Insurance Authorization Pre-Access Supervisor

Ensemble Health Partners

23h

About The Position

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement The salary range for this position is $47,400.00 to $71,100.00, final compensation will be based on experience The Supervisor of Pre-Access is responsible for supervising the centralized pre-access department and is responsible for performance and effectiveness of these department(s). The Supervisor will be responsible for the coaching and development of all staff performing these functions and assisting in implementing short and long-term plans and objectives to improve customer service and collect quality information. As a subject matter expert, this person must provide leadership and contribute to the revenue cycle and organizational goals and is responsible for meeting the mission and goals of Ensemble Health Partners, as well as meeting the regulatory compliance requirements. The Supervisor of Pre-Access will work closely with the Manager of Scheduling/Pre-Reg/Authorization to align policies and processes across the entire organization.

Requirements

• Certified Revenue Cycle Representative (CRCR)
• 1 to 3 Years Job Experience
• High School Diploma, GED, or Equivalent

Nice To Haves

• Area of Study - Business

Responsibilities

• Supervises daily activities of centralized Pre-Access staff. Staff are responsible for selecting accurate medical records for patient safety, scheduling appropriate procedures based on physician orders, providing proper patient instructions, pre-registering patients, obtaining and validating demographic and insurance information, working with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment, and providing excellent customer service.
• Ensures adherence to departmental budget.
• Prepares monthly reports as requested.
• Establishes departmental goals with the staff to optimize performance and meet budgetary goals while improving operations to increase customer satisfaction and meet financial goals of the organization.
• Collects, interprets and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goals.
• Works with internal and external customers to make key decisions, impacting either the organization or an individual patient.
• Works closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achieved.
• Assigns and coordinates staff schedule, including scheduling rotation, time off, and call-offs as necessary.
• Ensures that department coordinates schedules in accordance with organizational policies.
• Minimizes overtime while maximizing productivity.
• Assists with developing department processes and procedures.
• Conducts staff training, education, and development.
• Conducts audits to ensure acceptable performance and provides continual coaching and education as necessary.
• Assists with staff evaluations.
• Maintains time/attendance system.

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees