PASC Pre-Certification Supervisor - CPC - Mon - Fri 9:00am - 5:30pm

Northeast Georgia Health System

2d•Onsite

About The Position

The PASC Precert Supervisor reports directly to the Manager of Precertification and is responsible for activities relating specifically to both inpatient and outpatient scheduled procedures and admissions, insurance verification and monitoring of pre-certification related denials. The PASC Precert Supervisor will work in conjunction with Financial Counseling, Physician Offices, Clinical Service Lines, Case Management, UR and PFS. This position will be responsible for assisting with timekeeping, training new hires and / or remedial training for current employees, trending errors, updating Standard of Works as necessary and enforcing NGHS policies and IT processes and Patient Access Policy and Procedures used at NGHS.

Requirements

CPC Certification Required (AAPC or AHIMA certification accepted)
High School Diploma
Five (5) years of related pre-certification / insurance verification experience.
Two (2) years progressive leadership experience required.
Demonstrated competency in Microsoft Office products: (Word, Excel, Microsoft Project, PowerPoint)
Excellent interpersonal skills
Ability to work tactfully and effectively with physicians, team members and the user community
Excellent written and oral communication skills
Excellent Time Management skills
Detail oriented and ability to multi-task
Understanding of Revenue Cyle and Regulatory Guidelines such as CMS, EMTALA, and HIPAA

Nice To Haves

Bachelors Degree preferred.

Responsibilities

Development of various educational tools: Paper handouts, HealthStream Courses, Physician Web Site Help Pages.
Comfortable with 1-1 training or managing small groups on multiple computers if training an office staff.
Assisting in timekeeping responsibilities as needed
Resolving Claim Edit Workqueue accounts and keeping them below the set goal amount.
Improvement work trending for employees, denials, etc. as needed to improve any barrier related issues found
Ensuring daily staffing plans are adequate to cover the patient demands daily.
Tracking and trending data as needed for any barriers, creating workflows to improve such barriers and metrics to show improvement of process.
Utilizes current knowledge regarding education trends and methodologies
Anticipates and resolves routine issues that arise and provides input to Patient Access Leadership Team and System Administrator Revenue Cycle to enhance system functionality to meet customer needs.
Coordinates physician and physician office service requests and incident resolutions through the Patient Access Leadership Team and System Administrator Revenue Cycle if appropriate.
Provides on-call support as needed
Provides visits to physician offices as needed to promote and maintain relationship
Provide increased visibility and support during all downtimes, planned and unplanned.
Assess ongoing educational needs of staff; develop and implement training plan to address deficiencies.
Familiarity with developing an educational assessment tool.
Understanding of physician needs and practice patterns and workflow in hospitals
Collaborate with Patient Access Leadership Team and System Administrator Revenue Cycle to optimize current systems to meet the needs of the patients.
Assist with development and implementation of future hospital systems
Participate in special projects as needed and performs other duties as assigned
Evaluation process to determine the level of effectiveness of all education programs
Utilizes aggregate data, research, and trends when developing education programs
Actively participates in related committees and task forces, including (but not limited to) the Operational Committees, Physician Office Managers meetings, Patient Access Leadership Team meetings and any other meetings that may arise within the scope of this position.
For evaluations, providing employee feedback to manager for employee’s behavior and performance.
Demonstrates excellent detail management as well as possesses strong self-motivational skills, demonstrating consistent, reliable, credible, respectful and timely customer service.