Director Patient Access - Medicaid Eligibility

UNC Health Care

Chapel Hill, NC 27599

Posted 1 month ago

Job Description


Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.


Responsible for the overall management of revenue cycle patient access operations within assigned region including strategic planning, capital and operational budgeting, financial analysis, key metric development and management, regulatory compliance, problem resolution, personnel management, and performance improvement. Patient access operations may include, but is not limited to admissions/registration, emergency department registration, financial counseling, cashiering, financial assistance, and Medicaid eligibility.


1. Human Resources: Selects, trains, evaluates, and counsels management personnel fostering a positive, supportive culture that minimizes employee turnover. Dynamic interpretation and application of rules and regulations relative to revenue cycle functions for designated operational areas. Create and maintain work plans providing timely and relevant feedback to supervisors and subordinate employees. Provides guidance and direction to employees in complex cases. Communicates effectively with internal and external customers and employs methods to promote employee satisfaction. Create data-supported staffing models to effectively balance quality data capture, point of service collections, and patient throughput.

2. Regulatory: Maintains familiarity with applicable Federal and State rules and regulations. Develop and maintain policy and procedure to ensure compliance. Develop and successfully implement improvement plans, when necessary to resume compliance.

3. Strategic Planning: Analyze planned and sentinel events to develop strategies for improvement. Routinely evaluate industry and market forces to provide recommendations for new and/or evolving business development and/or improvement in efficiency and effectiveness of operations.

4. Metric Management/Performance Improvement: Develop, monitor, and report metrics. Set goals and objectives. Develop and implement processes and procedures to reach and exceed goals.

5. Operations: Actively participate and collaborate among entities and departments promoting performance improvement and patient satisfaction. Prioritize and communicate initiatives. Maintain subject matter expertise in all information systems necessary to lead, implement, and support business processes. Prepare and report operational data.

6. Budget: Preparation and defense of capital and operational budgets. Adherence with approved budget. Monitor and analyze budgetary trends to make necessary adjustments to ensure budget projections are met. Proactive communication of unintended variances with plans for mitigation.

Other Information

Other information:

Education Requirements:

? Bachelor’s degree in Business Administration, Finance, Health Administration or related field.

? Master’s degree strongly preferred.

Licensure/Certification Requirements:

? No licensure or certification required.

Professional Experience Requirements:

? Seven (7) years of related experience, with at least five (5) years of management experience tied to Revenue Cycle, health care, or finance.

? Prior experience in a multi-location health system environment preferred.

Knowledge/Skills/and Abilities Requirements:

? Understands and appropriately applies principles, procedures, requirements, regulations, and policies related to specialized expertise.

Job Details

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: Medicaid Eligibility

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Schedule: Day Job

Location of Job: US:NC: Chapel Hill

Exempt From Overtime: Exempt: Yes


Diversity Statement

The UNC Health System and the UNC School of Medicine are committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling our UNC Health vision of improving the health of all North Carolinians.

Equal Employment Opportunity

UNC Health is an equal opportunity employer. As such, UNC Health offers equal employment opportunities to applicants and employees without regard to race, color, religion, sex, national origin, age, genetic information, disability, sexual orientation, gender identity or political affiliation.

To verify employment eligibility, UNC Health is committed to Form I-9 and the E-Verify process. Learn further E-Verify details in English or Spanish.

UNC Health supports your right to work. View the Right to Work Statement in English or Spanish.

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