Supervisor, Patient Financial Services

University Of Texas M.D. Anderson Houston , TX 77020

Posted 1 week ago

Mission Statement

The mission of The University of Texas MD Anderson Cancer Center is to eliminate cancer in Texas, the nation, and the world through outstanding programs that integrate patient care, research and prevention, and through education for undergraduate and graduate students, trainees, professionals, employees and the public.

Summary

The Patient Financial Services - Eligibility Supervisor of the Financial Clearance Center is responsible for creating a positive patient experience by providing direct supervisory oversight of the Financial Clearance Associates and the day to day operations relating to financial clearance activities. This includes proper management and adherence to department policies and procedures related to the verification of eligibility/benefits. The Eligibility Supervisor will serve as a resource for the FCC using such knowledge to assist with facilitating insurance verifications and driving meaningful discussions with the insurance payors and patients to include technical competence and demonstrated proficiency with medical insurance plans, regulations and managed care plans. Familiar with multiple payers' insurance verification guidelines and processes and the ability to obtain payer-specific details, as necessary to ensure accurate coordination of benefits with demonstrated knowledge of effective management techniques. The Eligibility Supervisor will assist the Manager with establishing and delivering ongoing education and training to new and/or existing staff. The Eligibility Supervisor is also responsible for the hiring, evaluating and providing ongoing mentoring and feedback to designated staff.

Key Functions

  • Supervises and coordinates operational activities related to the timely and complete verification of eligibility and benefits verification processes, understanding the revenue cycle and supervising and motivating

  • Experience in using team building and quality management concepts to positively influence the work environment

  • Demonstrates understanding of payor groups, and individual health plans (payor plan codes) and knowledge of payors contracted with MD Anderson and process for completing spot agreement when necessary

  • Performs quality and assurance checks; reviews case documentation for completeness and accuracy, and ensures compliance with MD Anderson policies

  • Responsible for ensuring the verification of insurance is complete for each MD Anderson patient

  • Reviews, tracks and manages activities related to designated departmental work queues to ensure timely resolution of patient accounts

  • Provides direction and support to FCC staff with interpreting and understanding payor medical coverage policies to drive meaningful discussions with payors regarding insurance verification request and/or continuity of care needs

  • Acts as a liaison to assist with maintaining effective relationships and resolving matters, including escalated FCC issues that require interactions directly with Patient Access, Clinical Operations, a health plan, third party vendor, and/or new/existing patient

  • Provides ongoing updates and education to staff regarding payor related requirements

  • Maintains knowledge of systems and processes that impact admissions, verification and other patient access related functions

  • Assist Manager with developing and revising plans for continuous improvement to ensure the department maintains compliance with established FCC, institutional and required regulatory policies and procedures

  • Responsible for monitoring daily activity and performance metrics reports to assist with improving process flows and procedures

  • Reviews and understands the denials process and patient bad-debt that resides under the eligibility function

  • Responsible for maintaining Eligibility and Benefits for each MD Anderson patient

  • Ensures insurance coverage is obtained and resolves any issues with coverage and escalates complicated issues to a manager

Education

Required: Bachelor's degree in Business or Healthcare Administration.

Experience

Required: Six years of experience in patient registration, medical financial counseling, and/or insurance verification in a healthcare setting to include two years of lead/supervisory experience.

May substitute required education degree with additional years of equivalent experience on a one to one basis.

It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html

Additional Information

  • Employee Status: Regular

  • Minimum Salary: US Dollar (USD) 52,000

  • Midpoint Salary: US Dollar (USD) 65,000

  • Maximum Salary : US Dollar (USD) 78,000

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VIEW JOBS 1/12/2019 12:00:00 AM 2019-04-12T00:00 Mission Statement The mission of The University of Texas MD Anderson Cancer Center is to eliminate cancer in Texas, the nation, and the world through outstanding programs that integrate patient care, research and prevention, and through education for undergraduate and graduate students, trainees, professionals, employees and the public. Summary The Patient Financial Services - Eligibility Supervisor of the Financial Clearance Center is responsible for creating a positive patient experience by providing direct supervisory oversight of the Financial Clearance Associates and the day to day operations relating to financial clearance activities. This includes proper management and adherence to department policies and procedures related to the verification of eligibility/benefits. The Eligibility Supervisor will serve as a resource for the FCC using such knowledge to assist with facilitating insurance verifications and driving meaningful discussions with the insurance payors and patients – to include technical competence and demonstrated proficiency with medical insurance plans, regulations and managed care plans. Familiar with multiple payers' insurance verification guidelines and processes and the ability to obtain payer-specific details, as necessary to ensure accurate coordination of benefits with demonstrated knowledge of effective management techniques. The Eligibility Supervisor will assist the Manager with establishing and delivering ongoing education and training to new and/or existing staff. The Eligibility Supervisor is also responsible for the hiring, evaluating and providing ongoing mentoring and feedback to designated staff. Key Functions * Supervises and coordinates operational activities related to the timely and complete verification of eligibility and benefits verification processes, understanding the revenue cycle and supervising and motivating * Experience in using team building and quality management concepts to positively influence the work environment * Demonstrates understanding of payor groups, and individual health plans (payor plan codes) and knowledge of payors contracted with MD Anderson and process for completing spot agreement when necessary * Performs quality and assurance checks; reviews case documentation for completeness and accuracy, and ensures compliance with MD Anderson policies * Responsible for ensuring the verification of insurance is complete for each MD Anderson patient * Reviews, tracks and manages activities related to designated departmental work queues to ensure timely resolution of patient accounts * Provides direction and support to FCC staff with interpreting and understanding payor medical coverage policies to drive meaningful discussions with payors regarding insurance verification request and/or continuity of care needs * Acts as a liaison to assist with maintaining effective relationships and resolving matters, including escalated FCC issues that require interactions directly with Patient Access, Clinical Operations, a health plan, third party vendor, and/or new/existing patient * Provides ongoing updates and education to staff regarding payor related requirements * Maintains knowledge of systems and processes that impact admissions, verification and other patient access related functions * Assist Manager with developing and revising plans for continuous improvement to ensure the department maintains compliance with established FCC, institutional and required regulatory policies and procedures * Responsible for monitoring daily activity and performance metrics reports to assist with improving process flows and procedures * Reviews and understands the denials process and patient bad-debt that resides under the eligibility function * Responsible for maintaining Eligibility and Benefits for each MD Anderson patient * Ensures insurance coverage is obtained and resolves any issues with coverage and escalates complicated issues to a manager Education Required: Bachelor's degree in Business or Healthcare Administration. Experience Required: Six years of experience in patient registration, medical financial counseling, and/or insurance verification in a healthcare setting to include two years of lead/supervisory experience. May substitute required education degree with additional years of equivalent experience on a one to one basis. It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html Additional Information * Employee Status: Regular * Minimum Salary: US Dollar (USD) 52,000 * Midpoint Salary: US Dollar (USD) 65,000 * Maximum Salary : US Dollar (USD) 78,000 MD Anderson Houston TX

Supervisor, Patient Financial Services

University Of Texas M.D. Anderson