Job Abstract

Oversight of leaders who manage the daily operations of the Pre Arrival Unit and continual collaboration with senior clinical department leaders to ensure service is consistent, thorough and aligned to meet the operational goals of "Patient First" to support industry leading Revenue Cycle and ambulatory clinic operations. Analyze, recommend, and implement policies and procedures that drive efficient and effective practices and workflows that support a defect-free account environment. Diligently work to minimize patient delays and cancelations throughout the enterprise. Continually analyze technology improvements and enhancements to minimize rework and silos or redundant processes. Accountability to all budgets and forecasting to maintain a scalable operation.

Essential Duties:

• Manage Pre-Arrival team processes and workflow to ensure 100% of account accuracy of patient demographics, all required account fields, validation and verification of insurance coverages, authorizations and patient contact and pre service collections. Responds to concerns and/or complaints from patients, the public, medical staff, subordinates, and/or other hospital employees pertaining to assigned areas in order to maintain positive customer relations; Researches and investigates issues; prepares written or verbal responses as needed. Assures daily Patient Access reports of registration errors are cleared daily (IN/OP).
• Prepares and administers assigned budgets; monitors, evaluates and approves expenditures within limits of authority; analyzes staffing needs; performs cost/benefit analyses as appropriate; plans and estimates future costs including capital expenditures as appropriate; justifies requests for equipment and staff. Develops, recommends, revises and implements policies and procedures for assigned programs and services to ensure their consistency with hospital standards and requirements.
• Oversee and actively participate in hiring and training of all staff. Establishes departmental goals and priorities. Assesses performance and provides feedback. Counsels or disciplines as needed.
• Coordinates with clinical administrators, clinical departments, hospital administration, medical staff and all other key enterprise stake holders to enhance patient satisfaction while ensuring all account attributes are completed and authorized for payment. These functions are performed in accordance with the facilities philosophy, policies and standards.
• Manages on-going operational evaluation, reporting to metrics and standards consistent with established goals and target outcomes. Drive for minimized patient delay and cancellations as processes failure points which are to be prevented. If any impacts evaluate ongoing root-cause and take immediate actions to prevent recurrences.
• Performs other related duties as assigned or requested.

Required Qualifications:

• Req Bachelor's degree Degree in a related field.
• Req 5 years Progressive experience as a Manager in hospital revenue cycle and Patient Access roles.
• Req Detailed knowledge of California health care and extensive skills of contracts, insurance and authorizations.
• Req Effective interpersonal and communication skills,
• Req Ability to adapt to multiple and changing priorities,
• Req Working knowledge of managed care, (i.e. Medicare, Medi-Cal, Anthem other commercial payors and all related federal and state regulations and requirements)
• Req Knowledge of government and insurance payors admission and billing regulations
• Req Ability to learn and work with various computer software programs as well as the ability to manage software projects.

Preferred Qualifications:

• Pref Master's degree Degree in a related field.

• Combined work experience and education as equivalent
• Pref Proven leadership experience developing and implementing functional operations plans.

Required Licenses/Certifications:

• Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

USC is an equal opportunity, affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC will consider for employment all qualified applicants with criminal histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring ordinance. We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at (213) 821-8100, or by email at uschr@usc.edu.  Inquiries will be treated as confidential to the extent permitted by law.

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