Hiring.Camp

Patient Access & Financial Services Manager

Genesishcs

·

Today

Location
Genesis Healthplex, United States of America
Type
Full-time
Department
Healthcare
Seniority
Manager
Education
Bachelor
Source
Workday

Description

GENESIS HEALTHCARE SYSTEM
 

In order to fill our Mission of serving our community by helping each person achieve optimal health and well-being by providing compassionate, exceptional, and affordable healthcare services, all employees of Genesis HealthCare System must be committed to living the Genesis Mission and Genesis values of Compassion, Excellence, Integrity, Team, and Innovation. All employees must regard themselves as an ‘owner’ of Genesis and keep our patients at the center of everything we do - always. 

Position Details:

Work Shift:

Day Shift (United States of America)

Scheduled Weekly Hours:

40

Department:

GHS Registration

Overview of Position:

This position is responsible for leading and directing the work of pre-registration, registration, central scheduling, insurance verification, and resource counseling. Continually seeks process improvement through maximizing the utilization of current technology and the exploration of new technology. The incumbent optimizes staff performance through process redesign, policy/procedure implementation, communications, and outcome feedback. Must interact with Patient Accounts leadership and the denials team to understand the requirements needed for a claim to bill and pay timely and appropriately. Effective utilization of Epic to improve process efficiency and reduce operational costs is imperative.

ESSENTIAL DUTIES
1.    Manages and controls the daily operations of the department and staff.
2.    Provides leadership for departmental services through collaboration with customers, employees, physicians, clinics, other internal departments, vendors, etc.  
3.    Oversees training/education process within the departments and works in cooperation with Training and Education Services Department to conduct needs assessments, documents QA/training strategy, and develops learning objectives, structure, and cross-training opportunities. Verifies compliance and understanding following training.
4.    Manages pre-service/financial clearance issues, including pre-registration, medical necessity screening, insurance eligibility/benefit verification, service authorization, pre-service collections, pre-service financial counseling and pre-service eligibility assistance.  
5.    Determines proper central scheduling processes and procedures.
6.    Leads the redesign of pre-service/financial clearance and central scheduling processes and systems to improve service, data integrity, and staff productivity/quality.
7.    Monitors timely registration of patients within established guidelines, and maintains established accuracy rate. Verifies staff receives proper documentation from physician offices to accurately register patients. 
8.    Manages assigned staff in order to ensure steady workflow balance and high quality outcomes.  This includes, interviewing, selecting and training/developing, and evaluating staff; scheduling staff to meet work demands. 
9.    Manages ongoing performance feedback based on error reporting, call monitoring, and observation.  Provides feedback in a prompt, direct and positive manner; mentors and coaches associates to ensure positive outcomes. Conducts performance evaluations.  Provides counseling and/or conflict resolution regarding unresolved performance issues, demonstrating effective use of the disciplinary process and establishes a written developmental plan with clear expectations, follow up and subsequent consequences.
10.    Ensures adequate staffing and proper scheduling to match patient flows. 
11.    Monitors overall system/process performance for delays, downtime, errors and other related problems.  Provides support to staff by coordinating with the IT help desk as necessary to resolve issues.
12.    Creates a culture within the department that is supportive of personnel. Fosters teamwork, high performance and individual accountability with the expectation that staff will effectively collaborate with all departments.
13.    Identifies action plans to improve the quality of services in a cost efficient manner and facilitates plan implementation. Establishes implements and evaluates on-going performance improvement programs, utilizing an interdisciplinary approach.
14.    Leads staff with the focus of ensuring job performance supports the goals of the revenue cycle overall, and especially the ensuring submission of clean claims to third-party payers to ensure accurate and timely payment. 
15.    Communicates regularly and effectively with team members to ensure they are well informed of changes, issues and priorities.
16.    Provides consultative services for workflow and systems process issues.  Assists in the design and development of system enhancements while monitoring congruency with process goals and regulatory mandates.  Performs functional or integrated testing of application updates and provides feedback of findings.
17.    Maintains professional development and growth through journals, professional affiliations and workshops to keep abreast of trends revenue cycle operations, specifically healthcare.  Creates and implements an annual plan of personal and professional development.  
18.    Maintains a working knowledge of applicable federal, state, and local laws and regulations, and internal policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
19.    Develops project work plans, executes project tasks and obtains assistance from other resources, as required.   

QUALIFICATIONS
1.    Bachelors degree preferred. 
2.    In lieu of degree, 3-5 years of supervisory and field related experience is required, along with certification of achievement obtained within the first 18 months of employment. 
3.    Ability to motivate and organize people efficiently. 
4.    Excellent computer system knowledge and PC skills. 
5.    Ability to work under pressure and promote a positive working atmosphere. 
6.    Ability to lead and manage diverse staff in a learning environment with frequent changes in department priorities. Ability to recognize necessary changes in priority of tasks and allocation of resources, and act upon them as required to meet workload balance. 
7.    Possess good communication skills both verbally and written. 
8.    Excellent critical thinking, decision-making, problem solving, and analytical skills required. 

PATIENT CENTERED CARE & BEHAVIORAL EXPECTATIONS
1.    Living the Genesis Mission, Vision and Values
• Performs work in a manner that is quality focused.
• Treats patients, co-workers, visitors and volunteers with courtesy, compassion, empathy and respect.
• Results oriented and focused on achievement of objectives.
• Acknowledges and responds to the diversity of people and the situation.
• Encourages peers (others) to be owners of change.
• Always makes the effort to anticipate and exceed customer needs and expectations.
• Possesses the ability to engage others with patience and understanding.
• Acts in a manner that creates positive first and lasting impressions.
• Demonstrates the ability to own issues until they are resolved.
2.    Patient Centered Care  (patients/families, physicians, co-workers, all other internal/external customers)
• Introduces self and role…connects with everyone.
• Communicates effectively (i.e. advising others of actions, pertinent information, time durations, etc.) and asks for feedback.
• Asks for and anticipates needs and concerns of others.
• Maintains a positive work environment for staff and a healing environment for patients (i.e. safe, clean, quiet, etc.)
• Maintains the dignity and privacy of each person; manages confidential/sensitive information appropriately.
• Responds to requests in an appropriate and timely manner.
• Exits patient/customer encounters courteously, asking if there are additional needs that can be addressed.
3.    Promotes Patient and Employee Safety 
• Demonstrates safe Patient Handling (i.e. transfers, transport, care administration, nutrition, medication, etc.) 
• Demonstrates safe Materials Handling (i.e. appropriate use and disposal of chemicals, infectious wastes, etc.)
• Demonstrates appropriate knowledge of Infectious Disease precautions and use of proper protective equipment
• Demonstrates Slips/Trips and Falls Awareness.
• Actively contributes to maintaining a safe, clean and quiet environment.

WORKING CONDITIONS/PHYSICAL REQUIREMENTS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

1.    Works in an office environment.
2.    Travels to other floors and to centralized files.  May be required to drive to other locations.  Answers telephone calls, uses personal computer and other business machines extensively.  Bends, reaches, pushes and pulls file drawers to file records and reports.
3.    Regularly lift or move up to 10 pounds, frequently lift or move up to 25 pounds and occasionally lift or move up to 50 pounds.
4.    Vision abilities required include up close vision, peripheral vision, depth perception and the ability to adjust focus.
5.    May be required to periodically rotate shifts and regular days off.  All system employees must be willing to work all shifts, extra hours, holidays and emergency shifts as required.

This description reflects in general terms the type and level of work performed.  It is not intended to be all-inclusive, nor portray the specific duties of any one incumbent.
 

Thank you for your interest in employment at Genesis. Genesis is committed to being an equal opportunity employer. Selection of applicants for employment is based only on qualifications and the requirements of a specific job.

Skills

EpicCompliance

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