Supervisor Patient Access

Hospital for Special Surgery • Upper Hanover Township, PA

1d • Onsite

About The Position

Develops/Manages Processes & Systems - Assists with contracts Assists in the negotiation of physician managed care contracts, analytics, and financial modeling. Upholds Standards/Expectations of HSS Staff - Coordinates enrollment Coordinates physician enrollment in managed care plans. Upholds Standards/Expectations of HSS Staff - Ensures compliance Ensures compliance of managed care companies with negotiated contracts. Upholds Standards/Expectations of HSS Staff - Resolves payor issues Follows-up and resolving payment issues with Insurance Payors. Upholds Standards/Expectations of HSS Staff - Acts as liaison Acts as a liaison between physician offices and Insurance Payors. Upholds Standards/Expectations of HSS Staff - Assists with meetings Schedules, coordinates, and documents for all PHO related meetings. Maintains Documentation & Manages Information - Maintains tracking logs Creates and maintains tracking logs for Insurance Payor issues and accountability for closing out items. Upholds Standards/Expectations of HSS Staff - Oversees PHO line Oversees PHO phone line, answers and responds to inquires, and assist with urgent physician office issues. Upholds Standards/Expectations of HSS Staff - Attendance Maintains satisfactory attendance record. Upholds Standards/Expectations of HSS Staff - Maintains punctuality Reports for duty punctually. Upholds Standards/Expectations of HSS Staff - Adjusts to change Adjusts to changing situations and work assignments.

Requirements

• Assists with contracts
• Coordinates enrollment
• Ensures compliance
• Resolves payor issues
• Acts as liaison
• Assists with meetings
• Maintains tracking logs
• Oversees PHO line
• Maintains satisfactory attendance record
• Maintains punctuality
• Adjusts to change

Responsibilities

• Assists in the negotiation of physician managed care contracts, analytics, and financial modeling.
• Coordinates physician enrollment in managed care plans.
• Ensures compliance of managed care companies with negotiated contracts.
• Follows-up and resolving payment issues with Insurance Payors.
• Acts as a liaison between physician offices and Insurance Payors.
• Schedules, coordinates, and documents for all PHO related meetings.
• Creates and maintains tracking logs for Insurance Payor issues and accountability for closing out items.
• Oversees PHO phone line, answers and responds to inquiries, and assists with urgent physician office issues.
• Maintains satisfactory attendance record.
• Reports for duty punctually.
• Adjusts to changing situations and work assignments.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed