Supervisor Financial Clearance Hospital Billing Specialist

1 week ago

Hyannis, Massachusetts, United States Cape Cod Hospital Full time
Job Summary

As a Supervisor Financial Clearance Hospital Billing, you will provide leadership and oversight for Financial Clearance functions, ensuring accurate collection and validation of data elements for hospital and account creation in Revenue Cycle systems. You will oversee day-to-day operations, support management functions, and manage the team's ability to perform follow-up activities with patients and/or referring physician offices.

Key Responsibilities
  1. Oversee day-to-day operations of the Financial Clearance team, ensuring its ability to accurately collect and validate all required data elements for hospital and account creation in Revenue Cycle systems.
  2. Support management functions, including hiring, training, disciplining, performance appraisals, and competency performance standard development.
  3. Manage the team's ability to perform follow-up activities with patients and/or referring physician offices in the event of failed eligibility, lack of authorization/referral, or lack of patient benefits for scheduled services.
  4. Confirm employees are accurately performing functions in a manner compliant with established processes and quality assurance programs.
  5. Manage the maintenance activities of appropriate records, files, and timely and accurate documentation entry of data in Revenue Cycle systems.
  6. Monitor the team's ability to accurately confirm eligibility of patient coverage benefits, including coverage limits, number of days, patient responsibility, and effective dates.
  7. Support activities to notify patients of their liabilities prior to date of service as determined by insurance benefits and coverage limits and collect liabilities per department guidelines.
  8. Routinely run QC reports, edits accounts, develops training materials, and serves as a support to the entire department.
  9. Provides support to Revenue Cycle personnel on Access related issues. Daily monitoring and follow-up on Access related work lists.
  10. Coaches and mentors staff regarding Patient Access processes and provides ongoing training.
  11. Monitor and trend denials, making recommendations and process changes to reduce appeals and reprocessing and improve cash flow.
  12. Assists the team with solving issues as it pertains to authorizations, registration, eligibility, and denials.
  13. Maintain up-to-date knowledge of regulatory and compliance changes impacting area of responsibility and ensure employees are appropriately educated and processes are modified as needed.
  14. Support and assist in department functions/responsibilities as needed based upon volume and workload.
  15. Consistently provides service excellence to all patients, family members, visitors, volunteers, and co-workers.
  16. Challenges current working practices; identifies process improvement opportunities and presents recommendations and solutions to management.
Requirements
  • Bachelor's degree preferred or equivalent combination of education and experience.
  • Two years of experience in Scheduling and/or Financial Clearance functions.
  • Supervisory experience in a healthcare environment preferred.
  • Experience and knowledge of hospital billing/registration systems. Knowledge of Epic preferred.
  • Experience and knowledge of regulatory requirements, payer requirements, and third-party reimbursement.
  • Excellent communication and interpersonal skills.
  • Ability to evaluate personal performance against established goals.
  • Ability to coach and support staff in their efforts to improve overall performance.
  • Ability to communicate with a wide variety of CCHC and external users, including senior management and physicians, as well as outside vendors and consultants.
  • Capable of learning reporting systems and other new tools.
  • Exceptional time management skills.

  • Financial Clearance Supervisor for Hospital Billing

    2 months ago

    Hyannis, Massachusetts, United States Cape Cod Healthcare Full time

    POSITION OBJECTIVE:The Financial Clearance Supervisor is responsible for leading and managing the Financial Clearance operations, which include Pre-Registration, Coverage Verification, Patient Liability Collection, and Referral Authorization. This role involves supervising, mentoring, and developing team members to ensure high standards of accuracy and...

  • Supervisor Financial Clearance Hospital Billing Specialist

    4 weeks ago

    Hyannis, Massachusetts, United States Cape Cod Healthcare Full time

    Job SummaryWe are seeking a highly skilled and experienced Supervisor Financial Clearance Hospital Billing to join our team at Cape Cod Healthcare. As a key member of our Revenue Cycle team, you will be responsible for overseeing the day-to-day operations of the Financial Clearance team, ensuring accurate collection and validation of data elements for...

  • Financial Clearance Supervisor

    2 weeks ago

    Hyannis, Massachusetts, United States Cape Cod Hospital Full time

    Job Title: Financial Clearance SupervisorAt Cape Cod Hospital, we are seeking a highly skilled and experienced Financial Clearance Supervisor to join our team. As a key member of our Revenue Cycle department, you will be responsible for overseeing the day-to-day operations of our Financial Clearance team, ensuring accurate collection and validation of data...

  • Financial Clearance Supervisor

    3 weeks ago

    Hyannis, Massachusetts, United States Cape Cod Healthcare Full time

    Job SummaryWe are seeking a highly skilled and experienced Financial Clearance Supervisor to join our team at Cape Cod Healthcare. As a key member of our Revenue Cycle department, you will be responsible for leading and overseeing the Financial Clearance functions, ensuring accurate and timely collection of patient information and financial data.Key...

  • Financial Clearance Supervisor

    4 weeks ago

    Hyannis, Massachusetts, United States Cape Cod Healthcare Full time

    Job SummaryWe are seeking a highly skilled and experienced Financial Clearance Supervisor to join our team at Cape Cod Healthcare. As a key member of our Revenue Cycle department, you will be responsible for leading and overseeing the Financial Clearance functions, ensuring accurate and timely collection of patient information and financial data.Key...

  • Financial Clearance Operations Manager

    2 weeks ago

    Hyannis, Massachusetts, United States Cape Cod Hospital Full time

    Job Title: Financial Clearance Operations ManagerAt Cape Cod Hospital, we are seeking a highly skilled and experienced Financial Clearance Operations Manager to join our team. This is a key leadership role that will oversee the daily operations of our Financial Clearance department, ensuring that all financial clearance requirements are consistently met.Key...

  • Financial Clearance Operations Manager

    1 month ago

    Hyannis, Massachusetts, United States Cape Cod Healthcare Full time

    Job SummaryWe are seeking a highly skilled Financial Clearance Operations Manager to join our team at Cape Cod Healthcare. As a key member of our Patient Access department, you will be responsible for overseeing daily Financial Clearance operations and supporting the strategic vision for system-wide PAS and Financial Clearance functions.Key...

  • Surgical Care Specialist

    2 weeks ago

    Hyannis, Massachusetts, United States Cape Cod Hospital Full time

    Job SummaryCape Cod Hospital seeks a skilled Surgical Care Specialist to provide medical services to general surgical patients in the OR, ER, and on in-patient floors during weekdays. The ideal candidate will perform history and physical examinations on general surgical emergency patients upon decision for admission and ensure adequate medical clearance.Key...

  • Senior Financial Manager

    5 days ago

    Hyannis, Massachusetts, United States Cape Cod Hospital Full time

    Job Summary:The Director of Accounting and Finance at Cape Cod Hospital is responsible for managing the general accounting functions, including general ledger, accounts payable, and internal and external reporting. This role requires a strong leader who can direct the accounting and financial reporting function of the hospital, coordinate and oversee the...

  • Hospitality Specialist

    1 week ago

    Hyannis, Massachusetts, United States SpotOn: Sales (Career Site) Full time

    Job Title: Hospitality SpecialistAt SpotOn, we're looking for a motivated individual to join our team as a Hospitality Specialist. As a key member of our sales team, you will be responsible for promoting our full product suite while building positive relationships with local businesses and restaurant owners.Responsibilities:Be a local representative for...

  • Client Relationship Specialist

    5 days ago

    Hyannis, Massachusetts, United States Citizens Financial Group, Inc. Full time

    At Citizens Financial Group, Inc., we foster tailored advice and personalized experiences to help clients navigate changing circumstances.As a Client Relationship Specialist, you will collaborate with our team to deepen relationships with clients, leveraging your expertise to deliver innovative solutions and products.Key responsibilities include:Developing...

  • Echocardiography Specialist

    1 week ago

    Hyannis, Massachusetts, United States Aureus Group Full time

    Job Summary: We are seeking a skilled Echocardiography Specialist to join our team at Aureus Medical Group. As a Diagnostic Imaging Professional, you will be responsible for performing EKGs, stress tests, and Holter monitors, as well as RDCS or RCS. Key Responsibilities: Perform EKGs, stress tests, and Holter monitors Conduct RDCS or RCS Travel to various...

  • Surgical Care Specialist

    3 weeks ago

    Hyannis, Massachusetts, United States Cape Cod Hospital Full time

    Job SummaryWe are seeking a highly skilled NP/PA, Medical Staff to join our team at Cape Cod Hospital. As a key member of our medical staff, you will provide exceptional care to our patients in the OR, ER, and on in-patient floors during weekdays.Key ResponsibilitiesPerform history and physical examination on general surgical emergency patients upon decision...

  • Occupational Therapist

    1 week ago

    Hyannis, Massachusetts, United States Aureus Group Full time

    ### Job SummaryWe are seeking a Certified Hand Occupational Therapist to join our team in an outpatient hospital setting on Cape Cod, MA. This is a 13-week opportunity with a rotating schedule from Monday to Friday, 8-4, 9-5, with a 30-minute unpaid lunch break. The successful candidate will be required to float between Orleans and Hyannis.### Requirements* ...

  • Accounting Specialist

    2 weeks ago

    Hyannis, Massachusetts, United States Independence House Full time

    Job SummaryIndependence House is seeking a highly skilled Bookkeeper to join our team. As a Bookkeeper, you will be responsible for maintaining the financial records of our organization, ensuring accuracy and compliance with financial regulations.The ideal candidate will have a strong background in accounting and finance, with experience in QuickBooks and...

  • Accounting Specialist

    2 weeks ago

    Hyannis, Massachusetts, United States Independence House Full time

    Job SummaryIndependence House is seeking a highly skilled and detail-oriented Bookkeeper to join our Finance team. The successful candidate will be responsible for managing the daily operations of the Finance department, ensuring accurate and timely financial transactions, and maintaining a secure and confidential environment.Key ResponsibilitiesReceive and...

  • Occupational Therapist

    4 days ago

    Hyannis, Massachusetts, United States Aureus Group Full time

    Job Summary:Aureus Medical Group is seeking a skilled Certified Hand Therapist to join our team in an outpatient hospital setting on Cape Cod, MA.Responsibilities:Provide high-quality hand therapy services to patients in a fast-paced outpatient setting.Collaborate with rehabilitation staff to develop and implement treatment programs.Assist management in...

  • Accounting Specialist

    2 weeks ago

    Hyannis, Massachusetts, United States Independence House Full time

    Job SummaryIndependence House is seeking a highly skilled and detail-oriented Bookkeeper to join our team. As a Bookkeeper, you will be responsible for managing the daily financial operations of our organization, ensuring accuracy and efficiency in all financial transactions.The ideal candidate will have a strong background in accounting and administration,...

  • Accounting Specialist

    4 weeks ago

    Hyannis, Massachusetts, United States Independence House Full time

    Job SummaryIndependence House is seeking a highly skilled Bookkeeper to join our team. As a Bookkeeper, you will be responsible for maintaining the financial records of our organization, ensuring accuracy and compliance with financial regulations.Responsibilities:Process and record financial transactions, including invoices, bills, and expense reports.Manage...

  • Ear, Nose, and Throat Specialist

    2 weeks ago

    Hyannis, Massachusetts, United States Cape Cod Hospital Full time

    Job SummaryAs an Ear, Nose, and Throat Specialist at Cape Cod Hospital, you will provide high-quality patient care under the direction of the Operations Manager and supervising physician. Your responsibilities will include conducting annual health examinations, routine follow-up and evaluation, diagnosing, and treating acute and chronic conditions affecting...