Job Location : Caledonia,MI, USA
Job Summary
Manages operations and services associated with Patient Access Services (PAS) in accordance with organization, compliance, and regulatory requirements. Accountable for patient management for all pre-encounter, encounter and post-encounter needs, for planned, emergent/urgent, and direct patients. Innovates, collaborates and supports clinical service lines, and is accountable for optimizing revenue cycle as it pertains to patient access. Optimizes integrated revenue cycle services and industry best practices.
Essential Functions
* Plans, organizes, delegates, and controls the operations involving patient access services, including scheduling, pre-registration, procedure cost estimation, collection and entry of patient, insurance and diagnostic service information, verification of insurance plans and benefits, collection of authorizations for medical services, order entry/updating, patient payment estimates/collections/posting, financial counseling (including screening for charity care, development of payment plans, referrals to outside services, and collections).
* Oversees the initiation and management of patient encounter, establishing the correct identification and encounter to support accurate clinical care and revenue/reimbursement. Develops policies and procedures to optimize these services.
* Performs technical analysis and planning regarding system selection, modification, updates and changes. Collaborates with Information Services (IS) department to achieve optimum performance in achieving departmental goals and objectives.
* Manages the activities of employees who are engaged in 24/7 patient access services. Facilitates the training and continuing education of employees. Provides direction and support to subordinate employees to ensure effectiveness and efficiency. Selects, trains, develops, and evaluates subordinates and initiates personnel actions in accordance with departmental policies and organization philosophy.
* Prepares annual budget for areas of responsibility and performs ongoing monitoring and evaluation of budget throughout the year.
Qualifications
Required
* Bachelors Degree or equivalent
* 5 years of relevant experience including supervising related teams and/or projects
* CRT-At least one Certification from preferred list
Preferred
* Masters Degree
* CRT-Revenue Cycle Representative, Certified (CRCR) - HFMA Healthcare Financial Management Association 180 Days
* CRT-Healthcare Financial Professional, Certified (CHFP) - HFMA Healthcare Financial Management Association 180 Days
* CRT-Fellow of the Healthcare Financial Management Association (FHFMA) - HFMA Healthcare Financial Management Association 180 Days
* CRT-Inpatient Coding Auditor, Certified (CICA) - HFMA Healthcare Financial Management Association 180 Days
* CRT-Specialist Accounting & Finance, Certified (CSAF) - HFMA Healthcare Financial Management Association 180 Days
* CRT-Specialist Business Intelligence, Certified (CSBI) - HFMA Healthcare Financial Management Association 180 Days
* CRT-Specialist Managed Care, Certified (CSMC) - HFMA Healthcare Financial Management Association 180 Days
* CRT-Specialist Physician Practice Management, Certified (CSPPM) - HFMA Healthcare Financial Management Association 180 Days
About Corewell Health
As 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.
How Corewell Health cares for you
* Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
* 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
* Eligibility for benefits is determined by employment type and status
Primary Location
SITE - 4700 60th St - Grand Rapids
Department Name
Administration - Admitting And Registration
Employment Type
Full time
Shift
Day (United States of America)
Weekly Scheduled Hours
40
Hours of Work
8 a.m. to 5 p.m.
Days Worked
Monday to Friday
Weekend Frequency
N/A
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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.###.####.