Supv Patient Access

Reporting to Director of Patient Financial Services plans organizes and directs activities associated with Emergency Department patient registration and billing and in patient accounts cashier activities. Responsible for determining account balances and arranging payment schedules. Collaborates in planning developing and implementing systems to facilitate timely and efficient registration processing and flow of all Emergency Department patients. Reviews and authorizes requests for uncompensated care and ensures that Emergency Department patient data (demographic medical insurance and financial) is completely and accurately coded onto computer records.


In consultation with the Director of Patient Services develops short and long-term goals and objectives for Emergency Department registration. Implements action plans to attain agreed upon objectives. Regularly consults with managers responsible for functionality for such departments as the Emergency Department Medical Records Ambulatory Clinics APC O.R. and other areas as part on an ongoing evaluation of services.

Develops secures approval of and administers operating budgets necessary to achieve agreed-upon goals and objectives. Approves and regularly monitors expenses against allocations. Prepares supporting projections productivity analyses and justifications as needed. Regularly monitors and prepares monthly reports analyzing actual verses budgeted performance. Initiates or approves requests for purchase within established guidelines.

Interviews hires trains schedules assigns work to evaluates and when necessary authoritatively recommends discipline and/or discharge of subordinate emergency department interviews patient accounts registration clerks billing clerks and accounts cashiers.

Recommends and administers area policies and procedures in order to ensure efficient and accurate emergency patient in take registration and billing. Makes changes to same when appropriate.

Interprets financial and insurance data supplies by patients in order to determine qualification for governmental private and/or hospital programs of uncompensated care. Authorizes uncompensated services to qualifying patients. Meets with non-routine clinic applicants in order to review and evaluate unusual circumstances regarding medical/financial conditions and determines uncompensated services in situations which can not be handled by subordinate employees.

Prepares and reviews a number of recurring and special reports and analyses pertinent to financial intake patient flow and other activities.

Continually reviews work processed in order to ensure that established standards are maintained and that admitting diagnoses charges insurance benefit level and the like are properly coded.

Works with Data Processing in order to refine on-line intake patient systems.

Regularly meets with various supervisors in Accounting Department to discuss related or common issues.


Other information:

Level of knowledge of Accounting and Finance systems normally attained by completion of two years of business education at the college level or the equivalent experience.

Supervisory and managerial ability necessary to organize and direct medium sized group of business office clerical directs area activities and coordinates such functions with other hospital areas.

Comprehensive knowledge of various governmental private and hospital uncompensated care programs in order to authorize uncompensated care services to qualifying patient as well as knowledge of reimbursement systems and third party payer practices.

Financial knowledge necessary to plan and manage budget for areas for responsibility.

Interpersonal skills to manage and counsel subordinates and to interact with personnel at all levels of the hospital.


At least three to five years in a responsible supervisory position.

Normal office environment.


Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status.   Lifespan is a VEVRAA Federal Contractor.


Location: Rhode Island Hospital USA:RI:Providence


Work Type: Full Time


Shift: 3


Union: Non-Union