AdventHealth Corporate

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Career Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Shift: Monday-Friday

Job Location: Georgia; Gordon Hospital

The role you’ll contribute:

The Executive Director provides strategic leadership to all areas of responsibility within the Patient Access arena with oversight of facilities (division wide) and maintains ongoing communication with both campus and clinical leadership to ensure consumer centric, results-oriented performance in alignment with the mission and vision of AdventHealth. Reporting to the VP, Revenue Cycle this individual will provide operational oversight of patient registration, pre-registration, insurance verification, insurance pre-authorization and authorization for services rendered and matrix collaboration with scheduling, leadership and subject matter expertise in the delivery of all Patient Access services. This role is charged to effectively lead access-focused initiatives that create and support exceptional patient access and service, employee satisfaction, growth and volume management, and advancements in people, process, and technology. Strategically designs and continuously researches the Patient Access (front end revenue cycle) processes to ensure our system key performance indicators are challenged and increased to drive improvements in all key indicators set by administration. Responsible for continuous process improvement amongst all key points of pre-registration, insurance verification, securing authorization, patient financial clearance, by planning, developing, and executing campaigns for performance excellence, process improvement, performance measurement and knowledge management initiatives. Will work closely with clinical chairpersons and operational leaders to ensure optimal patient access strategies are developed, implemented, and sustained to support seamless patient service. Identifies latent skills in staff and provides opportunities for personal and professional development. Effectively communicates with a broad spectrum of internal and external customers. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. Required to travel between campuses.

The value that you bring to the team:

SCOPE OF RESPONSIBILITY:

• Actively manages multiple areas of responsibility as assigned by system leadership.
• Strategically designs the Patient Access processes in collaboration with corporate Consumer Access team to meet or exceed key performance indicators related to both financial metrics and regulatory compliance requirements.
• Responsible for continuous process improvement amongst all key points of entry. Proactively engages in problem resolution for patients, physicians, administration, and other internal or external customers including serving as a campus liaison to facilitate front-end patient financial clearance discussions and questions.
• Practices excellent time management to attend meetings for executives and administrators of all responsibilities.
• Innovates, initiates, implements, investigates and responds to change and opportunity with agility. Actively seeks new and improved ways to increase productivity.
• Actively involved in providing guidance to Campus Patient Access Directors & staff to improve and sustain key metric performance in achieving campus specific initiative and goals.

COMPLIANCE/REGULATORY RESPONSIBILITY:

• Adheres to AdventHealth Corporate Compliance plan and all rules and regulations of applicable local and state and federal agencies and accrediting bodies.
• Assists in the annual review and updating of all policies and procedures pertinent to areas of responsibility.
• Actively involved in all Revenue Cycle Operation initiatives and processes related to compliance & regulatory standards (i.e. HIPAA, Joint Commission, AHCA, Compensation, Job Descriptions, & Performance Reviews.) Communicates with various levels of leadership as it relates to compliance.
• Assists the Risk Management Department in the identification of risks, the analysis of the causes of incidents and in the investigation of incidents as may be required for legal purposes. Works with Risk Management Department in developing corrective action plans addressing noted trends or categories of risks/incidents.

OPERATING & CAPITAL BUDGET/FINANCIAL RESPONSIBILITY:

• Responsible for department meeting or exceeding productivity, accuracy, and timing goals as designated by hospital senior leadership.
• Works with the Business Manager to create and manage the fiscal budgets for areas of responsibility, while looking for areas of potential improvement.
• Assist in setting the strategic direction of the revenue cycle and identify areas of continuous improvement in conjunction with other revenue team members.
• Develop strategies across functional departments to exceed revenue management cash projection, reduce days in accounts receivable and denials. Attend denial management review team meetings.
• Develop and effectively manage the Patient Access budget, seeking input from leaders and management to stay aligned with EBDITA goals.

STRATEGIC PLANNING RESPONSIBILITY:

• Reports to VP to ensure departmental goals are in direct alignment with organizational initiatives and objectives.
• Attends departmental, interdepartmental and campus level Leadership meetings, facilitating as requested.
• Meets with Directors to review department key performance indicators and improvement initiatives.
• Identifies opportunities for performance improvement within areas of responsibility and beyond.
• Ensure that cross-departmental operations are optimized and aligned within Revenue Cycle Operations and Adventist Health.
• Expect results from all direct reports. Set clear, compelling goals for staff and hold team members accountable for performance.

PERFORMANCE IMPROVEMENT RESPONSIBILITY:

• Regularly meets with VP to review key indicators addressing any areas of concern and plans for resolution.
• Reviews Patient Access scorecards with Directors, addressing any areas of concern and provide any needed resolution.
• Responds with agility to change and opportunity. Actively seek new and improved ways to increase productivity.
• Nurture employee development by providing frequent feedback. Coach and mentor in order to develop latent leadership skills.
• Delegate decision-making to allow further development of the next level of staff, involve directors in making cross-departmental decisions.
• Analyzes the impact of environmental changes in managed care, health care reform, and government payment systems on operations.

COMMUNITY RELATIONS RESPONSIBILITY:

• Responsible to be on call as necessary for departmental emergencies and assistance.
• Advocates team involvement of the Hospital approved community programs, including but not limited to Backpack for Kids, American Heart Association’s Heart Walk, and United Way.
• Adheres to department operation procedures for response to external disaster protocols.
• Responsible for optimal system patient satisfaction scores across AdventHealth campuses, ensuring they meet or exceed hospital standards.

STAFFING/LABOR/SUPERVISORY RESPONSIBILITY:

• Responsible for ensuring optimal employee engagement scores that meet or exceed hospital goals.
• Attends campus leadership meetings, as requested.
• Responsible for ensuring staff has resources and appropriate training in order to aid them in meeting or exceeding all performance goals, with a focus on accuracy and timeliness.
• Aid Directors in setting clear, compelling goals for staff and holds team members accountable for performance. Sets the climate for open, frequent communication.

The expertise and experiences you’ll need to succeed:

Minimum qualifications:

• Master’s degree in Health Services Administration, Business Administration or related field OR Bachelors degree in Health Services Administration, Business Administration or related field and 14 years’ experience in Patient Access or related field of work.
• Ten (10) years’ experience in Patient Access or related field of work
• Four (4) years’ experience in progressive leadership capacity

Preferred qualifications:

• Master’s degree in Health Services Administration, Business Administration or related field
• Certified Manager of Patient Accounts (CMPA)
• Certified Patient Access Management (CPAM)
• Lean and or Six Sigma certification