AVP Patient Access Site Operations Job Listing at MedStar Health in White Marsh, MD (Job ID 146208)

Description

About the Job

General Summary of Position
The Assistant Vice President (AVP) of Patient Access Services & Site Ops/Registration is a key leadership role responsible for overseeing all aspects of patient registration 24/7 admissions and site access operations across the healthcare system. This position ensures a seamless patient-centered experience while optimizing operational efficiency staff performance and revenue cycle integrity. The AVP provides strategic direction develops policies and manages teams across multiple facilities to ensure best-in-class access patient experience aligned with the organization's mission compliance standards and financial goals. The position requires onsite presence across hospital facilities and corporate locations. The AVP is part of the leadership team responsible for $9 billion dollars in revenue billing and collections for system-wide patient access. The AVP is part of the leadership team responsible for $9 billion dollars in revenue billing and collections for system-wide patient access.

Primary Duties and Responsibilities

• Develop and implement the strategic plan for Patient Access Services with registration focus aligning with organizational priorities in revenue cycle patient experience and operational performance.
• Provide visionary leadership to registration and other patient access partners across hospitals clinics and outpatient centers.
• Collaborate with department heads to ensure integrated cross-functional workflows and initiatives.
• Maintains effective communication with internal management and staff as well as external customers and executive leadership.
• Oversees daily operations of 24/7 patient registration scheduling when applicable pre-admissions insurance verification and point-of-service collections. Develop standardized workflows to ensure consistency and excellence.
• Ensure consistent application of policies procedures and workflows across all sites. Defines and executes processes for patient access aligning goals with organizational priorities and health equity objectives.
• Monitor and drive performance in key operational metrics including patient wait times registration accuracy denials reduction and front-end collections. Identify opportunities for improvement and innovation. Develop and implement techniques to improve operations to minimize the risk of loss.
• Lead and coach directors to develop a team of managers supervisors and patient access staff at the front-line. Foster a high-performance culture focused on accountability teamwork and patient service excellence.
• Ensure compliance with regulatory standards (e.g. HIPAA EMTALA CMS) state and internal policies.
• Develop a strategy to ensure staff are trained in payer-specific requirements including coordination of benefits prior authorizations requirements MSPQ medical necessity guidelines and denial prevention.
• Collaborates with Managed Care PFS (Patient Financial Services) UM (Utilization Management and ACM (Acute Case Management) to ensure projects and operations align with the organizations overall objectives.
• Improve and maintain employee and patient engagement. Champion patient privacy data integrity and ethical registration practices.
• Represents Patient Access in strategic planning and cross-functional initiatives. Partner with Finance and Compliance teams to develop a strategy plan to support front-end revenue cycle goals
• Monitor and develop a process to ensure benefit collection timely account creation and authorization initiation within the MedStar Transfer Center POS collections at the time of service and reduce avoidable initial denials and write-offs related to registration errors
• Oversee budget planning and resource allocation for patient access admission departments.
• Evaluate and direct implementation of technology solutions to enhance access services (e.g. EHR patient kiosks real-time eligibility tools) to create a center of excellence for patient access.
• Promote and encourage staff involvement in system upgrades implementations and optimizations related to our Epic implementation. Develop strategies for stabilization of the system. Provide leadership and transparency throughout the Epic build testing training and go-live activities.
• Identify and drive continuous process improvements leveraging data and analytics; consistent monitoring of KPIs (Key Performance Indicators)
• Establish and maintain extensive connection with all levels of the hospitals including executive and senior leadership.

Minimal Qualifications
Education

• Master's degree in Healthcare Administration Business or related field required.

Experience

• Minimum 10 years' experience with Patient Access, Epic EHR, in a hospital setting required.
• Emergency department registration, financial clearance and counseling experience with primary emphasis in third party payer requirements as well as local state and federal regulations and requirements required.

Licenses and Certifications

• CHAM - Certified Healthcare Access Manager within 1 Year preferred

Knowledge Skills and Abilities

• In-depth knowledge of commercial and government insurance products prior authorization processes and payer requirements.
• Exceptional leadership and team building capabilities with strong analytical skills
• Proficiency with EHR systems: Epic
• Advanced computer skills