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Job Description

Job Summary

Supervises revenue cycle activities to ensure coordinated and optimized patient access functions, including, but not limited to, accurate patient registration, insurance verification, cost estimation, patient pre-arrival preparation, organization pre-arrival preparation, financial counseling, cash collection, and revenue optimization. Primary responsibility for resources and functions supporting multiple sites and/or service lines.

Essential Functions

• Assumes day-to-day accountability for the high quality delivery of patient access services through consistent application of policies, procedures, protocols and standards. Ensures Spectrum Health patient access services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements, including accurate information validation, eligibility, authorization, and medical necessity requirements of patient insurance, accurate estimation and processing of patient financial payments. Ensures accurate and timely financial, social, or other Spectrum Health resource triage and referrals where appropriate.
• Supervises daily departmental activities for areas of responsibility. Provides direction and support to subordinate staff to ensure effectiveness and efficiency. Carries out supervisory responsibilities recruiting, training, management, and evaluation of department staff; creating and administering department schedule; planning and assigning work; developing and implementing initiatives to increase performance; assisting in the creation and monitoring of budget; and development of site procedures and processes. Assists in the evaluation and development of departmental policies and goals.
• Establishes and maintains effective working relationships within the organization, communicating with staff, management, physicians, and other members of the healthcare team to maximize continuity and coordination of services. Creates and sustains exceptional patient and provider experience, serving as the escalation point for concerns and resolving issues in a timely and constructive manner to the satisfaction of all parties. Creates and maintains a work environment conducive to effective communication, collaboration, team building and professionalism.
• Ensures that processes and services are continuously monitored for quality, cost effectiveness, and efficiency through the use of existing reporting tools as well as the development of new reporting tools. Ensures that productivity quotas are established and met.
• Engages in process and quality improvement activities and implements new strategies and processes. Maintains advanced knowledge of current payer requirements, understanding of medical insurance, and Patient Access Services processes. Engages in continuous study of professional field including implementing best practices, maintaining professional competence, and understanding industry trends.
• Acts as a consultant to the administrative support staff and to members of the healthcare team. Serves as a representative of Patient Access for organizational or industry work efforts. Coordinates departmental program planning, implementation, and evaluation.
• Recruits, trains and evaluates departmental human resources. Develops and implements employee education programs to enhance employee performance. Initiates and promotes employee development to achieve departmental goals. Performs other supervisory responsibilities such as reporting status of area of responsibility to manager.
• Oversees the daily operations of information systems utilized in areas(s) of responsibility and assists with new software or system implementation.

Qualifications

• Associate's Degree or equivalent education and experience -Required
• Preferred Bachelor's Degree or equivalent

• 3 years of relevant experience related experience Required
• 3 years of relevant experience in a related field (e.g., patient access, physician office management, etc.) Required
• Lead and/or supervisory experience Preferred
• Experience with ICD-9/ICD-10 and CPT coding Preferred

• CRT-Healthcare Access Manager, Certified - 1 Year preferred

Primary Location

SITE - SH Heart & Vascular Center - 2900 Bradford - Grand Rapids

Department Name

Cardiovascular Medicine - Grand Rapids

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

Spectrum Health requires all team members to receive the COVID-19 vaccinations subject to certain exclusions based on the team member’s job category. Spectrum Health is committed to granting reasonable accommodations in accordance with applicable laws.

Accommodation Notice: If you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health's application process. Contact us at 616-486-SHHR (7447).

Spectrum 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, sexual orientation, veteran status, or any other legally protected

category. See more here.