Stanford Health Care Manager-Patient Registration in Emeryville, California
Rev Cycle Pas
This paragraph summarizes the general nature, level and purpose of the job.
Under general supervision, this manager is responsible for patient registration functions and eligibility management and is the primary point person to facilitate optimal performance of the front-end registration process/revenue cycle at Stanford Health Care.
This is a people manager role and is accountable and responsible for a team of employees who provides front-end data quality for the patient registration activities across assigned Patient Access Services patient front-facing locations. The manager establishes and ensures on-going processes and procedures for the accurate, timely and confidential collection of patient information, securing patient’s insurance coverage limits and communicating to patients for meeting financial expectations of the hospital as applicable. The manager ensures that these essential functions (primary duties) are performed efficiently and effectively throughout the assigned areas, which includes maintaining an adequate trained staff to handle all patients in in-patient and out-patient clinic settings.
The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.
Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient’s rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.
Employee must perform all duties and responsibilities in accordance with the C-I-CARE Standards of the Hospital. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions.
Manages and trains a team of employees (in both in-patient and out-patient settings); Develops staff and training plans. Counsels, coaches and mentors assigned staff.
Ensures registration functions are performed effectively and efficiently
Establishes and provides full service registration service approach for patients and families (from initial point of contact through discharging).
Strives to provide services that exceed expectations and works to eliminate barriers to achieve a high level of quality service
Establishes and maintains complete documentation of current policies and procedures to be followed by all staff
Designs, develops and monitors performance improvement processes. Manages implementation of standards and systems to enhance quality, consistency, efficiency and timeliness of the teams’ responsibilities for the enterprise on a 24/7 work schedule. Monitors and develops metrics to ensure that
the integrity and accuracy of registration data is maintained. Ensures that the processes and systems for registration are standardized and optimized for efficient and effective flow of patients within the department and the organization.
Ensures that point-of-service cash collections are performed against expected revenue goals and reported on a regular basis.
Ensures compliance with policies and directives issued by Medicare, Medicaid, Third Party Payors, and others as needed; i.e. Medicare Secondary Payor, authorization for in-patient and out-patient services, and verification of eligibility or other primary coverage. Assures compliance with the medical staff by-laws, rules and regulations, and hospital and departmental policies and procedures.
Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
Education: Bachelor’s degree in Business or Health Administration from an accredited college or universityor equivalent combination of education/experience.
Experience: Five (5) years of related revenue cycle management experience ; Prior supervisory/management experience
Knowledge, Skills, and Abilities
These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification.
Demonstrated familiarity, knowledge and understanding of the complexities of the health care/hospital environment (front office, service areas and clinical operations)
Utilizes needs assessment and evaluation tools to engage and solicit feedback from patients, families and internal customers
Maintains relations with all internal applicable barriers, third party payors, and other agencies, as appropriate; Works collaboratively with other internal departments
Familiarity, knowledge and understanding of patient flow process
Familiarity, knowledge and understanding of management principles and practices, including human resources and performance management
Familiarity, knowledge and understanding of Lean/Six Sigma principles and practices
Maintains knowledge and understanding of required regulatory and accredited agency requirements, including Federal and State regulations and Joint Commission standards as they relate to Registration.
Hospital, practice and HIPAA regulations
Registration and billing systems, applications and databases (EPIC)
Demonstrated business communication skills (verbal, written, interpersonal, organizational, planning, facilitating, listening, presentation)
Demonstrated knowledge and understanding of computer applications and software (Outlook, Word, Excel, PowerPoint, Visio)
Demonstrated analytical and problem solving skills
Demonstrated ability to work independently and collaboratively as part of a team
Demonstrated project management skills
Demonstrated customer service and relationship management skills and knowledge
Demonstrated conflict management skills
Demonstrated ability to manage management priorities with organizational goals and priorities