Patient Financial Clearance Supervisor
Franklin Township, NJ 
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Posted 22 days ago
Job Description
Patient Financial Clearance Supervisor
Job Locations US
Job System ID 2024-21131 # of Openings 1
Overview
HearingLife is a national hearing care company and part of the Demant Group, a global leader in hearing healthcare built on a heritage of care, health and innovation since 1904. HearingLife operates more than 600 hearing care centers across 42 states. We follow a scientific, results-oriented approach to hearing healthcare that is provided by highly skilled and caring professionals. Our vision is to help more people hear better through life-changing hearing health delivered by the best personalized care. This Team Member must uphold the HearingLife Core Values:
- We create trust
- We are team players
- We apply a can-do attitude
- We create innovative solutions
Reporting to the Financial Clearance Manager, the Financial Clearance Supervisor will be responsible for all administrative and financial components of financial clearance for his/her assigned team of Insurance Coordinators. Responsible for assigning, directing and evaluating the work of personnel. Some of the financial components consist of pre-registration, insurance verification, pre-certification, authorization, claims creation and patient financial obligation estimations. Utilizes supervisory expertise to ensure that quality service is delivered. Serves as a resource to staff to answer questions and to resolve issues and problems. Responsible for formulating and implementing solutions to respond to and resolve customer requests, issues and problems, while meeting the changing demands and priorities of Hearing Life and its payors. Responsible for working collaboratively with all Revenue Cycle functional areas to maximize revenues and identify potential operational process improvement opportunities.
Supervisor of Financial Clearance Purpose Statement:
To help more people hear better by ensuring the best experience for Team Members and meets the highest standards of patient services while achieving financial growth for HearingLife clinics in a manner consistent with HearingLife's Core Values.
Responsibilities
- Provides day to day supervision of the staff and work activities. This includes measuring daily KPI's and monitoring staff daily productivity to ensure peak performance through quantitative and qualitative measurements.
- Coordinates the collection and analysis of the team's productivity outcomes measures, quality, efficiency and comparison to service level agreements with field leaders and national databases.
- Leads the selection, training and motivation of employees; makes effective decisions regarding hiring, terminations, discipline and changes in employment status. Conducts regular performance reviews for assigned personnel. Ensures a smooth and productive onboarding for new employees. Responsible for the preparation and planning of team meetings.
- Educates employees, providers, patient care coordinators and field leaders on financial clearance processes and payer operations (and in the future price estimations).
- Stays apprised of legislative efforts related to insured and uninsured patients, educating others and recommending organizational changes to programs as a result.
- Frequently interprets the regulations and specific requirements of various third-party payers and takes the appropriate actions to ensure compliance in order to minimize bad debt and facilitates the collection of the accounts receivable. Keeps staff abreast of any changes in policies and procedures by holding training sessions/modules and maintaining procedure manuals.
- Keep up-to-date records for fee schedules and group versus provider billing in repository.
- Works with site leaders both in person and virtually to improve the operational flow of financial clearance.
- Makes sound decisions and works closely with staff when developing and implementing operating procedures as they relate to the area.
- Provides training to the clinics ensuring a clear understanding of the necessary procedures as they relate to financial clearance efforts.
- Acts as liaison between field staff and revenue cycle departments to ensure that all inquiries are addressed and work directly with field leadership for all insurance related matters (verification, authorizations, claims processing, etc.)
- Regularly monitors and revises workflow to ensure pre-receivable issues are addressed with staff and affected departments. Evaluates the work, volume, complexity and its effectiveness to ensure the integrity of the information gathered, as it is disseminated throughout all the computer systems.
- Maintains knowledge of current computer systems (i.e. POS, DM, AX and Remedy).
- Participates in the development and maintenance of department standards of practice and in the quality assurance program. Assists in formulating programs to improve operations and staffing needs ensuring compliance with JCAHO standards.
- Works with team on managing the pending clinic report of claims to assure missing documentation issues are addressed and resolved.
- Job description is not intended to include an inclusive list of responsibilities. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice.
Qualifications
- -5 years of insurance verification in a medical practice required
- Excellent communication skills, both written and verbal
- Ability to interact at all organizational levels
- Excellent interpersonal and organizational skills
- Strong problem-solving skills and the ability to manage and prioritize multiple projects required
- Strong computer skills relevant to the position required. Significant experience using Excel, Power Point and Word required.
- Proven ability to drive performance, metric outcomes and collaborate cross departmentally to help meet and exceed organizational goals.
- Self-starter who excels in a fast paced, data driven environment and shifting work environment.
- Ability to work in changing environments, see through complexity.
- Knowledge of and ability to articulate explanations of Medicare, Medicaid, HIPAA, EMTALA, and other government assistance programs and regulations.

*Supervises a team of non-exempt Insurance Coordinators


We are an Equal Opportunity / Affirmative Action employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, sex, national origin, disability, or protected veteran status.


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Job Summary
Company
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Experience
Open
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