Financial Clearance Supervisor

Genesis Healthcare System•Moline, IL

2d•Onsite

About The Position

This position is responsible for leading the work of the pre-service/financial clearance and central scheduling functions. The supervisor is expected to motivate staff to achieve the highest levels of customer satisfaction and to meet the organization goals for customer service and financial performance. The position optimizes staff performance through process redesign, policy/procedure implementation, communications, continuing education and professional development activities, staff empowerment and outcome feedback.

Requirements

High School diploma or equivalent required.
Three (3) years of relevant experience in central scheduling, registration, pre-service/financial clearance, financial counseling, and/or case management/utilization review. Experience must include customer service.
One (1) year supervisory experience required with demonstrated ability to lead and manage diverse workforce in a learning environment with frequent changes in departmental priorities.
Must be proficient in the use of patient registration/patient accounting systems.
Must be proficient in the use of Microsoft Office.
Ability to lead a diverse workforce in a learning environment.
Must be able to emphasize team-building and strong leadership and provide clear direction to the department, while also functioning as an individual contributor.
Must have effective verbal and written communication skills.
Ability to negotiate with insurance vendors, and 3rd party payers.
Effective critical thinking, problem solving and decision making skills.
Strong quantitative and analytical abilities.
Ability to handle a high degree of pressure, heavy workloads, multiple requests, numerous interruptions, and short deadlines in a positive manner.
Ability to adapt to changing conditions, assimilating new processes into job functions and taking ownership.
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Genesis

Nice To Haves

Experience in a complex, multi-site environment preferred.

Responsibilities

Supervises pre-service/financial clearance issues, including pre-registration, medical necessity screening, insurance eligibility/benefit verification, service authorization, pre-service collections, pre-service financial counseling and pre-service eligibility assistance.
Determines proper central scheduling process/procedures.
Develops work schedules and provides guidance and direction for assigned staff to ensure cost effective staffing that meets customer requirements. Oversees staff activity in multiple locations to ensure effective integration and coordination of departmental work activities and quality job performance. Serves as liaison for system issues and as technical advisor and resource to staff.
Supervises team projects in collaboration with team members. Fosters positive relationships within area of responsibility that promotes active participation in department success. Elicits feedback from interdisciplinary team, including the medical staff, and involves them in decision-making as appropriate.
Subject matter expert for developing training materials, systems, procedures and new programs.
Develops effective interpersonal relations to ensure a positive image of Genesis, and to ensure customer satisfaction. Follows up on customer issues and ensures problem resolution and corrective action for long-term solution are handled in a professional manner.
Works with department leadership in assessing developmental needs of the department periodically, and promotes opportunities for development with attention to skills in independent decision-making, effective communications and interpersonal relations.
In coordination with the director, identifies and implements opportunities for staff to increase their knowledge base, advance their practice and enhance their professionalism through staff orientation and continuing education opportunities. In this context, the incumbent may oversee some degree of training to meet these goals.
Assists with hiring employees and selects candidates based on potential contributions, departmental culture/needs and personnel policies.
Provides ongoing performance feedback based on error reporting, call monitoring, and observation in a prompt, direct and positive manner. Coaches associates to ensure positive outcomes. Conducts performance evaluations. Provides counseling and/or conflict resolution regarding unresolved performance issues, effectively utilizes the disciplinary process, including terminations, as needed.
Assists the director in maintaining fiscal accountability for assigned area of responsibility by identifying new operational, capital and program needs, managing staffing allocation in alignment with customer service goals, and by meeting budget parameters.
Analyzes and displays data in meaningful formats; manages and conducts special studies and prepares reports, including key performance indicators such as waiting/service times, staff productivity, accuracy, customer feedback, incident reporting, etc.
Maintains a working knowledge of applicable Federal, State, and local laws and regulation, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
Maintains current knowledge of registration/intake, insurance eligibility/benefit verification, pre-certification/authorization, referral management, registration/intake, and pre-service/point-of-service collection processes and systems, regulatory and 3rd party payer issues and requirements. Must become familiar with local charity policy and payment options.