Essential Duties and Responsibilities
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Supervises, hires, trains and evaluates staff
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Conducts employee reviews, presenting and discussing pertinent review findings and recommendations with partner. When deficiencies are noted, monitors partner performance to assure that corrective action is taken
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Reviews data and develops reports and other tools to identify areas for improvement and to set and track benchmarks. Meets goals set by Director related to Patient Access
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Revises, develops and implements policies and procedures to maintain proper workflow within the revenue cycle, focusing on front-end operations
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Assures compliance with and ensures that regulatory systems/processes are in place such as: software to perform medical necessity checking and issuance of Advanced Beneficiary Notice (ABN) etc.
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Works with system-wide department leadership to educate and promote efficiencies in Patient Access
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Responds to partner and patient issues regarding Patient Access
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Manages special projects related to improved processes within Patient Access for both hospital and clinic services (if applicable)
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Other duties and projects as assigned
Culture of Excellence Behavior Expectations
To perform the job successfully, an individual should demonstrate the following behavior expectations:
Quality - Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals.
Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions.
Partnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals.
Cost - Conserves organization resources; Understands fiscal responsibility; Works within approved budget; Develops and implements cost saving measures; contributes to profits and revenue.
Education and Experience
Bachelor's Degree in related field preferred; MHA or MBA desired.
Minimum of 3-5 years experience in applicable healthcare fields of patient access and revenue cycle operations. Supervisory experience with proven ability to oversee subordinates.
Certification and Licensure
N/A
ADDITIONAL REQUIREMENTS
Passing the Driver’s License Check and/or Credit Check (for those positions requiring).
Passing the WI Caregiver Background Check and/or IL Health Care Workers Background Check.
Must be able to follow written/oral instructions.
Skills and Abilities
Thorough knowledge of Centers for Medicare and Medicaid (CMS) and Joint Commission (JCAHO) regulations affecting and/or driving Patient Access processes.
Expert knowledge of insurance plans and coverage requirements
WORK ENVIRONMENT
The noise level in the work environment is usually quiet.
Occupational Exposure: Category C - No partners in the specified job classification have occupational exposure.
AGE OF PATIENTS SERVED
Non-Specific Task (not applicable)
INFORMATION ACCESS
Partner may access patient care information, financial data, human resource data and strategic and planning data needed to perform their job duties as directed by the director.
WORK CONTACT GROUP
Partners, physicians, patients/family, visitors, vendors
Special Physical Demands
The Special Physical Demands are considered Essential Job Functions of the position with or without reasonable accommodations.
While performing the duties of this job, the employee is regularly required to sit; use hands to operate a keyboard repetitively, talk, and hear. The employee is occasionally required to stand; walk; reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus, particularly as it relates to computer screens.
Level of Supervision
Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems; employee adherence to annual education and certification requirements
Acts as a Direct supervisor for Patient Access/Registration staff. Supervisory responsibilities are conducted in accordance with directives of management, the organization's policies, and applicable laws.
Supervises
Acts as a Direct supervisor for Patient Access/Registration staff. Supervisory responsibilities are conducted in accordance with directives of management, the organization's policies, and applicable laws.
PAY RANGE:
$74,569.66 - $119,311.45
Mercyhealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected veteran status.
Mercyhealth offers competitive pay and a comprehensive benefits package including:
Medical, Dental, Vision
Life & Disability Insurance
FSA/HSA Options
Generous, accruing paid time off
Paid Parental and caregiver leave
Career advancement and educational opportunities
Tuition and certification reimbursement
Certification Reimbursement
Well-being Programs
Employee Discounts
On-Demand Pay
Financial Education
Annual recognition/awards events
Partner appreciation days
Family entertainment/attractions discount
Community service/improvement opportunities
Click here for more details regarding Mercyhealth Careers Benefit Information.
At Mercyhealth, we don’t simply hire people, we empower employee-partners who are passionate about making lives better. As an integrated health system, we deliver exceptional, coordinated across seven hospitals, 85 primary and specialty clinics, and a team of over 7,500 professionals serving northern Illinois and southern Wisconsin.
Mercyhealth has been nationally recognized for our commitment to our people and culture, including:
#1 in the nation on AARP's Best Employers for Workers Over 50
One of Working Mother magazine's 100 Best Companies for Working Mothers
A Top 50 Company and Top 10 Nonprofit for Executive Women
