Job Description
Job Description
Our Billing Co. is seeking a full-time Financial Clearance Supervisor to join our team!
The Supervisor of Financial Clearance is responsible for oversight of financial clearance functions, including but not limited to, providing price estimates and waivers to scheduled patients; identifying and reviewing high-risk accounts; and verifying insurance eligibility and benefits. This position works to ensure all patients are financially cleared, prepared for financial responsibility, and screened for financial risk before receiving services. The supervisor reviews work for adequacy and compliance
Essential Functions:
Leadership Team Functions:
- Adhere to safety and security protocols, reporting any potentially hazardous conditions. Ensures compliance with HIPAA regulations and safeguard patient information at all times.
- Acts as staff resource and role model for ethical, professional conduct.
- Assist the Manager in collaborating with department leaders to set and achieve service delivery goals.
- Engage directly with clinic managers to enhance registration processes and point-of-service collections.
- Collaborate with other departments for end-user support on scheduling, registration, insurance verification, and collections.
- Conduct regular audits of staff activities, providing feedback and training as needed.
- Support the Manager in promoting best practices across departments.
- Identify opportunities for improvement and develop enhancement strategies.
- Participates in the hiring, onboarding, and ongoing training processes of Financial Clearance Dept staff.
- Guide staff in creating programs to boost employee engagement and satisfaction.
- Collaborate closely with the Manager in front-end revenue cycle meetings to assess performance and improve processes.
- Focus on improvements to Patient Focused & Patient Friendly Billing initiatives by the organization.
Role Specific Functions:
- Prepare and analyze reports for improvement purposes.
- Perform regular feedback and growth meetings with staff.
- Ensure completion of assigned financial clearance tasks.
- Assist and troubleshoot basic IT-related problems.
- Assist and troubleshoot all areas of financial clearance tasks, such as:
- Preparing price estimates for patients for their scheduled services.
- Financial risk analysis.
- Verification of benefits and eligibility.
- Referral management.
- Stay appraised of AR, error, denial, and adjustments trends as they relate to department goals and individual performance.
- Collaborate with AR Management/Billing team to understand trends in claim edits, initial denials, and write-offs that are potentially avoidable with improved upfront financial clearance processes.
- Be able to explain patient liability clearly and accurately to any stakeholder; adequately explaining concepts such as deductibles, coinsurance, and/or copayments and how they may affect the cost of care.
- Communicate how non-covered and out-of-network services factor into the out-of-pocket cost.
- Verify insurance eligibility, benefits, and reimbursement requirements utilizing HealtheNet, Availity, NGS, Epaces/eMedNY, or other tools as determined by third party payers, including verbal/telephone and written communication documenting results on the patient record.
- Training of new staff members in all areas of financial clearance. Staff members will have a wide variety of experience, capabilities, and job roles, not necessarily revenue cycle staff.
- Work with other department managers and staff, including physicians, managed care, contracting, billing and other professional staff as needed—to create lasting operational change and improvement.
- Expand centralized financial clearance functions (non-patient-facing) across the Physician Revenue Cycle enterprise to:
- Realize economies of scale
- Increase efficiency, reduce operational cost
- Reduce patient registration times, by increasing pre-registration processes
- Decrease avoidable claim edits, denials, and write-offs through improved and best practice financial clearance processes
- Complete any additional financial clearance and financial counselor tasks that arise as business needs develop.
Minimum/Preferred Qualifications:
Education
- Associate’s Degree in Business, Healthcare, or a related field (Preferred)
- High School Diploma or GED (Required)
Work Experience
- 4 years in Customer Service (Required)
- 3 years in Patient Access, Patient Financial Services, or a related field (Preferred)
- 2 years in a Supervisory or Management role (Preferred)
- Specialized knowledge in payer requirements, insurance verification, authorization, and other pre-service financial clearance functions (Required)
Knowledge, Skills and Abilities:
- Design: Generates creative solutions and translates concepts into meaningful actions.
- Problem Solving: Identifies and resolves problems effectively and develops alternative solutions.
- Technical Skills: Continuously seeks to improve knowledge and skills.
- Patient/Customer Service: Manages difficult situations and responds promptly to needs.
- Interpersonal: Focuses on conflict resolution and maintains confidentiality.
- Oral Communication: Communicates clearly and persuasively, listens actively.
- Teamwork: Balances individual and team responsibilities, fostering a positive environment.
- Written Communication: Writes clearly and presents data effectively.
- Delegation: Assigns tasks appropriately and monitors progress.
- Leadership: Inspires and motivates others, providing vision and support.
- Managing People: Engages staff in decision-making and fosters their development.
- Quality Management: Seeks ways to improve and maintain quality standards.
Hybrid position with the ability to be fully remote.
Our Billing Co. offers a competitive benefits package!
Pay Range: $25.00 to $35.00 per hour
Individual annual salaries/hourly rates will be set within job's compensation range, and will be determined by considering factors including, but not limited to market data, education, experience, qualifications, and expertise of the individual and internal equity considerations.