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Supervisor, Central Scheduling
3 months ago
**Employment Type**:
Full time
**Shift**:
Shift_8
**Description**:
Job Summary and Minimum Qualifications
Job Title: Supervisor, Pre-arrival Services Job Code: S4153
FLSA Status: Exempt
General Summary:
Administrative/Supervisory Responsibilities: This position is responsible for supervising the daily operations of central scheduling, pre-registration, and insurance verification. Provides staff training, coaching and support; issue identification, assessment and resolution; and technical support within the Central Scheduling and Insurance Verification Unit in order to achieve desired outcomes and compliance with Holy Cross Hospital policies/procedures and standards. Provides input to Manager in performance evaluations. Coordinates workflow for Central Scheduling and Insurance Verification Unit to ensure that operational and customer service standards are maintained. Works with patients, physicians, physician office staff, third party payers, and case management departments to secure hospital reimbursement and avoid authorization denials. May perform quality assurance reviews and analysis to support internal controls, monitor employee and departmental performance daily, and assist in staff development and retention. Maintains and keeps abreast of insurance requirement changes and shares knowledge with hospital staff as needed.
Pre-Service / Scheduling Responsibilities: The Supervisor also serves as a scheduling and pre-service representative. In this capacity, the representative obtains demographic, clinical, financial and insurance information during the process of making appointments for patient tests and procedures. Provides instructions to the patient on test preparation; prints and mails patient itineraries if lead time is sufficient. Validates medical necessity / Local/National Coverage Determinations (LCD/NCD) of requested cases to support clinical and financial clearance functions. Obtains and processes signed physician orders to ensure clinical documentation for care delivery as appropriate. Performs pre-registration activities and initiates, evaluates and responds to results of real-time eligibility verification. Completes benefit analysis, collects patient financial obligations and ensures that notification/certification are established for all payers.
Supports the Mission of Trinity Health and Holy Cross Hospital.
**Minimum Licensure/Certification Required (if applicable)**:
- Certified Healthcare Access Associate (CHAA) credentials by the National Association of Healthcare Access Management (NAHAM) and/or Certified Patient Account Technician (CPAT) credentials by the American Association of Healthcare Administrative Management (AAHAM) are preferred.
- At least one-year supervisory experience in a healthcare provider and/or payer environment, with 3-5 years hospital scheduling, pre-registration, and/or insurance verification experience.
**Minimum Knowledge, Skills, and Abilities Required**:
- High school diploma required. Associate’s Degree preferred.
- Proficient computer and data entry skills (35 minimum keystrokes per minute with high degree of accuracy) required. Microsoft Office (Power Point, Excel, Word) proficiency required. Must be able to navigate between multiple information systems as quickly and efficiently as possible.
- Working knowledge of medical terminology preferred.
- Excellent communication (verbal and written) and organizational abilities. Interpersonal skills are necessary in dealing with internal and external customers, including the ability to interpret customer requirements, recommend and take action to satisfy the customer’s needs.
- Accuracy, attention to detail and time management skills are required.
- Must be comfortable operating in a collaborative, shared leadership environment.
- Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Holy Cross Hospital.
- Fluency in multiple languages is preferred. Fluency in English and at least one other language that meets the department requirements is preferred for this role, and allows Holy Cross Hospital to better serve their community and patient population.
**Supervisor Statement**:
**Supervisor**:
Management at Holy Cross Hospital involves understanding that we operate within a fiduciary relationship in which we are expected to steward our communities resources in such a way that we produce high quality, safe, efficient, and effective care for both today’s patients and tomorrow’s patients. This enables us to become the most trusted provider of health services within our community.
A Supervisor at Holy Cross has resource monitoring and staffing responsibility for either a specific department function or for a certain shift and number of employees. Supervisors must have the ability to organize day-to-day workflow and prioritize, adjust, and redistr
