Job Summary:
Under the general supervision of the Patient Access Services Director, involves the administrative services and operations for patient admissions, registration, ED, Surgical Waiting Room and Lab registration and reception services, and transfer admissions, patient financial screening, counseling and assistance services and price estimates/quotes. In accordance with federal, local, and internal standards, policies, and regulations. Typically includes operations, fiscal management, and program planning. Management oversight includes 24/7 staff and operations.
The Assistant Director, Community Hospitals Admissions and Registration, manages the Patient Access and business operations of UCSF Health Community Hospital patient access services locations and services encompassing multiple hospitals and numerous separate points of patient access and 24/7 and extended hour operations. S/he is responsible for managing day-to-day operational, financial, human and other resource management, and strategic planning. S/he has the clinical and administrative responsibility for developing and maintaining a high standard of patient access to care and the patient financial experience. The Assistant Director will inform, design and construct ADT and patient access workflows and oversee the ongoing optimization of the electronic medical record (EMR) and other systems unique to the patient access services operations and to the medical center. Working in conjunction with the admitting and referring providers, nursing, care transitions professionals and key administrative staff to include the Pre-Access Operations, Hospital and Medical Group Contracting Services, Patient Financial Services, Patient Relations, Compliance, Regulatory and Privacy teams, the Assistant Director will design and be instrumental in workflows and processes to ensure effective and optimal patient experience and patient flow. Working in conjunction with the Director, the Assistant Director will adopt existing policies and procedures and develop customized procedures and programs that respond to changing health care coverage and reimbursement requirements and to individualized patient qualities and needs.
Department Description:
Patient Access Services Admissions, Transfer and Registration functions entail patient admissions, registration, financial screening, counseling and clearance, insurance verification and authorization services, and price estimates for UCSF Health. Patient Access Services is organized to provide services on behalf of a wide spectrum of inpatient and outpatient clinical providers and departments and clinics. Patient access services are provided on a 24/7 or extended hour basis covering multiple hospitals and numerous access points.
In order to protect and preserve the financial assets of UCSF Health, the Admissions and Registration operational units must apply sound financial management of inpatient and outpatient insurance and authorization processes as it relates to access to care and to timely and efficient claims submission. Patient service financial clearance responsibilities are attributable to the assurance that greater than 1 billion dollars in patient care services on an annual basis will be covered by insurance and reimbursed in a timely manner. Responsibility also includes management and oversight of the ADT/Registration Discharged Not Billed (DNB) claim holds, ensuring that timely review and resolution to maintain goals.
Community Hospital Admitting and Registration functions support quality, clinical service, strategic destination program and financial interests of UCSF Health across the adult and pediatric spectrums.
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