AtlantiCare Regional Medical CenterAll qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Galloway, NJ
POSITION SHIFT: Nights
POSITION STATUS:
Full-Time
REQ_NUM: 07-31890
Department: Patient Access Mainland
Hours Per Week 37.5
Holidays Required? Yes
Job Category: Administrative/Customer Service
Location: Galloway
Weekends Required? Yes
POSITION SUMMARY.
The Patient Access Supervisor acts as a role model and resource for Patient Access staff. This role leads activities of a Patient Access site of service team. The Patient Access Supervisor serves as a technical expert and a resource for staff, patients, and visitors. The Supervisor maintains focus on essential activities of patient's arrival and visit and proactively takes steps to ensure the streamlining of activities while maintaining exemplary levels of customer service in accordance with the AtlantiCare Mission, Vision, and Values.
This position maintains a liaison relationship with other Revenue Cycle departments to ensure ongoing performance improvement, regulatory compliance, and achievement of best practice targets.
The Patient Access Supervisor has the knowledge, skill, and the ability to lead the handling of the patient registration process, general admissions, and financial arrangements. The Patient Access Supervisor will also possess the knowledge, skill, and the ability to oversee the verification of third party payor accounts, pre-authorization, and pre-certification requirements. The Patient Access Supervisor communicates and collaborates with the Patient Access team members and other ancillary departments as needed. The Patient Access Supervisor is a key role within the department. The Supervisor is responsible for maintaining many reports to ensure regulatory compliance with CMS, OSHA, and other state and federal regulatory governing agencies. Some of the reports and quality assurance audits include consents, Medicare IM, Medicare Secondary Payer, and Medicare Outpatient Observation Notice, missing physicians for billing compliance, EMTALA state logs, ESA compliance, and the STAR Auto Discharge report.
The Patient Access Supervisor will be knowledgeable of state and federal government funding programs such as Medicare, Medicaid, TRICARE/CHAMPUS, Workers' Compensation; No Fault Auto, and commercial insurance payers; billing and reimbursement guidelines and methodologies for state and federal government and non-government payers; insurance terminology; medical terminology, EMTALA, HIPAA privacy, and compliance practices.
The Patient Access Supervisor possesses the knowledge and skill necessary to verify diagnosis codes, complete medical necessity checks for Medicare, complete patient estimates for the self- pay population, and provide consumer shopper comparisons. The Patient Access Supervisor must have knowledge of ICD-10 in order to ensure accurate diagnosis entry for reimbursement.
The Patient Access Supervisor is considered a customer service champion responsible for delivering great customer service and ensuring staff are delivering great customer service at each entry point throughout the health system. The Patient Access Supervisor is responsible for patient throughput, established wait times and turnaround (TAT) times along with aiding in the achievement of top box customer service scores for each respective Patient Access point of service site.
The Patient Access Supervisor is responsible for assisting, and leading the day to day operations of their site/area. The Patient Access Supervisor is responsible for patient flow and throughput. The Supervisor is responsible for redeploying staff as needed in order to maintain work levels, productivity, wait times, and flow as well as assisting in the operations during high volume to maintain and provide the best customer experience. The Patient Access Supervisor rotates weekends on call in order to provide leadership on weekends at the point of service sites. The Patient Access Supervisor assists in handling call outs and finding staffing replacements using proper protocol to utilize pool staff optimally to keep OT at minimal levels. Additionally, the Supervisor assists with Kronos as it pertains to daily attendance and callouts. The Patient Access Supervisor is responsible for providing feedback on daily registration processes and staffing issues to the Patient Access Manager/Director. The Patient Access Supervisor is responsible for daily reconciliation of money from daily cash collections of Patient Access staff. The Patient Access Supervisor assists in preparing the bank deposit daily and reports any discrepancies to the Manager/Director.
The Patient Access Supervisor must pass annual recertification with a score of 95% or above. This requirement is expected to be maintained every year. The Patient Access Supervisor must have a 95% or above accuracy on their charity care applications. This requirement is expected to be maintained continuously.
The Patient Access Supervisor can perform all job duties based on department procedure and protocol independently. Attends all recommended trainings and in-services and passes all competency tests associated with the in-services. The Patient Access Supervisor is responsible for passing any additional certifications that aid in the proficiency of their designated areas such as Medicaid Presumptive Eligibility, Certified Application Counselor certifications, and Litmos Career Path modules and exams or HFMA Certified Revenue Cycle Representative.
The Patient Access Supervisor maintains high accuracy rate A or above and established productivity rates for Key Performance Indicators (KPI) such as cash collections, wait and registration turnaround (TAT) times, pre-registration and registration productivity. The Patient Access Supervisor will aid staff in ensuring department goals and initiatives are met in regards to established productivity rates, cash collection goals, and other KPIs established within the department. The Patient Access Supervisor assists leadership in the communication of new procedures and appropriately engaging staff participation and monitoring staff compliance.
The Patient Access Supervisor will attend ten hours or more self-scheduled voluntary or facilitated education sessions with ARMC or an approved outside learning opportunity in order to enhance growth and development. The Patient Access Supervisor will assist in monitoring individual staff performance including coaching, mentoring, training, providing constructive feedback and be an active participant in performance improvement efforts. The Patient Access Supervisor aids in providing staff education and training and is responsible for motivating and orienting staff. The Patient Access Supervisor must be proficient in all areas of Patient Access. The Patient Access Supervisor will be responsible for aiding in the training of new hires by ensuring the new hire is receiving adequate training from their preceptor. The Supervisor will be available for questions from the new hire and their designated preceptor.
The Patient Access Supervisor must achieve Valued Contributor or Remarkable Talent on their annual evaluation with no written disciplinary documents on file. The Patient Access Supervisor must be proficient in all requirements of Patient Access Associate I to IV or Financial Assistance I to IV AND maintains Certification through Litmos Revenue Cycle Certified Master or Healthcare Financial Management Association (HFMA) Certified Revenue Cycle Representative (CRCR). If the Patient Access Supervisor chooses HFMA CRCR, this certification must be renewed every two years.
This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating commitment to teamwork and cooperation.
QUALIFICATIONS
EDUCATION: High School Diploma required. Associate's Degree preferred or equivalent significant related work experience as detailed below. Bachelor's degree a plus. Ability to effectively communicate both orally and in writing sufficient to perform the essential functions; read, understand, and apply policies and guidelines; obtain information from a variety of sources is required. Bilingual a plus.
LICENSE/CERTIFICATION: Litmos Revenue Cycle Certified Master or HFMA Certified Revenue Cycle Representative. Patient Access Supervisor will be required to begin working on Litmos or HFMA Certifications after one year of hire.
EXPERIENCE: Two years or more experience in Healthcare registration preferred or relevant customer service environment required. The Patient Access Supervisor must be proficient with registration processes and procedures throughout the department. Demonstrates knowledge of general computer, and data entry functions required. Excellent communication, organizational and analytical skills required. Ability to perform job duties in a high volume fast paced environment. Candidates must continuously display professionalism, courtesy and respect to all customers that always mirror AtlantiCare's Values/Behaviors. Candidate must have reliable transportation.
PERFORMANCE EXPECTATIONS
Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position.
WORK ENVIRONMENT
Potential for exposure to the hazards and risk of the hospital environment, including exposure to infectious disease, hazardous substances, and potential injury.
This position requires reaching, stooping, kneeling, and crouching approximately 25% of the workday. This position requires frequently lifting, approximately 25-30 pounds, and occasional lifting of 50-100 pounds with assistance. This position also requires pushing and pulling computers on wheels approximately up to 100% of the day if assigned to the Emergency Department or Labor and Delivery. High volume fast-paced environment.
The essential functions for this position are listed in the Assessment and Evaluation Tool.
REPORTING RELATIONSHIP
This position reports to department leadership.
This position reports to department leadership. The above statement reflects the general details considered necessary to describe the principle functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.
PI207622645
