Director, Patient Access & Revenue Cycle

Job Title: Director, Patient Access & Revenue Cycl

Location: Community Medical Center

Department Name: Patient Access Services

Req #: 0000218709

Status: Salaried

Shift: Day

Pay Range: $133,924.00 - $189,167.00 per year

Pay Transparency:

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Overview:

The Director of Patient Access and Revenue Cycle Services is responsible for the comprehensive leadership, management, and strategic direction of all hospital patient access/revenue cycle operations. This includes oversight of registration teams, pre-registration and insurance authorization functions, and hospital-based revenue cycle budget and goals. The Director ensures that the department meets and exceeds goals and objectives aligned with the organization s mission and strategic plan, focusing on operational efficiency, financial performance, quality management, and customer satisfaction. The Director ensures Patient Access policies are administered across the facility and that all departments are in compliance.

Qualifications:

Required:

• HS diploma or GED equivalent
• Knowledge in all aspects of registration, Non-Federal and Federal billing regulations, and state programs such as Charity Care.
• Medical terminology and computer skills.

Preferred:

• Minimum of 5 years in management/leadership role.
• Bachelors Degree or equivalent experience.

Scheduling Requirements:

• Full-Time, Salaried position- 37.5 hours a week
• On-site at Community Medical Center, Toms River, NJ

Essential Functions:

• Provide leadership and direction for the Patient Access and Revenue Cycle departments, ensuring alignment with the organization's mission, vision, and values.
• Maintains positive relationships with all customers, employee, physician, patient, visitor, and guests.
• Utilizes a variety of feedback to improve processes and services to meet and exceed customer needs.
• Uses sound employee relations practices and maintains high levels of visibility and accessibility.
• Lead change initiatives, interpreting the impact of organizational changes for staff and developing strategies for successful implementation.
• Ensure departments are completing their charge reconciliation process timely.
• Collaborate with coding, billing, and clinical teams to reduce claim denials through root cause analysis and process improvement strategies.
• Implement effective denial management procedures and monitor the financial impact of claim resolutions.
• Achieve goal of reducing bill hold days below target by leading revenue cycle committee meetings with members of finance, clinical departments, coding, and revenue integrity.
• Lead initiatives to improve upfront cash collections through efficient collection processes and ensuring estimates are created and presented to patients.
• Collaborate with corporate revenue cycle team to improve patient communication around billing and financial assistance programs, ensuring a high level of patient satisfaction.
• Lead efforts for audits related to Medicare Secondary Payer Questionnaire, MSPQ, capture and other hospital-based revenue cycle activities and manage corrective action plans for any identified deficiencies.
• Utilize data analytics to track key performance indicators, KPIs, such as registration wait times, denial rates, and collection efficiency.
• Provide monthly and quarterly reporting on revenue cycle performance to senior leadership, offering insights and recommendations for improvement.
• Serve as the primary point of contact for revenue cycle inquiries within the hospital, ensuring strong working relationships and timely resolutions to claims and payment issues.
• Coordinate discussions with clinical department leaders and revenue integrity leadership to optimize documentation and coding practices that impact revenue capture when issues are identified.
• Coordinate with IT to improve system functionality and technology effectiveness for revenue cycle processes.
• Lead the implementation of new procedures and provide ongoing education to maintain compliance and improve the efficiency of the hospital s revenue cycle.
• Utilize principles of Continuous Quality Improvement, CQI, in all work situations, seeking feedback and recommendations to enhance quality and productivity.
• Lead efforts to improve patient satisfaction, quality of care, and operational processes within the department.
• Ensure compliance with all regulatory requirements, including state and federal rules and regulations.
• Implement innovative systems and processes that improve staff and patient quality and safety.
• Oversee daily operations, budgeting, financial and human resource management within the department.
• Able to project and appropriately staff the unit/department to effectively function to demand.
• Utilizes resources, both labor and non-labor to maximize efficiency and quality.
• Adheres to budgetary guidelines and targets-proactively manages budget variances and causes.
• Determines priorities and organizes work and time to meet them.
• Follows sound employee retention techniques; effective selection and hiring.
• Interviewing, recognition, fair and timely discipline, and ongoing performance feedback.
• Interacts constructively, tactfully and diplomatically with others and resolves conflicts effectively.
• Demonstrates cultural competency and ability to maintain a diverse workforce.
• Completes tasks and assignments in a timely, accurate and efficient manner.
• Remains positive and focused despite obstacles and setbacks.
• Demonstrates a sense of urgency in completing assignments.
• Organizes multiple assignments and/or projects simultaneously to accomplish goals.
• Responsible for ensuring the accuracy of registrations, which includes correcting and tracking registration errors via daily reports.
• Utilizes Epic system to review dashboards, reports, and work queue monitoring to improve registration accuracy, point of service collections, and CFB days.
• Attends monthly Revenue Cycle Leadership meetings.
• Creates agenda and reporting for KPI and Metric review.
• Responsible for the education of all staff and must assure all registration staff is competent and recertified yearly on mandatory education,
• Responsible to provide all Patient Access staff; including ancillary departments with weekly and monthly reporting of Key Performance Indicators.
• Responsible to review HB Overview dashboard monthly with Site Finance Officer and present data during Monthly Revenue Cycle Meeting.
• Takes initiative is self-starting and self-directed in order to achieve goals.
• Achieves expected results and outcomes without compromising RWJBH core values, processes, or procedures.
• Manages multiple departments/staff and assures all issues are addressed and patients are registered appropriately without delay.
• Delegates and prioritizes work assignments in relation to the patient's needs and staff 's competence.
• Provides clear communication and expectations for staff around KPIs and goals.
• Operates with a high degree of autonomy and authority while working within the framework of RWJBH philosophy and policies.
• Maintains professional affiliations and enhances professional growth and development to keep abreast of the latest trends in hospital/department/administration services.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey-whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer

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