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Our Billing Co · 1 month ago

Financial Clearance Supervisor

Buffalo, NY

Contract

Onsite

Mid, Senior Level

$25/hr - $35/hr

4+ years exp

Our Billing Co. is seeking a full-time Financial Clearance Supervisor to join their team. This role involves overseeing financial clearance functions, ensuring patients are financially cleared and prepared for their responsibilities before receiving services, while also collaborating with other departments to enhance processes.

Hospital & Health Care

Responsibilities

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

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

Qualification

Insurance verificationFinancial risk analysisPayer requirements knowledgePatient financial servicesCustomer serviceLeadershipProblem solvingOral communicationWritten communication