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Rocky Mount, North Carolina
Posted: 07-Jan-25
Location: Tampa, Florida
Categories:
Internal Number: 24044851
All the benefits and perks you need for you and your family:
·Paid Days Off from Day One
·Student Loan Repayment Program
·Career Development
·Whole Person Wellbeing Resources
·Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding thattogetherwe are even better.
Schedule: Full Time
Shift: Days
The community you’ll be caring for:AdventHealth Division
·AdventHealth Pepin Heart Institute, known across the country for its advances in cardiovascular disease prevention, diagnosis, treatment and research.
·Surgical Pioneers – the first in Tampa with the latest robotics in spine surgery
·Building a brand new, six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come
·Awarded the Get With The Guidelines – Stroke GOLD Quality Achievement Award from the American Heart Association/American Stroke Association and have been recognized as a recipient of their Target: Stroke Honor Roll for our expertise in stroke care. We have also received certification by The Joint Commission in collaboration with the American Stroke Association as a Primary Stroke Center.
The role you’ll contribute:
The Pre-Access Supervisor directs and manages staff in performing Pre-Access related activities, including ensuring patients are appropriately registered for all service lines, performing eligibility verification obtaining pre-cert and/or authorizations, making financial arrangements, requesting and receiving payments for services, performing cashiering functions, and clearing registration errors and editing pre-bill. The Supervisor is responsible for region and/or division wide outcomes, the performance of their team and holds each staff member accountable for the performance of assigned day-to-day activities, to include ensuring effective use of computer equipment and materials within departmental budget and quality standards. Engages with staff to ensure AdventHealth is promptly and accurately helping patients with their needs. Monitors staff productivity levels, quality of output, and resolves workplace-related issues in a timely manner to promote a culture of accountability driving towards continuous performance improvement. Ensures Pre-Access functions meet or exceed key performance indicators. Provides training to team and manages team members' schedules. Oversees efficient departmental operations. Is involved with the day-to-day operations of the team. Serves as a liaison to other revenue cycle teams within AdventHealth, as well as external constituents/stakeholders including physician practices and managed care. Participates in enterprise-wide projects, work groups, task forces, councils, and committees. This position may require occasional travel. Adheres to AdventHealth Compliance Plan and to all rules and regulations of all applicable local, state, and federal agencies and accrediting bodies.
The value you’ll bring to the team:
· Implements, supervises and monitors region wide processes related to financial clearance including eligibility and verification of benefits, pre-authorization of services, notification of admission and pre-registration call center activities to ensure complete Financial Clearance is achieved 3 to 5 days out from date of service. Works with team to ensure appropriate expectations regarding verification, pre-authorization, and collection standards
· Serves as single point of contact for initial communication with service partners inclusive of medical group, managed care, ancillary and support departments and is the first stage of the escalation process to leadership. Escalates high-priority accounts with missing authorization or limited benefits to appropriate clinical personnel to determine whether rescheduling is necessary.
· Audits performance and provides education to front line staff in order to maintain or exceed accuracy level standards. Provides constructive feedback that motivates the team and enhances knowledge to assist in meeting accuracy standard goals, minimize department registration errors, rejections, and avoidable denials. Specifically audits and ensures direct reports obtain authorization approval dates, CPT Codes, determine if procedure is considered cosmetic and verifies any other items used for procedures to aide in reduction of avoidable denials and write offs.
· Ensures appropriate communication is maintained with physicians, Consumer Access support staff, scheduling, third party payors, payor provider reps, managed care, contract management, patients and their guarantors to assist with optimizing appropriate financial clearance, timely access to care, appropriate billing of services, maximum revenue collection and high customer satisfaction.
· Collaborates closely with key stakeholders in Consumer Access, including direct interaction with physicians and clinic support personnel on all financial reporting matters, operational outcomes and issues to assist with developing and maintain productive working relationships.
· Runs/schedules reports and/or monitors work lists and distributes to appropriate staff ensuring representatives have work needed at all times and leadership is kept apprised of issues in performance or processes in a timely manner
The expertise and experiences you’ll need to succeed:
· Associate or 2 years experience
· Certified Healthcare Access Associate (CHAA) - NAHAM
· Certified Revenue Cycle Representative (CRCR) - HFMA
