Overview

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Director, Patient Access Services in the South region of Hackensack Meridian Health (HMH) directs, plans, leads and manages the responsibilities of Access Services for all entities of the health system and its integral functional teams: Registration, Insurance Verification, Financial Clearance, Certification and Authorization, Capacity Management, Data Integrity and Training, Patient Management Information System applications, the Meridian Transfer Center, SCI, and the centralized Call Center. Fosters team work and cooperation by serving as a role model.

Responsibilities

A day in the life of a Director, Patient Access Services at Hackensack Meridian Health includes:

• Directs and aggressively manages access operation to maximize revenue and cash flow. Ensures that the cashiering process at all hospitals follow identified protocol, posting cash payments, providing change for multiple service departments, armored car transactions, reconciliation at end of day. Ensures that accounts are coded correctly to reflect primary insurance carriers. Monitors electronic eligibility systems. Researches and analyzes insurance denial logs, rejected claims reports and conducts performance improvement. Works collaboratively with Case Management department to insure correct patient status.
• Works with multiple departments to insure that tests/procedures are scheduled, pre-registration and have authorizations obtained for services provided. Coordinates patient placement and manages bed capacity. Responsible for coordinating transfers, conducting physician to physician interaction and arranging transportation for all transfer requests. Manages team collaboration with customers to ensure a smooth process flow and safe environment.
• Manages the departments' quality activities, data analysis and process improvement to improve departmental outcomes. Maintains numerous matrix spreadsheets such as Physician Non Par and NPI, insurance matrix worksheets, etc. to ensure that the master index is created or updated to reflect current and accurate information. Maintains software applications that measure quality. Maintains hospital dashboards with identified benchmarks to improve quality and service. Demonstrates a thorough level of technical/ professional knowledge. Notifies all team members of changes and problems that affect bill flow or customer relations. Available to assist co-workers and other system departments for all information and questions involving Access Service. All areas of the department are equipped with information necessary to provide excellent customer service to the hospital and community.
• Establishes a clear vision for Access Services within Meridian's PFS Team business & operation that supports Meridian's Vision, Mission, and Shared Values; maintains a 'big picture' view; foresees challenges and opportunities; scans and assesses environmental and industry trends to identify opportunities, assesses need to shift strategic direction, challenges status quo thinking and assumptions, and identifies innovative and breakthrough ideas that create value. With awareness of the manager's goals, develops a succession plan and operates independently and conveys information effectively to team members in order to plan, implement, measure, motivate and achieve these goals.
• Reviews clinical performance of all providers annually and acts as a resource for medical issues for providers. Monitors and advises referrals to specialists. Ensures credentials of providers are complete and current.
• Understands the value of growth to proactively optimize strengths of entities/departments for the benefit of the organization as a whole.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required:

• Bachelor's degree in Business Management or related health field.
• Minimum of 5 years of progressive management experience and knowledge of front end revenue cycle.
• Demonstrated experience with IT functionality.
• Excellent written and verbal communication skills.
• Strong analytical skills and attention to detail.
• Ability to maintain high morale in the work place.
• Ability to train team members as well as manage and direct as needed.

Education, Knowledge, Skills and Abilities Preferred:

• Master's degree in Business Management or related health field.
• Project management experience.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

Our Network

Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility

As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.