Payor Clearance Supervisor

Children's National Medical Center•Silver Spring, MD

54d

About The Position

Under the leadership of the Manager Financial Clearance, the Supervisor Financial Clearance will be responsible for successfully supervising the administrative operations of Financial Clearance within the Revenue Cycle Department. Will be responsible for team oversight, business and financial management, human resource management, supervision, and coordination of the Financial Clearance unit within Revenue Cycle. Emphasis is placed on customer services, patient satisfaction, staff development and fiscal goals. Responsible for assisting and supervising the financial aspects of the department and the quality assurance activities. Works with medical, nursing and accounting staff to ensure optimal outcomes.

Requirements

Associate's Degree (Required)
5 years progressively responsible experience in healthcare revenue cycle operations for a large, complex health care environment, including experience in an academic medical center. (Required)
2 years direct supervisory experience. (Required)
Superior customer service skills and professional etiquette.
Strong written and oral communication skills
Attention to detail and ability to multi-task in complex situations
Demonstrated leadership, financial, and management skills
Demonstrated ability to solve problems independently or as part of a team
Knowledge of and compliance with confidentiality guidelines and CNMC policies and procedures
Knowledge of insurance requirements and guidelines for Governmental and non-Governmental carriers
Knowledge of and compliance with regulatory guidelines, such as JCAHO guidelines, HIPAA, EMTALA
Experience with IT systems related to patient access, patient accounting

Nice To Haves

Bachelor's Degree (Preferred)
Expert knowledge of Medicare and third-party payer reimbursement preferred.
Intensive knowledge in managed care requirements as they relate to hospital reimbursement
Experience in department budget and interpersonal communication preferred.
Bilingual a plus

Responsibilities

Ensures that patient experience and service standards are met.
Monitors the accuracy of demographic and insurance information obtained by staff for patient registrations and authorizations
Works with team to ensure accurate and timely claims submission.
Investigates errors, suggests changes and/or implements solutions to encountered problems.
Keeps abreast of insurance, referral, and billing requirements.
Supports process improvement projects across the department.
Supervise daily functions and activities of the Financial Clearance Unit
Work with manager on staffing plans that effectively manage patient/account workload while adhering to departmental budgetary guidelines
Monitors and drives productivity to optimize staff utilization and efficiency
Utilizes strong problem-solving skills to provide resolution to departmental challenges, i.e. staff performance, morale, customer complaints, backlogs in work, training deficiencies, etc.
Effectively communicates expectations of staff roles and responsibilities, performance targets, and progress towards goals
Promotes staff satisfaction through understanding, clarifying mutual expectations, coaching, development, and regular communication and feedback
Coordinates and facilitates the development and delivery of training to staff.
Implements and manages cross training to ensure adequate daily staffing coverage.
Encourages staff to effectively prioritize, manage time, make good decisions, conduct proactive follow-up and document clearly
Assists staff with prioritization and time management when appropriate
Completes performance appraisals in compliance with organizational protocols and expectations
Contributes to the strategic plan for department services, including short-term and long-term objectives
Collects and analyzes customer feedback and evaluates service/department effectiveness
Works with manager on strategic plan through management of day-to-day operations of department, division or service area
Collaborates with manager to evaluate current as well as new program initiatives for effectiveness, feasibility and cost
Ensures compliance with organizational and departmental policies and procedures, and regulatory standards
Support manager with compiling and analyzing data for decision-making