Work Type: Active - Benefit Eligible and Accrues Time Off Exempt: No
Work Schedule: Saturday & Sunday and Tuesday/Thursday Work Hours per Biweekly Pay Period: 80
Shift Time: 7:00am-7:30pm and 6:00am-2:30pm Location: Medical Center, US:FL:Lakeland
Summary: Supervises the day-to-day operations and activities of the Patient Access and other personnel engaged in admitting/registering general inpatient, outpatient (ambulatory surgery, observation, diagnostic therapeutic outpatient, therapeutic outpatient), obstetric, infant, neonatal, Emergency Department, and other registrations not mentioned here, to various hospital units and areas. The Patient Access Supervisor professionally collaborates with peers to assure that the work of the team and the department is completed in a pristine manner assuring timeliness and accuracy of registration information to support the budgeted goals of the organization and improve the patient experience.
Detailed responsibilities: * People At The Heart Of All We Do - Fosters an inclusive and engaged environment through teamwork and collaboration. - Ensures patients and families have the best possible experiences across the continuum of care. - Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. * Safety And Performance Improvement - Behaves in a mindful manner focused on self, patient, visitor, and team safety. - Demonstrates accountability and commitment to quality work. - Participates actively in process improvement and adoption of standard work. * Standard Work Duties: Supervisor - Patient Financial Services - Actively participates in team development, achieving dashboards, and in accomplishing department goals and objectives. Using a collaborative leadership style, facilitates the achievement of department and hospital-wide quality, safety, satisfaction and stewardship goals. Monitors and tracks data/reports as identified by the department leadership. - Coaches employees and focuses on ongoing staff development. Oversees the orientation of new employees, assesses the ongoing competence of all employees and conducts performance appraisals. Proactively addresses performance and behavioral issues and acts to modify actions and behaviors to facilitate effective relationships and outcomes. - Schedules and assigns staff to insure that workload is met. - Responds to complaints, adverse situations, unplanned circumstances or problems to insure that work is completed efficiently, staffing needs are met, customer and staff satisfaction concerns are addressed appropriately and expected outcomes are achieved. - Actively supports and appropriately applies department and organizational policies. Provides staff education to support change and ongoing development. - Consistently demonstrates commitment to personal accountability as well as that of the staff. Consistently demonstrates integrity and fair treatment to staff. Consistently demonstrates the ability to make appropriate judgments and decisions in carrying out daily job duties. Consistently demonstrates a commitment to excellence, willingness to seek feedback from staff and interactive listening skills. Gives high priority to quality outcomes. - Responsible for reviewing payer rejection reports thru ePremis. - Responsible for making sure the Medicare DDE is kept current and reports the number of accounts held in RTP (Pended claims), S (Suspended claims) and P (Paid claims) status on a daily basis to the Asst Director of Patient Accounts. Audits claims submitted to Governmental and Non-Governmental payers to ensure compliance with all federal and managed care guidelines including, but not limited to, CCI edits, appropriate HCPCS/CPT/DRG, CAS/CARC/RARC codes, etc. Monitors Governmental and Non-Governmental collection accounts to ensure staff brings accounts to full payment and/or resolution expeditiously and within Governmental regulations Distribute reports – High $, Small $ and Greater than >360; Monitors staff resolution of accts. Actively participates on the High Dollar PFS Management Committee to expedite claim processing and payments for accounts at the PFS stipulated dollar and days threshold. - Elevates accounts to the Denials and Appeals Unit as deemed appropriate; meets regularly with the Denials and Appeals Supervisor to ensure open communication and effective resolution of accounts Reviews the Medicare and Medicaid Credit Balance Reports to ensure refunds or adjustments are processed according to Governmental regulations and time frames, and reports credit balances quarterly to Medicare Receives, researches, and responds expeditiously to questions/issues from Administration and/or Management. Keeps Management informed of important or unresolved issues as appropriate. Responds to complaints, adverse situations, unplanned circumstances or problems to insure that work is completed efficiently, staffing needs are met, customer and staff satisfaction concerns are addressed appropriately and expected outcomes are achieved. Communicates results to inquiring party in a timely manner and in accordance with LRMC specific response guideline Ensures staffing is adequate to handle volume of work; monitors pools to provide for reasonable distribution of accounts within payer pools Reviews and distributes correspondence to staff, being aware of repetition of insurance company requests Stays vigilant of payer trends to avoid or slow payments on accounts; escalates unresolved issues to management Monitors supervisory escalation pool to resolve accounts or to counsel staff on appropriate means to resolve account. Displays a thorough knowledge of Managed Care contracts and their applications. Ensures and responsible for meeting accounts receivable goals: Collectors work their accounts per day on their assigned productivity scale. - Provides staff education to support changes and ongoing development. Stays abreast of Governmental and managed care payer issues and regulation , modifications and notifications to advise staff and facilitate resolution of accounts. Attends training seminars as required, including completing CMS certification requirements on a yearly basis and ensure Governmental staff completes certification. Conducts regular staff meetings to ensure and encourage staff sharing of effective collection tools and payers concerns. Walks around department daily and periodically to ensure staff is on task and to provide visibility needed to elicit questions as needed Maintains Productivity Logs Review from the LRMC collection applications; addresses productivity with individual staff members as needed for result recognition and/or motivation Ensures that the Governmental Follow Up Department staff maintains the LRMC standard of professionalism when communicating and interacting with interdepartmental and intradepartmental peers, LRMC management, payors, and patients Consistently demonstrates a commitment to excellence, willingness to seek feedback from staff, and interactive listening skills. Gives high priority to quality outcomes. Consistently works with reporting staff to facilitate their ability to achieve maximum productivity and success Oversees and organizes all aspects of the Governmental follow up department, educating and training staff as appropriate. Oversees all aspects of Governmental follow up, educating and training staff according to HIPAA standards as appropriate. Ensures and is responsible for meeting Governmental follow up goals. Ensures staff meets the minimum daily productivity threshold for processing accounts. . Regularly performs QA on staff accounts to ensure maximum level of billing and collection activity, that is, result-oriented, meaningful work * Stewardship - Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities. - Knows and adheres to organizational and department policies and procedures. * Supervisor/Team Lead Capabilities - Demonstrates accountability for shift/team operations and care/service delivery to support achievement of organizational priorities. - Coaches front line team members to support ongoing professional development and hardwire technical and professional capabilities. - Creates a high performing team by building strong relationships, delegating work and nurturing commitment and engagement. - Manages team conflict/issues implementing appropriate corrective actions, improvement plans and regular performance evaluations. - Applies change management best practices and standard work to support departmental changes and ensure effective team transition. - Promotes a healthy and safe culture to advance system, team and service experience.