Pre-Arrival, Manager - Pre-Arrival - Full Time 8 Hour Days (Exempt) (Non-Union)

Updated: 29 days ago
Location: Alhambra, CALIFORNIA


Posted: 14-Jun-24

Location: Alhambra, California

Salary: Open



Internal Number: REQ20150406

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)

The annual base salary range for this position is $81,120.00 - $133,010.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidates work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

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About University of Southern California (USC)
USC is the leading private research university in Los Angeles—a global center for arts, technology and international business. With more than 47,500 students, we are located primarily in Los Angeles but also in various US and global satellite locations. As the largest private employer in Los Angeles, responsible for $8 billion annually in economic activity in the region, we offer the opportunity to work in a dynamic and diverse environment, in careers that span a broad spectrum of talents and skills across a variety of academic and professional schools and administrative units. As a USC employee and member of the Trojan Family—the faculty, staff, students, and alumni who make USC a great place to work—you will enjoy excellent benefits, including a variety of well-being programs designed to help individuals achieve work-life balance.
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