Supervisor - Pre-Encounter

Looking to be part of a team that provides extraordinary healthcare from the heart? You Belong Here.

POSITION SPECIFICS

Title: Supervisor – Pre-Encounter

FTE: 1.0

Schedule: Monday to Friday, 8:00am to 5:00pm

Holiday Rotation: None

Weekend Rotation: None

On Call Requirements: None

Location: Hybrid (primarily remote; some onsite needs at MOB/Hospital & Business Services Center)

POSITION SUMMARY

The Pre-Encounter Supervisor is responsible for providing leadership, direction, and support to the Pre-Encounter Specialist team. This team is responsible for ensuring all patients understand their financial responsibility including potential out of pocket cost prior to their arrival. This includes verifying insurance information, ensuring pre-authorization requirements are met, completing price estimates, providing financial counseling, referring patients for evaluation of government assistance as needed, and collecting payments prior to service where indicated.

The Pre-Encounter Supervisor will monitor key metrics and reports to ensure all activities are being completed by staff timely and accurately. Conducts quality and productivity reviews of staff members and provides feedback on performance. Works closely with Clinical Departments to ensure adequate operations, identify areas of improvement, and mitigate revenue leakage.

Additionally, this role will monitor government regulations around price transparency and lead needed improvements to ensure compliant and efficient workflows.

POSITION TECHNICAL RESPONSIBILITIES

Core Supervisor Responsibilities

• Routinely provides services at the staff level during periods of staffing instability and as needed to remain competent at staff level.
• Directly oversees and addresses daily operational needs, typically for a single cost center.
• Conducts daily rounds on team members to ensure optimal workflow and addresses daily staffing needs.
• Evaluates staff daily workloads to ensure equitable distribution of work and to determine appropriate staffing levels.
• Addresses staffing assignments on a daily basis, ensuring optimal workflows are implemented.
• Responsible for addressing human resource needs (e.g. interviewing, hiring, training and development, annual evaluations, etc.).
• Approves payroll for assigned team members.
• Under guidance of supervisor, coaches, counsels, and applies corrective action to employees as needed.
• Assists with development of policies, procedures, and productivity standards.
• Works directly with staff to maintain compliance with external regulations and internal policies
• Works directly with staff to maintain quality service by enforcing quality and customer service standards, analyzing and resolving quality and customer service problems, and recommending system improvements.
• Under the guidance of supervisor, sets goals for individual team members that are in alignment with the department’s and organization’s goals.
• Trains and onboards new hires to make sure they understand their roles. Communicates job expectations.
• Assists in budget development and monitors expenses as requested.
• Actively reviews staff use of materials, equipment, etc. and provides feedback to staff to ensure best use of resources.

Position Specific Responsibilities

• Ensures timely and accurate pre-registration, insurance verification, and completion of any needed prior authorizations, out of pocket estimates, and financial counseling for scheduled services, prior to patient arrival.
• Identifies opportunities for improvement in pre-service workflows to improve patient financial experience. Monitors metrics and reports to ensure that department’s key performance indicators, including pre-service collection rates and eligibility related denial rates.
• Analyzes data and perform root cause analysis to reduce denials and minimize unnecessary rework.
• Works closely with clinical departments, IS, HIM, and revenue cycle team members as needed.
• Monitors staff productivity and identifies preventable delays
• Maintains relationships with assigned vendors to ensure contract performance metrics are completed.
• Reviews government regulations and commercial payor requirements to ensure pre-service requirements are met and understood by all staff.
• Resolves patient complaints and misunderstandings.
• Facilitates regular staff meetings.
• Maintains current with all regulatory issues that affect billing and compliance.
• Develops relationships with assigned vendors to ensure contract performance metrics are met.
• Other duties as assigned.

POSITION REQUIREMENTS

Education:

• Required: High School diploma or equivalent
• Preferred: Associate’s or bachelor’s degree in business or related field

Experience:

• Required: 1 – 3 years of prior healthcare experience
• Preferred: 3 - 5 years prior health care experience, and prior leadership in a healthcare setting

Licenses and Registrations:

• Required: None
• Preferred: None

Certification(s):

• Required: Certified Revenue Cycle Professional (CRCP) Certification through American Associates of Healthcare Administrative Management (AAHAM) or Certified Revenue Cycle Representative (CRCR) through Healthcare Financial Management Association (HFMA) within 1 year of hire.
• Preferred:

BENEFIT SUMMARY

• Competitive health and dental insurance options
• Flexible paid time off to balance work and life
• Retirement plan with immediate vesting and employer match
• Discounted membership to our state-of-the-art fitness facility
• Generous tuition reimbursement
• Employer provided life and disability insurance
• Free parking at facility

#IND101

Originally posted on Himalayas