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Patient Registration Supervisor - Remote - Travel Required (MS/SC/GA/TX/MN/MO/NM/UT/OR) job at New Season

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Patient Registration Supervisor

Job Description

New Season

 

 

Though this is a remote/travel position, applicants for this role MUST reside in MS, SC, GA, TX, MN, MO, NM, UT or OR.  This is a requirement. 

 

Please be aware this position requires 30% to 40% travel to our clinics in MS, SC, GA, TX, MN, MO, NM, UT and OR.

 

Reports to: Assistant Vice President of Patient Accounts

Department: Revenue Cycle

FLSA: Exempt

Direct Reports: 30+

 

Job Summary:

This position is responsible for managing all components of insurance verification that includes providing ongoing training and informational resources for our partners Clinical Operations. Manages all activities related to the intake, referral management and insurance verification functions, including implementation of initiatives for third party.

 

Essential Functions:

  • Supervise, lead and manage staff in Health Plan Coverage according to organizational principles and local leadership philosophies.
  • Verify coverage and authorization information on a schedule appropriate for organizational objectives
  • Provide training and information for Operations related to those items described in the "Job Summary".
  • Provide guidance on select Original Medicare verifications to assure that CMS guidelines and organizational policies are being followed.
  • Conduct random sample audits of verification and authorization information to assure that guidelines and organizational policies are being followed, partnering with MIT -- Revenue Management Training and Quality Review for publication.
  • Develop indicators for monitoring and evaluating quality of work and meeting turnaround time standards.
  • Evaluates the effectiveness of the intake and related program activities ensuring consistency of work processes and recommend changes.
  • Identifies utilization trends of incomplete or inaccurate verification processes and develops appropriate work processes to respond to exceptions and minimize financial risk.
  • Develops and ensures a consistent work process is followed around new patient admission tracking in conjunction with the operations team.
  • Produce, edit and host a weekly information feed for Operations.
  • Monitor the authorization process to assure that authorizations are obtained in a timely manner.
  • Establishes work directions, resolves problems and sets performance expectations and deadlines to ensure timely completion of all department deliverables.
  • Encourages team members to expand their knowledge base by learning new areas of Revenue Management and also encourage willingness to perform duties outside of their day-to-day responsibilities.
  • Keep open lines of communication with the Clinic Operation Team to ensure individualized goals are met.
  • Maintains confidentiality and safeguards the operations of business.
  • Adheres to the service policy and principles of CMG/New Seasons
  • Other duties as assigned.

 

Supervisory Responsibilities:

(This position will supervise non-exempt staff in support roles performing duties described in "Essential Functions".)

Patient Registration Coordinators

 

Essential Qualifications:

(To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the competencies (minimum knowledge, skill, and ability) required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions).

 

 

Though this is a remote position, applicants for this role must reside in MS, SC, GA, TX, MO, NM, UT or OR.

 

Education/Licensure/Certification:

This position requires a High School Diploma or GED. Bachelor's degree is preferred.

 

Required Knowledge:

The candidate will have a broad knowledge of Revenue Cycle processes including health plan coverage and authorization requirements. The individual will have a general knowledge of healthcare software systems and health plan information, both public and private.

 

Experience Required:

The candidate has 2 years of prior work experience in a large healthcare system setting or multistate outpatient service provider.

 

Skill and Ability:

This candidate will demonstrate the ability to work collaboratively and value input from stakeholders within the organization. The ideal candidate will be approachable and foster professional communication and conduct. Provide Leadership to instill trust, provides direction, and delegate responsibility. Adapt and adjust to circumstances and think creatively. Builds personal relationships and facilitates team success. Works efficiently and competently, while taking action and achieves results. Work on the development of others to cultivate individual talents, and motivates successfully. Will also need to display commitment and seeks improvement.

 

 

Physical Demands/Work Environment:

(The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.)

 

Finger Dexterity:

Use primarily for writing, operating calculator, telephone, keyboard and other office equipment.

 

Talking:

To convey detailed or important instructions to employees, patients and applicants.

 

Hearing:

Ability to hear normal conversations and receive ordinary information.

 

Vision:

Average, ordinary, visual acuity necessary to observe patients and work on computer. Clear vision at 20 inches or less and distant vision at 20 feet or more.

 

Physical Strength:

Sedentary work; sitting most of the time. Exerts up to 10 pounds of force occasionally.

 

Working Conditions:

(The working conditions described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.)

 

  • Ability to perform other duties as required.

 

Core Competencies:

 

  • Leadership
  • Communication
  • Analytical skills
  • Conflict/Resolution
  • Time Management
  • Problem Solving

 

Mental Activities:

(The mental activities described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.)

 

Reasoning Ability:

Ability to resolve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form. Ability to maintain confidentiality.

 

Mathematics Ability: 

Basic mathematics (including statistics) skills required.

 

Language Ability: 

Be able to communicate fluently in English, spanish language proficiency helpful.

 

 

40 hoursCMG Corporate; Raleigh TC; Manchester Metro Treatment Center; Penobscot County Metro Treatment Center; North Charlotte; Hagerstown Treatment Center; New Hanover Metro Treatment Center; Richmond Treatment Center; Fayetteville Treatment Center; Gastonia Treatment Center; Concord Metro Treatment Center; Cincinnati North; Hickory Metro Treatment Center; Greensboro Metro Treatment Center; Keene Metro Treatment Center - Swanzey; Harrison Metro Treatment Center; Charlotte Treatment Center; Richmond Southside Treatment Center; Covington Treatment Center; Mentor; Semoran Treatment Center; Rockland Metro Treatment Center; Akron TC; Franklin Treatment Center; Durham Treatment Center; Manchester Metro West TC

Job country: United States

City: Maitland

Category: Home Office

Location: CMG Corporate

Job posted 2022-05-14