Director, Patient Access
2 days ago
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The University of Miami UHealth/SoLé Mia opening June 2025, will bring high-quality academic medicine to Noth Miami, Aventura and surrounding communities.
Our expert team of physicians and staff will represent a wide range of specialties, including NCI–designated Sylvester Comprehensive Cancer Center and Bascom Palmer Eye Institute, the number-one eye hospital in the nation. UHealth at SoLé Mia will also deliver the latest in urologic treatments from the renowned Desai Sethi Urology Institute as well as top-notch care from UHealth’s nationally ranked neurology and neurosurgery programs.
UHealth/SoLé Mia has an exciting opportunity for a full time Director, Patient Access with a hire date of December, 2024. Be part of the UHealth Difference.
CORE JOB FUNCTIONS
- Hires, supervises, mentors, trains, disciplines, and discharges the Patient Access and Front End Revenue Cycle staff.
- Prepares department performance reports and develops short and long-term strategies for improvement.
- Develops, monitors, and ensures compliance with departmental budget.
- Attends and actively participates in meetings with upper management to identify any system issues and generate solutions.
- Maintains current knowledge of applicable statutory, regulatory, and administrative requirements.
- Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures.
- Ensures employees are trained on controls within the function and on University policy and procedures.
Department Specific Functions
- Responsible for efficient, effective, and smooth administrative operation of the facility.
- Develops of short and long term strategic operational plans that align with UCare Departmental goals. Monitors on a monthly basis and develops and implements action plans as needed.
- Creates and maintains monthly budgets; and provides variance analyses on both positive and negative variances.
- Responsible for leading the Patient Access and Front-End Revenue Cycle staff including performance appraisals and disciplinary action.
- Responsible for the development of new policies and procedures to ensure the smooth operation and provide excellent patient care.
- Routinely evaluate current policies to continually improve operations and maintain compliance with JCAHO and other regulatory entities. Ensures that all established policies and procedures are implemented and adhered to.
- Meets on a regular basis with the Medical Director, Hospital Administrator, Senior Clinical Administrators & Executive Director of Patient Business Services to review and resolve clinic issues.
- Develop and Maintain relationships with the Clinical Administrators, Faculty, and support staff to coordinate and facilitate patient care and resolve problems that arise.
- Work with the Director of Health Information Management (HIM) to ensure that all facets of Medical Records processes are compliant with Medicare and the University of Miami’s Office of Compliance for appropriate documentation and billing protocol by physicians and technicians.
- Responsible for arranging system(s) and application training of all relevant personnel regarding appointment scheduling, registration, open referrals, time of service payment posting, insurance verification, and any other relevant applications ensuring that compliance and audit guidelines are followed to mirror Hospital process.
- Ensures that physicians and staff members are continually updated regarding changes in coding, documentation and billing requirements for Medicare, the Office of Compliance, and Third-Party Payors.
- Obtains monthly performance data for all the facilities for the VCA and other senior leaders.
- Develops and maintains statistical reporting systems that accurately represent the performance of areas of responsibility.
- Work closely with IT to ensure all system upgrades and current system issues are reviewed and properly identified to meet business operations.
- Oversees the voucher reconciliation process for all locations to ensure that all hospital and professional charges are obtained on a daily basis for billing purposes.
- Reviews and maintains monthly budgets, responsible for budget variance analyses with a written explanation on both positive and negative variances.
- Responsible for interviewing and hiring qualified candidates.
- Monitor and review PRC scores with all staff members to ensure the highest quality of service is being provided.
- Ensures high levels of performance, achievement of goals and quality of results through subordinate managers.
- Performs other duties as assigned.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
Minimum Qualifications
Bachelor’s Degree in related field
Minimum 5 years of relevant experience
Epic system experience preferred.
Knowledge, Skills and Attitudes:
- Knowledge of business and management principles
- Ability to direct, manage, implement, and evaluate department operations.
- Ability to establish department goals and objectives that support the strategic plan.
- Ability to effectively plan, delegate and/or supervise the work of others.
- Ability to lead, motivate, develop, and train others.
Any appropriate combination of relevant education, experience and/or certifications may be considered.
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.
The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.
Job Status:Full timeEmployee Type:StaffPay Grade:H15-
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