Director, Patient Access Services, Pre-Services

Overview: Responsibilities:

• Insurance Verification & Authorization
• Oversees the process of verifying patient insurance eligibility and obtaining necessary prior authorizations for procedures. Ensures adequate and accurate patient information is collected and verified at the time of scheduling, pre-registration, and registration to ensure seamless access to care.
• Ensures patients understand their financial obligations, including copays, deductibles, and balance responsibilities.
• Collect co-insurance, co-payment, or provide estimated out-of-pocket costs for the service.
• Ensures timely and accurate cash collections across the enterprise and point of service collections reconciliation.
• Quality Assurance and Training Development
• Ensures detailed monitoring, audits, and feedback loops for front-end errors, preventative denials, estimates, and point-of-service collections.
• Ensures and coordinates on-demand training and development for internal and external customers related to front desk operations. In addition, this position provides oversight, guidance, and facilitation for enterprise-wide EMR management and upgrade enhancements.
• Establishes a clear vision for Access Services, PFS Team business & operations that supports HMH's Vision, Mission, and Shared Values; maintains a big picture view; foresees challenges and opportunities; scans and assesses environmental and industry trends to identify opportunities, assesses need to shift strategic direction, challenges status quo thinking and assumptions, and identifies innovative and breakthrough ideas that create value. With awareness of the manager's goals, develops a succession plan and operates independently, and conveys information effectively to team members to plan, implement, measure, motivate, and achieve these goals.
• Reviews the clinical performance of all providers annually and acts as a resource for medical issues for providers. Monitors and advises referrals to specialists. Ensures credentials of providers are complete and current.
• Understands the value of growth to proactively optimize the strengths of entities/departments for the benefit of the organization as a whole.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Qualifications:

• Bachelor's degree in Business Management or a related health field.
• Minimum of 8 years experience in front end revenue cycle.
• Minimum of 5 years of progressive management experience.
• Demonstrated experience with IT functionality.
• Excellent written and verbal communication skills.
• Strong analytical skills and attention to detail.
• Ability to maintain high morale in the workplace.
• Ability to train team members as well as manage and direct as needed.
• Excellent written and verbal communication skills.
• Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.

• Master's degree in Business Management or a related health field.
• Project management experience

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

Starting Minimum Rate: Minimum rate of $180,918.40 Annually Job Posting Disclosure: HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to: Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness. Experience: Years of relevant work experience. Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training. Skills: Demonstrated proficiency in relevant skills and competencies. Geographic Location: Cost of living and market rates for the specific location. Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization. Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered. Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts. In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.