Tri-City Medical Center has served San Diego County’s coastal communities of Carlsbad, Oceanside and Vista, as well as the surrounding region for more than 60 years and is one of the largest employers in North San Diego County. Tri-City is administered by the Tri-City Healthcare District, a California Hospital District. As a full-service acute care public hospital with over 500 physicians practicing in over 60 specialties, Tri-City is vital to the well-being of our community and serves as a healthcare safety net for many of our citizens. The hospital has received a Gold Seal of Approval® from the Joint Commission showcasing a commitment to safe and effective patient care for the residents of the community.
Tri-City Medical Center prides itself on being the home to leading orthopedic, spine and cardiovascular health services while also specializing in world-class robotic surgery, cancer and emergency care. Tri-City’s Emergency Department is there for your loved ones in their time of need and is highly regarded for our heart attack and stroke treatment programs. When minutes matter Tri-City is your source for quality compassionate care close to home. Tri-City partners with over 90 local non-profit and community organizations as part of our COASTAL Commitment initiative. Together we are helping tackle some of our communities’ pressing health and social needs.
Position Summary:
Directs the daily operations and supervises the Registration Staff. Manages staff to efficiently and accurately register patients, maximize reimbursement and to reduce outstanding account receivables.
Major Position Responsibilities:
- Coordinates and directs the daily operations of Access Management staff and its supervisors. Monitors productivity and evaluates workflow.
- Tracks, analyzes and resolves data collection errors to improve timely quality claims.
- Participates in review and development of department procedures. Assists in developing training programs for all department personnel. Conducts/participates in educational meetings and training programs for staff.
- Ensures accurate account processing according to government regulations, contractual obligations, and hospital procedures.
- Directs the preparation, maintenance, and accuracy of reports completed by supervisors and assists in developing action plans when trends/patterns require corrective action using FOCUS PDCA.
- Responsible for ensuring that selection, evaluation, promotion, discipline, training and discharging of staff are consistent throughout the registration sites.
- Participates, as part of the Leadership group in preparing Departmental Strategic Plans.
- Responsible for preparing and evaluating patient records, files, and reports in accordance with established hospital retention guidelines.
- Recommends, coordinates and/or participates in all audits pertaining to the department with appropriate documentation, associated action plans and follow-up.
- Participates in preparation of the annual capital and operational budget for department. Reviews and communicates variances.
- Possesses expertise in intricacies of patient registration and reimbursement issues that influence payment and ensure maximum reimbursement.
- Ensures that overall department performance goals and indicators are monitored, met and reported to Director monthly.
- Conducts special investigations and studies as warranted relative to Registration, AR and cash collection.
The above statement reflects the duties considered necessary to describe the essential functions of the job as identified and shall not be considered as a detailed description of all the work requirements that may be inherent in the position.
Safety and Infection Control Responsibilities
Responsible to maintain a safe and clean work environment, including unit based specific safety and infection control requirements.
Qualifications:
- Minimum 3 years’ experience in a hospital Patient Registration supervisory position required.
- Demonstrates strong supervisory skills.
- Ability to analyze and prepare accounts receivables and other statistical reports.
- Demonstrated knowledge of Managed Care and all other types of third party/government billing and reimbursement rules and regulations. Strong knowledge of collection practices. Knowledge of pre-registration, registration, and insurance verification practices.
- Process oriented skills with ability to handle multiple projects simultaneously by prioritizing responsibilities and meeting deadlines required.
- Excellent human relation skills including listening conflict resolution, coaching and team building.
- Ability to ensure the confidentiality and rights of patients and the confidentiality of hospital and departmental documents required.
- Demonstrates flexibility in response to unexpected changes in work volumes and staffing needs. Able to work variable hours to fulfill organization’s needs.
- Must be computer literate, including Microsoft Word and Excel.
Education:
- Bachelor’s degree in accounting, business administration or related field, required.
- May consider equivalent experience and High School diploma or GED in lieu of Bachelor's degree, required.
Certifications:
- Certification with National Association of Healthcare Access Management, preferred.
Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.
**To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)**
TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.