2 customer service supervisor patient accounts Jobs in shenandoah, ia
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Customer Service Supervisor – Patient Accounts
$61k-80k (estimate)
Full Time | Ambulatory Healthcare Services
2 Weeks Ago
Shenandoah Medical Center is Hiring a Customer Service Supervisor – Patient Accounts Near Shenandoah, IA
Job Details
Description
Description
- Develop and implement training guidelines and resources.
- Ongoing training and education of staff.
- Perform successful new employee orientations.
- Design, implement and communicate process and guideline changes.
- Implement new protocols to assure staff understanding.
- Assists all team members questions efficiently and effectively.
- Perform monthly educational in-service to staff regarding changes and updates.
- Implementing and maintaining monthly quality reviews to ensure accuracy.
- Executes a comprehensive review of all cases meeting criteria, coordinates and performs patient/customer interview to define needs, develops and implements a strategy to enable the patient/customer to meet their financial obligation to Shenandoah Medical Center in a mutually satisfactory manner.
- Advocates for patients and family members and acts as a liaison with insurance companies and other third parties to assist in obtaining insurance and other financial information to secure financial approval for services.
- Confirms payer sources with close attention to coordination of benefits, identifies which contract/plan will provide payment for planned care. Performs detailed financial screening of benefits.
- Determines benefit coverage to ensure that it meets the standards and explains the financial requirements to the patient or responsible party and arranges/collects appropriate payments per financial screening policy.
- Develops accurate point of service collections communication and facilitates the collection of these payments.
- Maintains current knowledge of rules and regulations of industry and government programs, hospital financial and billing policies and educates patients, families, team members and other staff as necessary.
- Maintains extended knowledge base of payer and billing requirements for federal, state, local and commercial sources.
- Maintains and expands knowledge base of web based applications used for determining eligibility.
- Participates in educational programs and in-service meetings to build upon current knowledge base.
- Maintains current, extended knowledge of hospital financial and billing policies.
- Acts as an educational resource for patients, families, the community and the hospital staff.
- Acts as an advocate of behalf of patients and families to enable patients/families to take full advantage of services which may be available to them.
- Assists in locating resources and/or assistance programs for which uninsured/underinsured patients may be eligible.
- Informs patients and clinical teams of anticipated gaps and or lack of insurance coverage.
- Interviews patients and or family members in person advises patient with regard to next steps or process for securing financial coverage.
- Assists patients and or family members in completing applications to applying for resources with external agencies or hospital financial assistance in an accurate and timely manner.
- Continues to serve as a point of contact for patients/families throughout the completion of processes.
- Keeps Manager apprised of exceptions, high grade complaints and issues in a timely manner.
- Manage and Performs Financial Clearance
- Verifies eligibility and benefits for each patient.
- Obtains prior authorization/pre-certification as required by payer.
- Creates patient financial estimate as required.
- Presents and completes patient waivers as required.
- Documents all financial clearance notes, authorization numbers, and patient correspondence.
- Scans into the EHR system all necessary financial clearance documents.
- Works with work ques in SFM and Trac as required.
- Respond to requests in a timely manner to allow for accurate and efficient flow of problem solving.
- Identify issues as they arise.
- Contact outside vendors or suppliers to provide or obtain information and resolve issues.
- Communicate progress and resolution to staff.
- Maintains a high level of confidentiality referencing verbal and written communication. Shares information only with those who have a need to know.
- Manages and performs employee relations functions effectively to promote a positive work environment, influence retention and enhance communication.
- Ensures effectiveness in the application of employee relations within their areas of accountability.
- Develops, supports, and actively seeks activities and establishes an environment that promotes recognition and retention for employees.
- Communicates effectively and provides feedback to staff which may include participation in department meetings, individual employee meetings, rounding, etc.
- Addresses employee issues in an effective and timely manner.
- Recognize, take action and report deficiencies in a timely manner.
- Refers to policies and procedures with employees, as necessary.
- Completes annual performance appraisal process for staff.
- Maintains and demonstrates working knowledge to carry out policy and procedure to effectively comply with departmental, organizational, regulatory, and agency needs.
- Utilizes knowledge and critical thinking to equitably apply policy and procedure to all patients and customers.
- Promotes secure environment for the procurement of patient’s protected health information (PHI).
- Complies with regulatory requirement such as OSHA, JCAHO, and HIPAA.
- Provides exceptional customer service support.
- Ensures outstanding public relations.
- Ensures that contacts are positively enhanced by serving as a resource for patients, families of patients and hospital management and staff.
- Provides accurate information to all customers by phone or other communication media.
- Answers telephone calls and related questions in a professional manner and with patience and maturity.
- Communicates effectively with department contacts, patients and management to thoroughly investigate and resolve issues.
- Works with positive attitude and shows commitment to co-workers and organization.
- Supports Chief Financial Officer
- Other duties as assigned.
- Works closely with the Chief Financial Officer on special projects.
- Lead Financial Counseling team.
- Development and communication of protocols.
Job Summary
JOB TYPE
Full Time
INDUSTRY
Ambulatory Healthcare Services
SALARY
$61k-80k (estimate)
POST DATE
05/20/2024
EXPIRATION DATE
07/02/2024
HEADQUARTERS
ESSEX, IA
SIZE
100 - 200
FOUNDED
2018
CEO
KAREN S COLE
REVENUE
$10M - $50M
INDUSTRY
Ambulatory Healthcare Services
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