Job Information
Baylor Scott & White Health Director Access Services Centennial in Frisco, Texas
JOB SUMMARY
Dir Access Services is responsible for planning, organizing, and coordinating the patient access function for Baylor Scott White Health (BSWH), which may include in-patient/out-patient admissions, registration, insurance verification, financial counseling, bed assignments, scheduling functions, and completion of preliminary records for entering patients. Develops and implements strategies, policies, and procedures for all access services activities for assigned area of responsibility within BSWH hospitals, clinics, and ambulatory care facilities. Plans and directs processes that ensure accuracy and completion of admitting information, assignment of available accommodations, and arrangements for financial payment. Designs and implements programs and solutions that improve quality, efficiency, and patient experience through standardization of work, process improvement, and effective use of technology. Directs and manages the confirmation that all insurance benefits coverage meets standards of admission as required by hospital policy. Minimizes financial risk to BSWH through, adherence to policies and procedures, delivery of continuous staff training, and monitoring of outcomes. Ensures compliance with legal and regulatory requirements and responsiveness to changes in requirements. Coordinates with medical, clinical, or financial departments to ensure patient access procedures are organized in accordance with the activities of other BSWH departments.
An entity Director translates and implements strategic plans and objectives for area of responsibility. Makes final decisions on operational matters and ensures achievement of objectives. Recommends policies and organizational changes for area. Plans and executes projects and initiatives that meet annual objectives. Plans and directs the operations of a department or area, with responsibility for staffing, processes, budgets, and costs of the unit. Leads and advises subordinate(s) to meet schedules, resolve technical problems, and monitor performance. Has a larger, more complex organization or functional area than a manager. Often has one or more managers or supervisors reporting to the role.
ESSENTIAL FUNCTIONS OF THE ROLE
Directs access services for assigned area of responsibility for BSWH.
Recommends and implements strategic and operational plans and priorities for access services aligned to BSWH overall business objectives.
Directs registration, financial counseling, and cashiering functions for all assigned areas, including the generation and communication of statistical reports and monthly return reconciliation processes.
Leads and monitors vendor activities confirming access eligibility to minimize potential financial losses to BSWH.
Develops and implements access services policies, procedures, processes, and guidelines for assigned areas.
Monitors web-based or portal registration systems to ensure all workflows are efficient and transactions are processed timely and accurately for assigned areas.
Leads the application and compliance of rules and regulations of third-party payers, Medicare, Medicaid, and governmental programs and implements new or revised regulatory requirements.
Collaborates with physicians, physician office personnel, associates, case managers, third party payer review personnel, and others to expedite the utilization review process to avoid negative financial impact on the facility.
Leads continuous improvement activities focused on standardization of processes, attainment of performance targets, and review of financials, including up-front collections, denial management, and bad debt reduction.
Directs the implementation of access services system applications, process workflows, and associated training.
KEY SUCCESS FACTORS
Bachelor’s degree in finance, business, or related field preferred.
3+ years of experience in access services, revenue cycle, or related area.
Experience in a leadership role preferred.
Ability to develop access services and revenue cycle processes and controls in hospital and clinic environments.
Knowledge of regulatory requirements for patient registration in hospital and clinic environments.
Excellent customer and problem-solving skills.
Working knowledge of medical terminology and hospital and clinic operations.
Strong written, verbal, and presentation skills.
BENEFITS
Our competitive benefits package includes the following
Immediate eligibility for health and welfare benefits
401(k) savings plan with dollar-for-dollar match up to 5%
Tuition Reimbursement
PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
QUALIFICATIONS
EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
EXPERIENCE - 3 Years of Experience, 5 years preferred
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.