheduling, Nova (Notification, Verification, and Authorization), and ensuring Financial Clearance of planned, emergent and transfer center admissions. They secure reimbursement for all services, including, but not limited to, calculating self-pay rates, insurance out-of-pocket amounts for all payers for all services lines, loan programs, cash collections, proper handling of cash, Medicaid eligibility and financial assistance. They provide oversight responsibility for all decentralized areas and makes certain all processes meet internal and regulatory requirements regardless of reporting structure.

This position possesses a full understanding of denial management to prevent denials from occurring at point of service and builds and maintains strong relationships with all providers referring to and providing services onsite at all ministries within the region they serve.

What's required:

• Must possess a comprehensive knowledge of hospital Patient Access/ Accounting management as normally acquired through the completion of Bachelor's degree in Finance or related field; or equivalent combination of education and experience in patient registration, financial assistance programs, 3rd party eligibility requirements, point-of-service collections, appointment scheduling. Master's degree preferred.

• Minimum of seven (7) to ten (10) years of Patient Access leadership experience in a multi-facility, integrated health care delivery system with direct responsibility for all aspects of financial clearance.

• Patient Accounting leadership experience strongly preferred with an exceptional knowledge of denial management.

• Must possess strong knowledge of all aspects of financial clearance including but not limited to; payer / government / state regulatory requirements, payer contracts/reimbursements and clinical requirements for services.

• Strong understanding of cash collections and the proper handling and reconciliation of cash.

• National certification in NAHAM CHAM and / or HFMA CHFP or CRCR required within one (1) year of hire.

• Strong understanding of denial management and what is needed to receive reimbursement based on initial claim submission.

• Strong background in working with multi-disciplinary team, varying levels of leadership across the organization, including C-Suite and the demonstrated ability to be a change advocate, promote process improvement and ongoing education and growing the knowledge of team

• Exhibits strong leadership and management skills with the ability to attract, develop, deploy, and retain an excellent revenue cycle team, capable of performing as a team and of evolving with the organization's vision and with cutting-edge technologies.

• Must possess strong analytical skills to detect and resolve problems related to accounts receivable and system implementations. Ability to address complex problems with multi-level impacts and with solutions not readily apparent and uses sound judgment, in-depth analysis, and expertise to resolve issues.

• Ability to prioritize and deliver key initiatives; demonstrated success in achievement of key performance metrics targets within time and budget constraints.

• Must possess strong written and verbal communication and organizational skills and demonstrated ability to effectively manage department and communicate with a wide-ranging audience.

• Demonstrated understanding and practical experience in project management, revenue cycle, technology infrastructure, integration, and related issues.

• Must be comfortable operating in a collaborative, shared leadership environment.

• Must be proficient in all Microsoft products and Internet Explorer.

• Must be able to travel up to 20% to the various Trinity Health sites or physician offices within the Region. May travel to RHMs outside of the Region and System Office as necessary, typically under 10% of the time.

• Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

At Loyola University Medical Center, we know you're more than your job. We see you and all of your potential. That's why we invest in our people. Clinical advancement programs, flexible scheduling, tuition reimbursement and day one benefits... at Loyola, what's important to you, is important to us. Join our family.

• Benefits from Day One

• Daily Pay

• Career Development

• Tuition Reimbursement

• On Site Fitness Center (Gottlieb Memorial Hospital & LUMC)

• Educational Stipend

• Certification reimbursement (up to 1 certification)

• Referral Rewards

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran