Job Description
In addition to the responsibilities listed below, this position may also be responsible for overseeing and coaching the researching, coping, and mailing member-financial records to the respective requestor (e.g., court, attorney, copy services) while recommending process improvements; initiating quality reviews and education and coaching of staff for the verification and validation of insurance coverage discovery, coordination of benefits, applying insurance to a patient account; coaching of staff of patient account to ensure appropriate coverage; resolving coverage-related errors or disputes; partnering with vendors to ensure the coverage for underinsured and self-pay patients is completed in a timely manner; initiating quality reviews and education of the team is efficiently executing third party, workers compensation, and secondary coverage payments are received; using thorough knowledge of business practices to coach the team to negotiate payment plans to set terms of pay agreement, explaining what is owed, offering discounts, ensure quality and productivity standards are being met, and resolve escalations; using thorough knowledge of business practices to coach the team to providing customer service while explaining the application process, providing direction to the team to processing applications and disposition, follow policy regulations and provide MFA status, provide quality assurance and ensuring quality standards are being met; assuring alignment with government guidelines and internal policies; resolve escalations; provides coaching and ensuring the team efficiently collects cost-share at time of service or post-service collections based on system deposit, schedule, and payment collections; monitoring closure of cash drawers when needed; ensuring adherence and enforcing to SOX regulations; issuing a wide range of complex demands for payment of services provided; maintaining the workflow and coaching the team to manage a portfolio (e.g., negotiate, agree, monitor payment plans) to determine if agreements should be sustained or cancelled; managing the execution of self check in services, document procurement, performing day-to-day operations for the Admitting and Patient Financial Advisors teams and offers onsite financial counseling and recommendations for IT; guiding teams operational performance, working in partnership with registration leaders on data quality improvement opportunities, and assuring the necessary resources and training are provided to diverse, multi-level patient registration staff; initiating quality reviews and education of the team while managing performance and coaching to efficiently execute the creation of a pre-service and time-of-service cost estimate and delivering and communicating the cost share; overseeing and guiding the teams discovery, navigation, and verification financial coverage with patients; coaching the team when determining cost-share estimate and information; ensuring quality and completeness of staff-assigned activities and technology efficacy; identifying process improvement and systemization opportunities; creating and maintaining job aides.
