Barton Health Job - 32202499 | CareerArc
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Company: Barton Health
Location: South Lake Tahoe, CA
Career Level: Mid-Senior Level
Industries: Healthcare, Pharmaceutical, Biotech

Description

Purpose Statement
Consistently Exceptional Care

Barton Health is a not-for-profit, equal opportunity employer and does not discriminate on the basis of sex, age, religion, creed, national origin, race or handicap in its relationship with patients, visitors or employees.

Mission
Barton Health is dedicated to the delivery of safe, high quality health care to community members and visitors. We are committed to compassionate, personalized, comprehensive and responsive treatment of all of our patients and other guests.
 

Nicotine Free Statement: To further our mission in providing quality, compassionate care to everyone, effective January 1, 2017, Barton Health will no longer hire individuals who use or test positive for nicotine. Barton Health promotes a healthy and safe environment for all Associates, Physicians, Volunteers, Patients, and Vistors. Therefore, all individuals whose pre-employment drug test results are positive for nicotine will have their job offer rescinded, and they will be disqualified from applying for employment for 6 months (180) days from the date of the health screening. 

 

Job Function: Management 

Employment Type: Full-Time 

Hours per Pay Period 1.00  (80 hours p/pp) 

Job Shift: Variable 

Weekend/Holiday Rotation: Yes 

 

Summary of Position:

This position provides leadership and management to Health Information, Patient Access and Patient Service Center staff. Coordinates department functions while ensuring safety and privacy of patients and staff. Directs human resource functions of the department, oversees training and ensures staff competencies. Develops and manages budget to meet department, organization and patient safety goals. Ensures regulatory compliance. Ensures ongoing monitoring of departmental KPI's and reporting activities as directed.

 

Qualifications

Education:

  • Associates of Art degree preferred, equivalent education & experience may be sustituted for education.
  • Completion of an accredited program in Health Information or equivalent years of experience.

 

Experience:

  • Minimum five years' experience with extensive knowledge of Patient Access desired
  • Minimum one year Patient Registration Service Center, to include all financial clearance activities.
  • Experience in electronic spreadsheets, word processing and report writing.

 

Knowledge/Skills/Abilities:

  • Knowledge of human resources, legal, risk and corporate compliance in a healthcare environment.
  • Knowledge of the OIG guidelines, compliance program elements and frameworks.
  • Epic experience preferred.
  • Highly effective collaboration skills, written and verbal communications skills.
  • Ability to develop relationships with the various departments in order to establish a consistent and supportive process throughout the System.
  • Attention to detail, meticulous development and maintenance of regulatory paperwork.
  • Extensive knowledge of Healthcare Revenue Cycle functions.

 

Certifications/Licensure:

  • Applicable NHAM certification obtained within one year of assignment date.

 

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear.
  • The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms.
  • The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl.
  • Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.
  • The employee must occasionally lift and/or move up to 25 pounds.

 

Working Conditions

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Normal office environment. The noise level in the work environment is usually quiet to moderate while in the office.
  • Occasional travel to various Barton Healthcare System's locations.

 

Essential Functions

  1. Provide consistently exceptional care at all times.
  2. Interviews and hires new staff, assists with training.
  3. Coordinates activities related to staff development to include initial and ongoing education.
  4. Coaches, encourages, documents and reports on staff performance relative to production and quality, as well as, mentors, coaches, counsels and disciplines staff when necessary.
  5. Evaluates competency of staff to ensure adherence to HIPAA, hospital policies, medical staff rules and other regulatory guidelines.
  6. Establishes department and staff goals and objectives in line with the mission, vision, values and strategic plan of Barton Healthcare System.
  7. Assists with the development of department and capital budgets and strives to meet established goals.
  8. Identifies priorities within the various areas and focuses on improving identified areas.
  9. Understand and be able to speak to all aspects of Patient Access, from technology, processes and regulations.
  10. Financial Clearance: up to and including verifying patient demographic, insurance information and securing payment of patients financial liability/performing collection efforts.

 

 

  1. Pre-Reg: Collect and verify required patient demographic and financial data elements, including determining a patient's financial responsibility and securing pre-payment for future services/performing collection efforts. Completes all pre-certification requirements by obtaining authorization from insurer and/or healthcare facility.
  2. Consistently manages staffing activities in areas of responsibility.  This includes documentation and identification of needs, selection of staff, wage/salary activities, orientation and training.  Grow/Mentor supervisors and ensure staff engagement and commitment to strategy, mission and goals. Communicate proactively and positively with direct supervisor to ensure personal growth in knowledge and skill set.
  3. Oversees productivity and quality monitoring and provides timely and consistent feedback to employees.
  4. Manages all members of Patient Access and department operations including Admitting, Medical Imaging, ED and Authorizations and is the primary point person to facilitate optimal performance of the front end registration process/revenue cycle.
  5. Ensures the processes and systems for registration are standardized and optimized for efficient and effective flow of patients within all registration areas of the organization.
  6. Establishes and ensures on-going processes and procedures for the accurate, timely and confidential collection of patient information, securing patient's insurance coverage limits and communicating to patients for meeting financial expectations of the hospital as applicable.
  7. Ensures compliance with policies and directives issued by Medicare, Medicaid, Third Party Payers, and others as needed for registration, authorization and verification of eligibility and benefits.
  8. Ensures that applicable price estimations and point-of-service cash collections are performed.
  9. Administers and maintains third party Patient Access software systems.
  10. Coordinates, monitors, approves and implements all changes made to the Pateint Access Registration.
  11. Maintains current working knowledge of revenue cycle processes to aid in the implementation of processes and procedures that support compliance with billing guidelines.
  12. Provides support with patient complaints related to registration, patient estimates and authorization processes.
  13. Coordinates new system implementations as necessary to support Patient Access and Patient financial clearance processes.
  14. Reviews and oversees Epic Revenue WQs, conducts research needed to resolve account issues and registration errors.
  15. Provides data and reports to Revenue Cycle, Finance and Administration, as directed.
  16. Assists Compliance department with departmental OIG plans, reviews, and distribution.
  17. Responds to the needs of the department by performing other duties, as necessary.

Purpose Statement
Consistently Exceptional Care

 

Mission
Barton Health is dedicated to the delivery of safe, high quality health care to community members and visitors. We are committed to compassionate, personalized, comprehensive and responsive treatment of all of our patients and other guests.

 

Values/Standards

Barton Health commits to integrity, collaboration and excellence through the practice of our four Service Standards:

  • Safety
  • Respect
  • Image
  • Efficiency

 

Barton Health is a not-for-profit, equal opportunity employer and does not discriminate on the basis of sex, age, religion, creed, national origin, race or handicap in its relationship with patients, visitors or employees.


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