Support Center
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Adventist HealthCare seeks to hire an experienced Eligibility and Financial Clearance Supervisor who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing.
As an Eligibility and Financial Clearance Supervisor, you will:
Develops, implements, supervises and monitors processes related to eligibility and verification of benefits, pre-authorization of services, patient financial assistance and financial counseling activities
Provides direct support to the other Pre-Access Supervisors and sets works with team to ensure appropriate expectations regarding verification, pre-authorization, collection and counseling standards through established departmental policies and procedures
Responsible for the development of new programs to improve the coordination and delivery of financial clearance related activities to ensure ongoing maintenance of efficient and effective operational workflows related to the financial clearance new and existing patients
Demonstrate, through plans and actions, that there is a consistent standard of excellence to which all department work is expected to conform
Collaborates closely with key stakeholders in Patient Access, including direct interaction with physicians and clinic support personnel on all financial reporting matters, operational outcomes and issues to assist with developing and maintain productive working relationships
Ensures appropriate communication is maintained with physicians, Patient Access support staff, third party payors, and the patients and their guarantors to assist with optimizing appropriate financial clearance, timely access to care, appropriate billing of services, maximum revenue collection and high customer satisfaction
Supports the Assistant Director in developing financial clearance strategies that support operational improvement, optimization of reimbursement and ongoing enhancement of the patient experience
Assist the Assistant Director with any required education, training, hiring, evaluating and counseling of employees
Provides assistance with special projects as assigned
Ensure that the staff members adhere to all organizational standards, are productive, and produce high-quality work.
Supervise, evaluate and train staff.
Complete patient pre-registration and financial counseling ensure all forms are appropriately signed.
Ensure departmental policies are followed.
Makes sure that all hospital wide policy and procedures are adhered to by reporting staff.
Ensures a productive flow of the daily schedules.
Demonstrates excellent customer service skill and effective communication.
Monitor and track patient flow
Manage and organize budget in collaboration with Revenue Cycle Leadership.
Other duties as assigned - Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee partner for this job. Duties, responsibilities and activities may change at any time with or without notice.
Qualifications include:
Minimum of 2 years in supervisory / management role. Acute Care Facility Patient Access Department leadership experience, managing one or more functional areas of: Patient Scheduling, Pre-Service/Financial Clearance, Registration, Financial Counseling, or other management functions related to revenue cycle activities in a complex, multi-site environment preferred. Five or more years of consulting and project management experience in revenue cycle design and optimization highly desirable.
Certification within Healthcare Financial Management Association (HFMA) and/or the National Association of Healthcare Access Management (NAHAM) desirable
Bachelor's Degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field required. 5 years of substantial experience and career growth in Revenue Cycle leadership role may substitute for educational requirement.
Master's Degree preferred.
Experience leading or participating in large Patient Access-related IT and/or Contact Center program implementation preferred
Requires proficiency with: Microsoft Excel, Word, Project, PowerPoint and SharePoint
Prior experience with the major Patient Access technologies currently in use, and/or other "like" systems
Work Schedule:
Monday - Friday
#GR8 Accounting & Finance
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