Supervisor Patient Access - FCC

McLaren Health Care • Shelby Township, MI

89d

About The Position

Under the direction of the Manager/Director of Patient Access, this position plans, directs, evaluates, controls, and organizes the staff and functions of the Patient Access Department.

Requirements

• Bachelor’s degree required or equivalent combination of education and relevant experience may be acceptable.
• Three years of patient accounting or patient access experience.
• Experience in health care setting.
• One year leadership experience.
• Working knowledge of medical terminology and billing systems/software.
• Must demonstrate effective interpersonal, communication and analytical skills.

Nice To Haves

• Bachelor’s degree in business management, accounting or related field.

Responsibilities

• Coordinates the pre-registration and financial counseling activities for surgery, elective diagnostic and inpatient services.
• Assures that demographic and insurance data is entered utilizing the conventions required to produce correct claims and HIPAA compliant transactions, and that services are financially screened.
• Coordinates review of emergent inpatient admissions, ensuring that precertification and concurrent review requirements set forth by third party payers are met in a manner to prevent denials and avoid the need for appeal.
• Coordinates financial counseling activities for inpatient services up to and including completion of medical assistance applications, in house collections, as well as courtesy discharge process when indicated.
• Hires, trains or schedules for training, assigns duties, supervises and evaluates performance of employees who perform pre-arrival and inpatient financial clearance functions.
• Monitors inventories of scheduled services in order to correctly assess staffing needs and ensure timely completion of prearrival registration and financial clearance functions.
• Maintains current knowledge of computer registration and patient care system applications in use at the hospital.
• Maintains current knowledge of various third party electronic eligibility tools.
• Functions as subject matter expert on third party benefit levels and coverage criteria, as well as pre-certification, authorization and referrals requirements.
• Ensures that appropriate data gathering and insurance verification is performed in accordance with third party regulations and in a timely manner.
• Functions as resource for subordinate personnel in resolving complex and/or sensitive work related matters.
• Accountable for adherence to deny/delay policy.
• Accountable for furnishing Patient Registration staff sufficient financial/self-pay detail in order to expedite patient intake process on date of service.
• Prepares and monitors long-range productivity and volume related statistics for enhanced operational efficiency of the department.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Bachelor's degree