Director, Transformation Services – Patient Access

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Lead and spearhead initiatives aimed at transforming Patient Access revenue cycle operations to enhance efficiency and effectiveness across the entire revenue cycle for clients.

• Oversee project plans, timelines, and ensure timely completion of deliverables.

• Create reports, presentations, and documentation to track, assess, and communicate the impact of Patient Access initiatives.

• Enhance tracking tools and establish quality, process, financial, and patient satisfaction Key Performance Indicators (KPIs) and metrics.

• Act as a subject matter expert in Patient Access for clients and team members.

• Collaborate with colleagues and client representatives to identify business challenges and modify implementation strategies and methodologies accordingly.

• Analyze data, report trends in denials and procedural issues, and suggest corrective measures.

• Formulate scalable transition plans to maintain improvements.

• Assist in the development and enhancement of revenue cycle assessment and implementation methodologies.

• Assess current operational states and devise blueprints for transitioning to the desired future state.

• Set realistic and measurable objectives and priorities that align with organizational goals.

• Utilize, safeguard, and disclose patients’ protected health information in compliance with HIPAA standards.

• Adhere to Information Security and HIPAA policies and procedures.

• Limit access to protected health information to the minimum necessary.

• Perform additional duties as assigned.

⛳️ Requirements

• A Bachelor’s degree in Business Administration, Healthcare Administration, Finance, or a related field is preferred.

• Demonstrated experience in a leadership capacity within revenue cycle services, ideally in a hospital-based healthcare setting.

• At least 7 years of experience in healthcare operations related to patient access, covering pre-scheduling, scheduling, insurance verification, authorization, financial counseling, and denial prevention.

• A minimum of 7 years of experience in healthcare consulting.

• Proven track record in leading large-scale strategic development and implementations in Patient Access.

• Professional certifications such as CHAA or CHAM, or demonstrable progress towards such certifications, are advantageous.

• Advanced proficiency in Excel and experience in financial modeling and analysis.

• Strong skills in Microsoft PowerPoint and Word.

• Familiarity with SQL, SPSS, Power BI, benchmarking, and MGMA survey data is a plus.

• Project leadership and workplan management experience in conducting opportunity assessments within a consulting firm, specifically focused on patient access revenue cycle areas.

• Comprehensive understanding of revenue cycle management principles and practices.

• Knowledge of governmental, legal, and regulatory requirements pertaining to front-end revenue cycle operations at both state and federal levels.

• Excellent communication and interpersonal skills.

• Strong analytical and problem-solving skills with a data-driven decision-making approach.

• Ability to thrive in a fast-paced, dynamic environment while juggling multiple priorities and deadlines.

• Willingness to travel occasionally and flexibility to work outside of regular business hours when necessary.

• Must have a smartphone or electronic device that can download applications for multifactor authentication and security purposes.

• Ability to follow directions, collaborate effectively, and manage stress.

🏝️ Benefits

• Occasional travel and flexibility to work outside of regular business hours as needed.

• Employer-provided or required access to a smartphone or electronic device that can download applications for multifactor authentication and security purposes.