Supervisor of Financial Clearance and Hospital Billing

6 days ago


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

We are seeking a highly skilled and experienced Financial Clearance Supervisor to join our team at Cape Cod Hospital. As a key member of our Revenue Cycle department, 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 hospital and account creation in Revenue Cycle systems.

Key Responsibilities
  • Leadership and Oversight: Provide leadership and oversight for Financial Clearance functions, including pre-registration, coverage verification, patient liability collection, and referral authorization.
  • Team Management: Supervise, monitor, coach, and develop employees in applicable functional areas, ensuring that pre-registration accuracy rates are achieved and financial clearance requirements are consistently met.
  • Operational Management: Oversee day-to-day operations for all areas of responsibility, ensuring the team's ability to obtain and record accurate demographic, financial, and clinical information necessary for the financial clearance of scheduled patient accounts.
  • Support Functions: Support management functions, including hiring, training, disciplining, performance appraisals, and competency performance standard development.
  • Employee Development: Coach and support staff in their efforts to improve overall performance, ensuring that employees are accurately performing functions in a manner that is compliant with established processes and quality assurance programs.
  • Record Management: Manage the maintenance activities of appropriate records, files, and timely and accurate documentation entry of data in Revenue Cycle systems.
  • Eligibility Verification: Monitor the team's ability to accurately confirm eligibility of patient coverage benefits, including coverage limits, number of days, patient responsibility, and effective dates.
  • Liability Collection: 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.
  • Quality Control: Routinely run QC reports, edit accounts, develop training materials, and serve as a support to the entire department.
  • Access Support: Provide support to Revenue Cycle personnel on Access related issues, daily monitoring and follow-up on Access related work lists.
  • Process Improvement: Challenge current working practices, identify process improvement opportunities, and present recommendations and solutions to management.
Requirements
  • Education: Bachelor's degree preferred or equivalent combination of education and experience.
  • Experience: Two years of experience in Scheduling and/or Financial Clearance functions, with supervisory experience in a healthcare environment preferred.
  • Skills: Excellent communication and interpersonal skills, ability to evaluate personal performance against established goals, and ability to coach and support staff in their efforts to improve overall performance.


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