Job SummarySupervises revenue cycle activities to ensure coordinated and optimized patient access functions, including, but not limited to, accurate patient registration, insurance verification, cost estimation, patient pre-arrival preparation, organization pre-arrival preparation, financial counseling, cash collection, and revenue optimization. Primary responsibility for resources and functions supporting multiple sites and/or service lines.Essential Functions
Assumes day-to-day accountability for the high quality delivery of patient access services through consistent application of policies, procedures, protocols and standards. Ensures Spectrum Health patient access services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements, including accurate information validation, eligibility, authorization, and medical necessity requirements of patient insurance, accurate estimation and processing of patient financial payments. Ensures accurate and timely financial, social, or other Spectrum Health resource triage and referrals where appropriate.
Supervises daily departmental activities for areas of responsibility. Provides direction and support to subordinate staff to ensure effectiveness and efficiency. Carries out supervisory responsibilities recruiting, training, management, and evaluation of department staff; creating and administering department schedule; planning and assigning work; developing and implementing initiatives to increase performance; assisting in the creation and monitoring of budget; and development of site procedures and processes. Assists in the evaluation and development of departmental policies and goals.
Establishes and maintains effective working relationships within the organization, communicating with staff, management, physicians, and other members of the healthcare team to maximize continuity and coordination of services. Creates and sustains exceptional patient and provider experience, serving as the escalation point for concerns and resolving issues in a timely and constructive manner to the satisfaction of all parties. Creates and maintains a work environment conducive to effective communication, collaboration, team building and professionalism.
Ensures that processes and services are continuously monitored for quality, cost effectiveness, and efficiency through the use of existing reporting tools as well as the development of new reporting tools. Ensures that productivity quotas are established and met.
Engages in process and quality improvement activities and implements new strategies and processes. Maintains advanced knowledge of current payer requirements, understanding of medical insurance, and Patient Access Services processes. Engages in continuous study of professional field including implementing best practices, maintaining professional competence, and understanding industry trends.
Acts as a consultant to the administrative support staff and to members of the healthcare team. Serves as a representative of Patient Access for organizational or industry work efforts. Coordinates departmental program planning, implementation, and evaluation.
Recruits, trains and evaluates departmental human resources. Develops and implements employee education programs to enhance employee performance. Initiates and promotes employee development to achieve departmental goals. Performs other supervisory responsibilities such as reporting status of area of responsibility to manager.
Oversees the daily operations of information systems utilized in areas(s) of responsibility and assists with new software or system implementation.
How Corewell Health cares for you
Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here (https://careers.corewellhealth.org/us/en/benefits-new) .
On-demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
Optional identity theft protection, home and auto insurance, pet insurance
Traditional and Roth retirement options with service contribution and match savings
QualificationsRequired
Associate's Degree or equivalent education and experience
3 years of relevant experience related experience
3 years of relevant experience in a related field (e.g., patient access, physician office management, etc.)
Preferred
Bachelor’s Degree or equivalent
Lead and/or supervisory experience
Experience with ICD-9/ICD-10 and CPT coding
CRT-Healthcare Access Manager, Certified – UNKNOWN Unknown 1 Year
About Corewell HealthAs a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.Primary LocationSITE - Corewell Health Place - 100 Corewell Drive NW - Grand RapidsDepartment NameRegistration Quality ManagementEmployment TypeFull timeShiftDay (United States of America)Weekly Scheduled Hours40Hours of Work8 a.m. to 5:30 p.m.Days WorkedMonday to FridayWeekend FrequencyVariable weekendsCURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only. Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.You may request assistance in completing the application process by calling 616.486.7447.
