MD Anderson Cancer Center Supervisor, Patient Financial Services (Emergency Center) in Houston, Texas
The ideal candidate for the Patient Financial Services Supervisor position in the Emergency Center will have a Bachelor's degree and strong ER experience and ER leadership.
Note: The Emergency Center is a 24 hour operation. The supervisor will need to be flexible to work and cover various shifts as needed. Predominate work hours may be 7a-5:30p with alternating weekends. There may also be the need to work a late shift until 10pm every other Friday.
The mission of The University of Texas MDAnderson 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.
The Patient Financial Services Emergency Center (EC) Supervisor, Financial Clearance Center is responsible for creating a positive patient experience by providing direct supervisory oversight of EC registration and EC Financial Clearance employees and the day to day operations relating to registration and financial clearance activities. This includes proper management and adherence to department policies and procedures, established workflows related to the verification of eligibility/benefits, EC payment collections and financial counseling, timely and complete registration and admissions processes. The EC Supervisor will assist the EC Manager with establishing and delivering ongoing education and training to new and/or existing staff. The EC Supervisor is also responsible for the hiring, evaluating and providing ongoing mentoring, scheduling and feedback to EC Financial Clearance employees.
Salary Range: Minimum $52,000 - Midpoint $65,000 - Maximum $78,000
Supervises and coordinates daily EC operational activities related to complete verification of eligibility and benefits, EC payment collections and financial counseling, timely registration and admissions processes
Responsible for coordinating resources (staff, equipment, etc..) and work assignments to ensure quality and productivity targets, in conjunction with the EC Manager and Director
Completes the work schedule, ensuring adequate and appropriate coverage and performance. Serves as on-call scheduling contact and assists with coordination of staff to meet the need
Responsible for ensuring compliance with JCAHO, EMTALA, HIPAA and other governmental agencies
Ensures daily operations complies with hospital established polices, quality assurance, safety, environmental and infection control policies and procedures. Ensures compliance guidelines for admitting
Serves as relief support and works on-call, as required
Demonstrates understanding of payor groups and individual health plans (payor plan codes) and knowledge of payors contracted with MD Anderson
Performs quality and assurance checks; reviews case documentation for completeness and accuracy, and ensures compliance with MD Anderson policies
Reviews, tracks and manages activities related to designated departmental work queues to ensure timely resolution of patient accounts
Provides direction and support to EC Financial Clearance employees 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 EC issues that require interactions directly with 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 EC Manager with developing and revising plans for continuous improvement to ensure the department maintains compliance with established EC, 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
Ensures insurance coverage is obtained and resolves any issues with coverage and escalates complicated issues to the EC manager
Required: Bachelor's degree in Business or Healthcare Administration.
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.
Preferred: Bachelor's degree and strong ER leadership 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