Interim Director of Patient Access

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3 days ago

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The Wilshire Group

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Healthcare Insurance • Consulting • Enterprise

The Wilshire Group is a consultancy firm that specializes in optimizing revenue cycle operations and IT solutions for the healthcare industry. They provide services in patient access, health information management, revenue integrity, and billing for both hospital and professional settings. The firm focuses on enhancing financial experiences by partnering with clients to solve complex challenges at the intersection of operations and technology. The Wilshire Group is dedicated to helping organizations maximize their EHR investments and improve revenue recognition and workflow optimization, ensuring consistent and proven results.

11 - 50 employees

⚕️ Healthcare Insurance

🏢 Enterprise

📋 Description

• Serve as the strategic and operational leader for Patient Access functions across hospitals and ambulatory sites. • Evaluate and optimize workflows for registration, scheduling, financial clearance, insurance verification, point-of-service collections, and pre-service authorization. • Develop and implement standardized procedures to ensure compliance, accuracy, and consistency across all Access departments. • Partner with Revenue Cycle, IT, and Clinical teams to streamline the patient journey from scheduling to discharge. • Lead initiatives to enhance estimate automation, benefit collection, real-time eligibility (RTE), and financial counseling programs. • Use data analytics and reporting tools to measure and communicate key performance indicators (KPIs), including wait times, denials, and patient satisfaction. • Drive Epic optimization efforts, including workflow redesign, ASA table management, and decision tree configuration. • Provide interim leadership or executive-level support during transitions or organizational change. • Mentor and develop Access leaders and staff to promote engagement, accountability, and professional growth. • Collaborate with hospital executives to align Access Services with strategic and financial objectives.

🎯 Requirements

• 15+ years of progressive leadership experience in hospital Patient Access and Revenue Cycle operations. • 10+ years of Epic system experience, with a strong understanding of front-end workflows and automation. • Proven ability to manage multi-site Access operations in academic or large community health systems. • Demonstrated success implementing strategies that improve cash collections, reduce denials, and elevate the patient experience. • Strong background in team development, change management, and cross-functional collaboration. • Master’s Degree in Healthcare Administration or Public Administration (required). • Bachelor’s Degree in Business Management or related field (required). • CHAM Certification (NAHAM) strongly preferred.