What are the responsibilities and job description for the Patient Financial Services Supervisor position at MD Anderson Cancer Center?
The University of Texas MD Anderson Cancer Center is ranked the nation's top hospital for cancer care by U.S. News & World Report's "Best Hospitals." As a Magnet Recognized Hospital, we have a community of nearly 3,000 professional nurses who provide our patients with excellent oncology nursing care.
The Financial Clearance Center (or FCC) is a department within MD Anderson that serves our patients by verifying insurance, authorizing services to financially clear patients, provide financial care support to help patients understand their financial coverage and costs and conduct pre-service collections. Additionally, the FCC’s financial care team helps patients who are facing financial hardship identify and navigate possible options for financial assistance.
Summary
The Supervisor of the Financial Clearance Center is responsible for creating a positive patient experience by providing direct supervisory oversight of the Patient Access Associates and Patient Access Coordinators and the day-to-day operations relating to financial clearance activities. This includes proper management and adherence to department policies and procedures related to the verification of eligibility/benefits, pre-authorization, and financial counseling. The Supervisor will serve as a clinical resource for the FCC using such knowledge to assist with facilitating pre-auth request and driving meaningful discussions with the payors. Assist the Manager with establishing and delivering ongoing education and training to new and/or existing staff. The Supervisor is also responsible for the hiring, evaluating and providing ongoing mentoring and feedback to designated staff.
The ideal candidate will have 6 years of patient registration, medical financial counseling, and/or insurance verification in a healthcare setting to include two years of lead/supervisory experience.
SHIFT HOURS: Monday – Friday from 8am – 5pm no weekends.
Key Responsibilities
- Supervise and coordinate operational activities related to eligibility verification, benefits checks, and pre-authorization of services.
- Provide guidance on payment options, cost estimates, patient assistance programs, and financial counseling.
- Review, track, and manage departmental work queues to ensure timely resolution of patient accounts.
- Facilitate pre-authorization for complex cases requiring clinical input and payor engagement.
- Interpret payor medical coverage policies and lead discussions on medical necessity and continuity of care.
- Act as a liaison to resolve escalated issues with patients, payors, vendors, and internal teams.
- Deliver ongoing education and updates to staff regarding payor requirements and departmental processes.
- Maintain knowledge of systems impacting admissions, verification, and patient access functions.
- Assist the Manager in developing and implementing continuous improvement plans for compliance and efficiency.
- Monitor daily activity and performance metrics to optimize workflows and procedures.
EDUCATION
- Required: Bachelor's Degree Business or Healthcare Administration.
WORK EXPERIENCE
- Required: 6 years Patient registration, medical financial counseling, and/or insurance verification experience in a healthcare setting to include two years of lead/supervisory experience.
- May substitute required education degree with additional years of equivalent experience on a one to one basis.
- Successful completion of the LEADing Self Accelerate and/or LEADing Self Discover programs may substitute for one year of required supervisory or management experience. Completion of both programs can be substituted for a maximum of two years of supervisory or management experience.
- Preferred: Combined 5 years customer service, insurance verification, and revenue cycle experience in a healthcare setting.
OTHER REQUIREMENTS: Must pass pre-employment skills test as required and administered by Human Resources.
The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition.
This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment.
It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html