Supervisor, Emergency Dept Access Service

at  RWJBarnabas Health

Req #: 0000173481
Category: Leadership
Status: Full-Time
Shift: Evening
Facility: Trinitas Regional Medical Center
Department: Emergency Dept Access Service

QUALIFICATIONS:

Required:

• High School graduate
• Previous hospital or related healthcare experience preferably with some supervisory experience
• Strong supervisory / leadership skills
• Extensive knowledge of pre-admission, authorization, verification, insurance reimbursement contracts and departmental and system policies and procedures
• Extensive knowledge of legal aspects of Patient Access Services, including state federal regulations regarding Patient Access, medical legal deaths, living wills, organ donation, and other hospital responsibilities
• Ability to prioritize and delegate in response to multiple, changing demands. Strong Communication skills, both written and verbal
• Understand Patient Access Services potential positive or negative impact on the hospital accounts receivable, cash flow, and bad debt processes. Knowledge of on-line computer system application
• Ability to proactively identify the needs of the customers, creating and implementing change.
• Interpersonal abilities necessary to effectively deal with all levels of hospital personal as well as legal representatives, third party payors, patients, etc.
• Analytical skills necessary to comprehend complicated issues and formulate creative solutions for problem solving. Knowledge of applicable Joint Commission requirements.

SCHEDULING REQUIREMENTS:

• Shift- 3:00pm-11:00pm
• Monday Friday with weekends
• Full Time

• Assumes responsibility for the operation and management of the department in the absence of the Director.
• Managers and supervises the daily activities and workflows of Census Management ensuring timely and accurate bed assignment
• Ensures patient, physician, and nursing needs are met while maintaining alignment with the goals of Patient Access Services, both customer service and financial
• Plans and manages the pre-encounter process to include scheduling, pre-registration, registration, patient and family education, clinical and financial prerequisites, pre-certification, verification of benefits, utilization management, and patient / family communication
• Provides leadership and timely interaction with employees regarding staffing issues
• Provides 24-hour direction and guidance to staff.
• Monitors Admissions / Registration area activities and performance by analyzing and responding to available statistical data
• Monitors quality assurance standards, and when appropriate, recommends, implements and maintains standards, policies, and procedures to improve productivity and efficiently
• Interprets and explains complex activities to patients, physicians, and staff necessary for compliance with managed care contracts, as well as other insurance plans
• Recognizes learning and orientation needs of staff and participates with the trainer in meeting those needs.
• Questions and identifies possible areas for problem resolution to patient care
• Plans, schedules and organizes work, ensuring proper distribution of assignments and efficient utilization of personnel, space and facility
• Provides a workplace that exemplifies teamwork and customer service while treating all staff members with dignity and respect
• Monitors employees individual performances as compared to standards for making periodic performance evaluation of employee fairly accurately and objectively
• Schedules and coordinates employees PTO, sick time, and discretionary time off
• Maintains operations within budget and provides justification for variances to Director
• Maintains confidentiality of all information related to patients, medical staff, employees, and as appropriate, other information
• Demonstrates expertise in inpatient/outpatient hospitalization accessibility for Admission personnel, physicians and their designees, patient care units, ancillary areas, and patients
• Coordinates individual and group training
• Makes time to observe and study staff as they are working in real-time to identify skill deficiencies, process problems and procedural misunderstandings.
• Manages the training and orientation of new hires
• Conducts performance evaluations at the end of the introductory period, annually, and at any other timely counseling as needed
• Keeps a record of any verbal or written communication with staff
• Suggests action plans for immediate Correction of any disciplinary problems and plans follow-up meetings to assess progress.
• Ensures staff has effective work driver, work tools, and supplies to execute their assigned work tasks
• Ensures staff has effective work driver, work tools, and supplies to execute their assigned work tasks
• Reviews patients charts for completion and accuracy and ensures the results are reported in a timely manner
• Develops, implements and manages continuous quality improvement procedures to systematically monitor quality of work
• Tracks key performance measure/ outcomes such as insurance denials, data accuracy, customer wait times, customer complaints and suggestions, compliance with government and system standards to maximize performance
• Provides the Director with regular updates/summaries of key performance indicators, quality review and feedback, and productivity / utilization of staff
• Resolves any problems with staff performance / quality of work, morale, customer complaints, backlogs in work, training deficiencies, staffing shortage, physician complaints, or problems with specific insurance contracts
• Ensures staff compliance with mandatory hospital wide education programs and other departmental in services/ training programs
• Develops and maintains positive working relationship with related department managers, ancillary areas, physician, nurses and other healthcare professionals
• Represent the Patient Access Services Department in meetings or on committees
• Verifies accurate completion of staff payroll functions
• Integrate the services with the Hospital s primary functions
• Coordinates/integrates inter-intradepartmental services
• Develop/implement Policies and Procedures that guide/support services
• Determine staff qualifications and competence.
• Continuously assess/improve department performance
• Maintain appropriate Quality Control programs.
• Ensure the department operations are effective and efficient
• Participate in orientation/continuing education of Department staff.
• Hold staff accountable for their responsibilities.
• Maintains the integrity of the department s payroll by ensuring that personnel are not paid for more paid time off than they are entitled to and premium overtime is kept to a minimum.
• Completes all staff introductory evaluations, annual evaluations and re-evaluations within the timelines outlined and in accordance with Human Resources policy.