Pre-Services Manager
4 weeks ago
The Pre-Services Manager is responsible for overseeing all functions of the patient pre services operations and staff to ensure patient safety and satisfaction as it relates to patient navigation and optimization of the organization’s financial performance. The main functions of oversite include patient pre-registration, insurance verification and enrollment, prior authorization, and financial counseling according to Family Health La Clinica policies, protocols, and practices. This role will have direct supervision over the Pre-Services Specialists and Patient Services Navigator teams. This role is ultimately responsible to ensure financial clearance of each account as well as financial counseling and enrollment practices are completed with every patient.
- Responsible for oversite of all areas of Pre-Services departmental functions including insurance verification, Medicaid and Marketplace enrollments, Social Determinants of Health, prior authorization, point-of-service cash collection, and financial counseling performed at all locations.
- Serves as a point of contact for coverage issues related to insurance, Medicaid, Medicare, sliding fee program, Marketplace enrollment, and community resources available to patients the Patient Services Navigators.
- Remains current on any changes with CMS updates and engages appropriate parties to ensure FHLC is compliant with CMS regulations and Marketplace enrollment updates.
- Develops and implements efficient standard processes to ensure patient accounts are secured prior to the patient visit so accurate and timely billing and claim payment can occur in the Revenue Cycle.
- Directly supervises Pre-Services Specialists and Patient Services Navigators in accordance with the organization’s policies and applicable laws including interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance and competency assessment; recognition and employee relations.
- Analyzes trends impacting marketplace enrollment, denials, upfront collections, and FQHC requirements for sliding fee scales and takes appropriate action to meet key performance indicators.
- Responsible for providing resourcing, training, and support for all pre-registration, financial clearance, and navigation activities completed on behalf of the organization.
- Responsible for handling patient and customer complaints related to Pre-Services in a professional and timely manner.
- Ensure adequate staffing is in place each day in the Pre-Services department, including developing and monitoring employee daily staffing schedules.
- Responsible for the accuracy and approval of employee timecards that includes approving PTO requests based on employee accrued time and business needs, and approving overtime when necessary.
- Expected to work collaboratively and professionally with other leaders to develop and maintain efficient and effective processes to ensure a positive patient experience.
- Responsible for generating and submitting required management reports as requested.
- Responsible for ensuring departmental metrics are met or exceeded for optimal operational performance of both Pre-Services and Revenue Cycle operations.
- Expected to continually pursue process improvement opportunities by analyzing, developing, and implementing practice policies, protocols, and workflows as needed.
- Responsible for managing the department within the established budget as well as assisting the Revenue Cycle Director with identifying departmental needs for annual budgeting processes.
- Serves as an OCHIN EPIC super user on pre-registration, financial clearance, and enabling services activities.
- Serves as point of contact and trainer on software applications used within the Pre-Services department.
- Conducts daily huddles and monthly department meetings with support staff to ensure employees have the training, support and resources need to perform their job duties efficiently and accurately.
- Must maintain regular and reliable attendance record and adhere to FHLC policies.
- Frequent travel to clinic locations is required.
Education/Experience Requirements
Minimum High School diploma or equivalent required. Associate or bachelor’s degree in related field of study strongly degree preferred. Previous supervisory experience required. Previous experience working in health care setting with knowledge of financial clearance including insurance verification, prior authorization, denials prevention and securing patient accounts strongly preferred. Will consider previous management experience in healthcare financial clearance in lieu of a degree. Must be a Certified Application Counselor (CAC) or complete CAC certification within one year of hire.
Family Health La Clinica is proud to be an Equal Opportunity Affirmative Action employer.
-
Pre-Services Manager
1 day ago
Wautoma, United States Family Health - La Clinica Full timeJob Description Job Description The Pre-Services Manager is responsible for overseeing all functions of the patient pre services operations and staff to ensure patient safety and satisfaction as it relates to patient navigation and optimization of the organization’s financial performance. The main functions of oversite include patient pre-registration,...
-
Customer Service and Logistics Coordinator
1 week ago
Wautoma, United States Milk Specialties Global Full timeThe Logistics Order Fulfillment Specialist is responsible for maintaining customer satisfaction through efficient, timely and accurate sales order fulfillment. The Logistics Order Fulfillment Specialist coordinates with cross functional departments to stay abreast of customer expectations, production schedule adherence and product release dates in order to...
-
Customer Service and Logistics Coordinator
2 weeks ago
Wautoma, United States Milk Specialties Global Full timeThe Logistics Order Fulfillment Specialist is responsible for maintaining customer satisfaction through efficient, timely and accurate sales order fulfillment. The Logistics Order Fulfillment Specialist coordinates with cross functional departments to stay abreast of customer expectations, production schedule adherence and product release dates in order to...
-
Customer Service and Logistics Coordinator
1 week ago
Wautoma, United States Milk Specialties Global Full timeThe Logistics Order Fulfillment Specialist is responsible for maintaining customer satisfaction through efficient, timely and accurate sales order fulfillment. The Logistics Order Fulfillment Specialist coordinates with cross functional departments to stay abreast of customer expectations, production schedule adherence and product release dates in order to...
-
Store Manager
4 weeks ago
Wautoma, United States Stoneridge Kaukauna LLC Full timeJob Summary: **Responsibilities**: - Develop and implement strategies to increase sales and profitability - Recruit, train, and supervise store staff - Manage inventory levels and ensure proper stock rotation - Set and achieve sales targets while providing exceptional customer service - Maintain a clean and organized store environment - Oversee pricing,...
-
Logistics Order Fulfillment Specialist
2 weeks ago
Wautoma, United States Milk Specialties Company Full timeThe Logistics Order Fulfillment Specialist is responsible for maintaining customer satisfaction through efficient, timely and accurate sales order fulfillment. The Logistics Order Fulfillment Specialist coordinates with cross functional departments to stay abreast of customer expectations, production schedule adherence and product release dates in order to...
-
Apartment Monitor- Wautoma
2 weeks ago
Wautoma, United States ATTIC Correctional Services, Inc. Full timeJob DetailsLevel Entry Job Location Wautoma - Wautoma, WI Position Type Part Time Education Level High School Salary Range $15.00 - $15.00 Travel Percentage None Job Shift Varies Job Category Criminal Justice Description ATTIC Correctional Services, Inc. a nonprofit has developed and provided services to meet the increasing needs for supervision and...
-
Assistant Grocery Manager
2 weeks ago
Wautoma, United States Stoneridge Piggly Wiggly Full timeSupervise Grocery Clerks to make sure all work is completed. Stock Shelves & rotate product, keep area clean, Friendly Customer Service Pay based on experience. Join our friendly team. 401K eligible w/ (employee 5% - Company match 4%) Work Includes - Evenings - Weekends - Holidays Paid Training: - Yes Pay frequency: - Every week Employees working...
-
Director of Business Development
6 days ago
Wautoma, United States Noble Community Clinics Full timeJob DescriptionJob DescriptionCome join a team that has been serving Wisconsin with exceptional integrated healthcare for the last 60 years! At Nobel Community Clinics, we are driven by a shared mission to ensure that everyone, regardless of their background or circumstances, has access to exceptional primary care, behavioral health, dental services and much...
-
Applicator I
4 weeks ago
Wautoma, Wisconsin, United States GROWMARK, Inc. Full timeInsight FSis headquartered in Jefferson, Wisconsin with 23 branches across the state and upper peninsula of Michigan. Insight FS has 430+ employees (including seasonal workers) and approximately 50,000 customers. The cooperative does business in agronomy, agri-finance, precision agriculture, nutrient management, energy, feed, grain, and turf. Insight FS is...
-
Applicator I
1 month ago
Wautoma, Wisconsin, United States GROWMARK, Inc. Full timeInsight FSis headquartered in Jefferson, Wisconsin with 23 branches across the state and upper peninsula of Michigan. Insight FS has 430+ employees (including seasonal workers) and approximately 50,000 customers. The cooperative does business in agronomy, agri-finance, precision agriculture, nutrient management, energy, feed, grain, and turf. Insight FS is...
-
Director of Pharmacy
19 hours ago
Wautoma, United States Noble Community Clinics Full timeJob DescriptionJob DescriptionEssential Duties andResponsibilitiesThe Director of Pharmacy provides leadership and oversight for all aspects of the FQHC 340B pharmacy operations, including clinical pharmacy services, planned pharmacy development, and quality systems and standards that support the safe delivery of pharmaceutical care in accordance with...
-
Mobile Dental Hygienist
2 months ago
Wautoma, United States Family Health La Clinica Full timeJob DescriptionJob DescriptionThe Mobile Dental Hygienist’s (RDH) main purpose is to deliver appropriate patient care to help aid in the patient in achieving optimal oral health while working within a care team in a collaborative team-based approach. The Mobile RDH will assist in providing direct patient care in outreach locations, manage patient treatment...
-
Mobile Dental Hygienist
3 days ago
Wautoma, United States Noble Community Clinics Full timeJob DescriptionJob DescriptionThe Mobile Dental Hygienist’s (RDH) main purpose is to deliver appropriate patient care to help aid in the patient in achieving optimal oral health while working within a care team in a collaborative team-based approach. The Mobile RDH will assist in providing direct patient care in outreach locations, manage patient treatment...
-
Mobile Dental Hygienist
1 week ago
Wautoma, United States Noble Community Clinics Full timeJob DescriptionJob DescriptionThe Mobile Dental Hygienist’s (RDH) main purpose is to deliver appropriate patient care to help aid in the patient in achieving optimal oral health while working within a care team in a collaborative team-based approach. The Mobile RDH will assist in providing direct patient care in outreach locations, manage patient treatment...
-
Medical Records Clerk
4 weeks ago
Wautoma, United States Family Health La Clinica Full timeJob DescriptionJob DescriptionPurposeThe Medical Records Clerk will work with the Health Information Management Specialist to ensure timely scanning and indexing of patient medical records in the electronic health record. This position will provide excellent customer service and must always safeguard and protect the patient’s right to privacy by ensuring...
-
Director of Human Resources
4 weeks ago
Wautoma, United States Family Health - La Clinica Full timeJob DescriptionJob Description The Human Resource Director contributes to the successful achievement of the Family Health La Clinica’s (FHLC) mission and strategic initiatives by providing leadership, oversight, evaluation and direction of human resources services and programs for the organization. Key areas of focus for the position include talent...
-
Dentist
4 weeks ago
Wautoma, United States Delta Companies Full timeCOMPENSATION AND BENEFITS Dentist (DDS / DMD) Up to $221,568 guaranteed Salary $50,000 Sign-on bonus 401K Match, 100% match up to 4% employee contribution, another 50% match toward 5% - 6% 25 Days PTO in year 1, jumps to 30 days PTO year 2 + Holidays Qualified FQHC site - Up to $50,000 in Federal school loan assistance for 2 years of...
-
Dentist
2 weeks ago
Wautoma, United States Delta Companies Full timeCOMPENSATION AND BENEFITS Dentist (DDS / DMD) Up to $221,568 guaranteed Salary $50,000 Sign-on bonus 401K Match, 100% match up to 4% employee contribution, another 50% match toward 5% - 6% 25 Days PTO in year 1, jumps to 30 days PTO year 2 + Holidays Qualified FQHC site - Up to $50,000 in Federal school loan assistance for 2 years of...
-
Medical Assistant MA
1 week ago
Wautoma, United States Noble Community Clinics Full timeJob DescriptionJob DescriptionPurposeAssists in examination and treatment of patients under direction of Provider in an outpatient clinic setting. Performs duties according to scope of practice. Essential Duties and ResponsibilitiesPrepares patient rooms, restocks, and cleans as necessary.Interviews patients, measures vital signs such as pulse rate,...
