Patient Financial Advisor Supervisor

The University of Kansas Health System•Kansas City, KS

2d•Onsite

About The Position

The Patient Financial Advising Supervisor is responsible for overseeing the financial assistance practices supporting all patients throughout the health system. Supervises the employee workflow and performance by following the financial policy and procedures for the hospital enterprise. This position provides direction and leadership to front line staff and assures staff productivity, quality and customer service are monitored and meet the departmental standards. Works in collaboration with multiple departments throughout the health system. Supports and adheres to the University of Kansas Health System's Code of Ethics and Business Standards.

Requirements

Associates Degree in a related field of study from an accredited college or university.
5 or more years of experience in financial advising, claims processing, benefits explanation, cost estimates, benefit pricing, or as a patient accounting rep.
2 or more years of lead or supervisory experience.
Working knowledge of insurance (Commercial & Government).
Ability to do Prior Authorizations.
Knowledge of Transplant (BMT and/or Solid).
Working knowledge of CMS regulations.

Nice To Haves

Bachelors Degree in a related field of study from an accredited college or university.
4 or more years of Epic experience.
4 or more years of CPT-4 and Healthcare Common Procedure Coding System (HCPCS) coding.

Responsibilities

Oversees the financial advisor functions including but is not limited to, contacting the patient, contacting responsible payers including government and non-government payers, contacting the patient’s employer, referring uninsured and underinsured accounts to the Financial Counselors, and taking any other necessary actions.
Contacts leadership and physician immediately of any restrictions denying admission, such as inability to obtain pre-certification or any lock-in program by any agency.
Ensures the patient or family is aware of any denials or limitations.
Provides relief coverage in planned or emergent absences of other supervisors, all shifts when requested.
Provides relief coverage in emergent absences of employees, all shifts, when requested.
Assists with Human Resource management functions including interviewing, selection, orientation, education/training, feedback, performance evaluation, and policy and procedure development.
Assist in updating and maintaining personnel files.
Ensures employee competency and maintains written documentation of all counseling sessions as needed.
Maintains and monitors Kronos records for employees.
Acts as a resource supporting day to day operations which includes collecting health insurance, homeowner’s insurance, workman’s compensation insurance, pre-paid packages, grants, studies, COBRA, VA benefits, Crime Victim, auto insurance, Medicaid or Medicare.
Complies with Medicare/Medicaid rules and regulations.
Coordinates the screening of financially unsponsored patients and assists them in finding payment resolution for their accounts including: negotiate settlements, insurance, public assistance, payment arrangements, charity or overwhelming debt.
Serves as liaison between the patient and family members and other health care personnel.
Knowledgeable of administrative policies, department procedures, interface procedures of other departments: third party coverage, forms and requirements.
Advices Manager of complaints from patient/public, liaisons activities and other information as it is received, or situations develop.
Monitors daily WQs consisting of all unsecured accounts.
Follows up with staff to meet WQ goals.
Ensures staff assist "walk-in" customers requesting assistance or customers calling into the department.
Checks equipment to determine needs for repair and see that employees have adequate supplies to work with.
Performs related assignments as requested by the Director, Manager and other administrative representatives.
Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.