Job Summary

Under the direction of the Patient Access Services (PAS) Director, this position is responsible for the day to day Supervision of the staff responsible for insurance verification, insurance authorizations, self pay account review and Medicaid applications at both St. Elizabeth Medical Center and Faxton St. Luke’s Healthcare. This position is considered a working manager and will fill in for staff absences, and/or as needed.

Responsible for the review, monitoring and tracking of employee productivity, quality and overall trends of staff level tasks.

Serves as a liaison between Patient Access Services, Patient Accounting, Ancillary Departments, Physicians and their teams to ensure Patient Access Services department needs, billing requirements and government regulations are met and creates protocols as needed.

Core Job Responsibilities

• Sets goals and expectations in relation to productivity, quality and overall task assignment for designated area; holds staff accountable for those goals and expectations
• Responsible for generating, updating and distributing monthly employee dashboards with updated quality and performance data.
• Maintains all updated authorization requirements per insurance and procedures; can easily assist staff with authorization requirement questions.
• Works with Case Management, PAS Management and Staff, Coding, Business Office, Ancillary departments and/or provider/provider office to prevent insurance related denials
• Takes ownership of area’s processes and recommends opportunities for improvement
• Responsible for monitoring weekly KRONOS report and submits PEAR forms timely to ensure accurate timekeeping of payroll for direct reports, including documenting comments.
• Administers and documents job coaching, disciplinary action according to guidelines and ensures each employee file is inclusive of all appropriate documentation and submitted timely and appropriately to Human Resources.
• Acts as a role model for staff by maintaining professionalism, exceptional customer service, follows departmental and hospital standards and maintains poise during the most difficult of situations

Education/Experience Requirements

Required: At least one year direct health insurance authorization experience for hospital based services
Preferred: At least one year Supervisory experience

Licensure/Certification Requirements

Preferred: New York State Certified Application Counselor or ability to obtain within 6 months

Job Details

Req Id 86849
Department PATIENT ACCESS
Shift Days
Shift Hours Worked 8.50
FTE 1.066667
Work Schedule SEMC NU SALARY
Employee Status A1 - Full-Time
Union Non-Union

EOE AA M/F/Vet/Disability

Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.

Successful candidates might be required to undergo a background verification with an external vendor.