• Full Time
  • Anywhere

ESSENTIAL ROLE AND RESPONSIBILITIES
The Financial Clearance Supervisor is responsible for supervising the day-to-day functions of and for the financial clearance team in an effort to increase effectiveness, efficiency, and compliance.
ESSENTIAL DUTIES
 Monitors productivity of each team member on both a daily and weekly basis to ensure minimum productivity standards are being met
 Provides coaching and guidance to underperforming team members in an effort to increase productivity to at least the minimum standard
 Reports productivity of each team member to the Director on a weekly basis
 Assigns work, sets completion times/dates, reviews work and supervises performance in accordance with organizational policies, procedures and performance management processes
 Contributes to the development of short and long-term organizational and planning strategy
 Drives departmental initiatives to ensure long-term operational excellence
 Serves as key participant in system and process improvement projects that are sponsored by the department
 Translates high-level organizational goals to departmental and tactical initiatives
 Making calls to patients/responsible party to obtain any and all required information in order to verify identity and insurance coverage/benefits
 Uses automated insurance verification system and/or telephone to obtain In-Network (INN) and Out of Network (OON) benefits from Insurance Company and makes sure insurance verification information is accurate and input into PFS host system and /or scanned into patient’s chart
 Calculate estimate allowed amount, projected insurance payment and possible patient responsibility to help determine profitability of case
 Calculate prompt payment discounts according to hospital policy
 Determines and obtains authorizations/pre-certifications on all pre-scheduled procedures to secure reimbursement of the case
 Processes pre-quote requests from customers within expected turn-around-times of less than 24-48 hours by utilizing proprietary system
 Communicates with physician practices in a respectful and timely manner to ensure timely submission of all inquiries and questions
 Participates in special projects
 Ensures safe care to patients, adhering to policies, procedures, and standards within budgetary specifications, including time management, supply management, productivity, and accuracy of practice
 Performs other duties as required.

Job Type: Full-time

Experience:

  • Leadership Development: 2 years (Required)
  • insurance verification, financial counseling or authorizatio: 3 years (Required)

Education:

License:

  • Certified Revenue Cycle Specialist (Preferred)

 

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