Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.
Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.
The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).
Pay Range:
$28.70 - $37.32Scheduled Weekly Hours:
40Position Overview
Supervises all Patient access areas of responsibility to meet department goals while maintaining budget integrity. Educates and monitors employees and adheres to department and administrative procedures and guidelines to maintain compliance and ensure quality. Communicates effectively and works cooperatively with others. Collaborates with other departments to improve shared work processes. Utilizes standards, guidelines, and written procedures for performing patient access functions.
MINIMUM REQUIREMENTS
Education: High School Diploma or equivalent.
Experience: Three years Patient Access experience. Supervisory experience preferred.
Other Credentials:
Knowledge and Skills: Effective verbal and written communication skills. Strong customer service skills. Understanding of health care regulations, insurance processes, and revenue cycle management.
Special Training: Excellent understanding of insurance concepts and health plan policies. Knowledge in all areas of hospital registration, authorizations, and pre-registration operations.
Mental, Behavioral and Emotional Abilities: Ability to supervise multiple tasks simultaneously and ability to change priorities when necessary to meet deadlines. Demonstrates good judgment as well as excellent attention to detail.
Usual Work Day: 8 Hours
Reporting Relationships
Does this position formally supervise employees? Yes
If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.
ESSENTIAL FUNCTIONS
Ensures responsibility for the schedule and maintenance of appropriate staffing levels while adhering to budget.
Assists with all probationary and annual staff evaluations on or before due date, as measured by reports.
Monitors/facilitates departmental training and education for new recruits and incumbents, as measured by reports. Assists with interviewing, hiring, and departmental training of new employees as well as plans, assigns and directs workloads; Addresses complaints and resolves problems on a timely basis.
Provides support to Operations Manager/Director in meeting requirements for special projects and tasks, as measured by reports and observation.
Provides staff coverage as needed. Stays current with insurance company policy and procedure changes relative to pre-certification and communicates new information to appropriate staff.
Assists with monitoring and measuring quality and productivity of staff and ensures that department goals and standards are met.
Works with providers and clinical leadership to improve documentation necessary to meet financial requirements for authorizations and medical necessity for difficult cases.
Communicates effectively with patient access team members and other departments and is open to feedback and suggestions in order to identify opportunities for improvement.
Stays current with departmental procedures for all aspects of pre-certification and quality team job functions. Provides learning resources and tools to staff to ensure full compliance with revised procedures.
Identifies department goals and supports the culture of organization.
Responds in a timely manner to departments, physicians, or patient concerns and complaints related to registration or pre-authorization process.
Supports department performance improvement initiatives and assists with accurate data collection in support of quality performance improvement initiatives.
Ensures compliance with HIPPA regulations and adhere to all relevant state and government regulations and DNV standards as measured by reports and statistics.
Adheres to CH attendance policy as well as interdepartmental policies and procedures.
Attends Capital Health assigned meetings. Coordinates department participation in staff meetings and mandatory training sessions.
Provides coverage in working areas as required when on-call duties apply.
Performs other duties as assigned.
PHYSICAL DEMANDS AND WORK ENVIRONMENT
Frequent physical demands include: Sitting , Standing , Walking
Occasional physical demands include: Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Wrist position deviation , Keyboard use/repetitive motion
Continuous physical demands include: Talk or Hear
Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.
Sensory Requirements include: Very Accurate 20/40, Near Vision, Very Accurate 20/40, Far Vision, Color Discrimination, Minimal Depth Perception, Accurate Hearing
Anticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens , Airborne Communicable Disease , Dust/Particulate Matter
This position is eligible for the following benefits:
Medical Plan
Prescription drug coverage & In-House Employee Pharmacy
Dental Plan
Vision Plan
Flexible Spending Account (FSA)
- Healthcare FSA
- Dependent Care FSA
Retirement Savings and Investment Plan
Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
Disability Benefits – Long Term Disability (LTD)
Disability Benefits – Short Term Disability (STD)
Employee Assistance Program
Commuter Transit
Commuter Parking
Supplemental Life Insurance
- Voluntary Life Spouse
- Voluntary Life Employee
- Voluntary Life Child
Voluntary Legal Services
Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
Voluntary Identity Theft Insurance
Voluntary Pet Insurance
Paid Time-Off Program
The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level.
The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.