Allegheny Health Network Careers

Date Posted: 2/2/17

Position Number: 55800

Location: Allegheny Valley Hospital 

Allegheny Health Network is an integrated delivery network focused on preserving health care choice and providing affordable, high-quality care to the people in our communities.  With more than 14,000 employees including 7,400 health care professionals, nearly 200 primary care and specialty care practices, Allegheny Health Network includes seven hospitals in Pennsylvania with nearly 2,400 licensed beds.

Allegheny Health Network’s clinical expertise ranges from primary care to the most complex surgical procedures.  Services include cancer diagnosis and treatment, cardiovascular care, neurological and neurosurgical services, organ transplantation, orthopedic and rehabilitation services, and women’s health.

Department: Emergency Registration - AVH

Status: Full-Time

Shift: Two daylight shifts, two evening shifts and one weekend day/evening rotating shift. Includes holidays as well.

Union/ Non-union: Non-union 

Job Summary:

Provides direct supervision of patient access staff within the Emergency Room and Greeter desk area. Assists in the management of daily operational processes, including: optimization of work assignments, Human Resources, providing technical expertise for revenue cycle content and functions within the department of responsibility. Identifies work flow issues and solutions, training needs, works special projects, resolves claim/account issues and technical problems and communicates/escalates root cause issues as appropriate. Monitors daily workflow, reassigns work as needed and monitors staff productivity as required to achieve key revenue cycle performances indicators. Facilitates a climate of teamwork.  Responsible for the completion of observation processes and coordination with nurses and admitting floors, along with insurance verification of admissions and financial obligations and collections. Fosters a positive environment while creating the first impression of AHN's services to patients and families and other external customers. This position assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient. The Patient Access Supervisor maintains proficiency in pre-registration, financial clearance, service estimations and collections-within Patient Access while creating a welcoming impression of AHN's services to patients and families and other external customers. The Patient Access Supervisor is able to articulate clinical and financial information that is easily understood by patients, guarantors and family members ensuring clear clinical and financial expectations, and must be able to address questions that arise through staff communications with patients and physician offices. The Patient Access Supervisor facilitates all aspects of the Emergency Department patient access services and assists staff as needed to address complex or unique scenarios. 

*This position will consist of two daylight shifts, two evening shifts and one weekend day/evening rotating shift.  Must be available on holidays as well.*

Job Responsibilities:

• Supervises staff, evaluates work and current state results, monitors staff time and recommends and implements corrective actions.
• Independently suggests new approaches for performance enhancement and improved productivity.
• Strong emphasis on Emergency room copays and deductible collections.
• Identifies, quantifies and monitors account detail or workflow processes for barriers.
• Makes process improvements or initiates courses of action for problem resolution.
• Uses problem solving skills and planning abilities to diagnose and solve root process, payer and system issues impacting revenue cycle objectives.
• Addresses team barriers, process flow or productivity issues.
• Assists with employee performance acceleration, monitors attendance and provides disciplinary action as necessary in correlation with the Patient Access Manager.
• Organizes, delegates, monitors and measures special projects to ensure they are completed timely and accurately.
• Provides formal feedback on project results to management.
• Independently leads initiatives as assigned by management, coordinating task teams or other forums to deliver results as identified and/or determined by leadership.
• Provides formal updates and closure.
• Performs registration duties including patient demographic validation, insurance benefit verification and coordination of benefits order.
• Excels in all areas of service including registration, financial clearance and insurance verification, and check-in and financial collections.
• Trains and leads team members.
• Delivers a positive patient experience in all encounters.
• Performs any written or verbal communication necessary to exchange information with designated contacts promoting effective working relationships.
• Resolves patient issues in a concise and informative manner.
• Adheres to AHN organizational policies and procedures for relevant location and job scope.
• Performs other duties as assigned or required. 

Required Qualifications:

• BA/BS degree or equivalent work experience in a multi-physician medical practice or facility billing/business office specifically related to revenue cycle management required.
• Minimum 5 years' experience in a multi-physician medical practice or facility billing/business office specifically related to revenue cycle management (including staff supervision).
• Working knowledge of Medical Terminology.
• Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
• Clear understanding of the impact that registration services has on Revenue Cycle operations and financial performance.
• Excellent written, verbal communication and interpersonal skills.
• Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment.
• Demonstrations ability to use PC based office productivity tools (e.g. Microsoft Outlook,
• Microsoft Excel) work effectively in an office environment.
• Maintains a flexible customer service approach that emphasizes customer satisfaction and service quality.
• Must possess excellent analytical, organizational, and interpersonal skills and detailed knowledge of federal and third-party professional fee billing regulations. 

Preferred Qualifications:

• Candidate must be willing to stay current with National Patient Access trends and self-educate.
• Certification with Healthcare Financial Management Association or Certified Revenue Cycle Representative preferred.
• Coding certification preferred or business trade school specializing in medical/practice coding, billing and collections.
• Medical training is helpful, such as Medical Assistant, along with formal leadership training and/or experience.