Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.
Job Description:
Education:
Required: High school diploma, GED or higher level degree
Preferred: Bachelor's degree
Licensure/Certification:
Preferred: CHAA or CHAM
Experience:
Required: One (1) year of insurance payors, patient billing, or admitting/registration experience
Preferred: Supervisory experience
Job Objective:
Ensures that staff are providing all patients with a satisfying registration experience and are provided with choices, options and counseling to assist them in making their healthcare decisions. Ensures that all staff is educated in accordance with HIPPA, EMTALA and all governmental regulations and are assessed for the adequate competency expectations.
Essential Responsibilities:
- Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
- Supervises all assigned staff to include hiring, orienting, training, evaluating and coaching; escalates employee performance concerns to leadership and provides documentation for counseling and performance improvement plans (PIPs) as necessary.
- Develops work schedules, changes in staffing roles and work assignments based on dept needs; revises schedule to ensure effective coverage at all times, including working within department due to staffing shortage.
- Monitors, reviews and enters corrections to employee Time & Attendance records for adherence to hospital and department time keeping policies on a daily basis.
- Works closely with the department QI Coordinator, Manager and Director during the 30, 60 and 90-day review period and develops competency assessments for all staff.
- Ensures that procedures are followed to provide all patients with the opportunity to be pre-registered by phone prior to time of service.
- Monitors that procedures are followed to ensure accurate and complete demographic, insurance and authorization information and/or a Cash Quote is provided for all registered patients either prior to or at Time of Service.
- Maintains daily productivity logs for each Patient Financial Counselor providing them with data on their successes and identifying any areas of needed improvements.
- Ensures that all options have been explored for uninsured patients to include MISP, Medi-Cal, Charity, Uninsured Discount and Victims of Crime.
- Provides assistance to staff and proficiently perform patient registrations as needed.
- Abides by and educates staff of adherence to Governmental Rules and Regulations and EMC Policies (HIPPA, EMTALA, Corporate Compliance).
- Attends available seminars pertaining to Corporate Compliance, Customer Satisfaction, Patient Registration, authorization processes and departmental management meetings.
- Participates in goal setting, developing of department Policies and Procedures and processes within department and assists Director/Manager in planning and directing of changes.
- Assists leadership with adherence to the departmental budget.
- Provides positive leadership and supports Performance Excellence as an important focus of all EMC employees at all times.
- Performs other duties as assigned.
Essential Skils:
- Ability to maintain the day-to-day operations of the department, which includes staffing, payroll, staff/ patient/visitor questions, daily deposit bank out, etc
- Ability to operate Microsoft Office, general office equipment, hospital billing systems and database applications
- Detail oriented, analytical and extremely organized
- Knowledge of the eligibility, benefit and authorization process, various pay sources available and principles of the managed care requirements, payment processing, Hospital based Federal Rules, Regulations and procedures, safety practices, and medical terminology
- Proficient in the Downtime Registration Process
- Knowledge of MISP, Medi-Cal, Charity and Victims of Crime application programs
- Ability to demonstrate good leadership and supervision skills
- Ability to interact with others in a positive, effective, courteous and professional manner
- Ability to write and/or update department policies and procedures
- Excellent Customer service skills, written and verbal communication skills and the ability to deal with difficult and stressful situations in a calm and professional manner
- Ability to communicate effectively in writing, on the telephone, one-on-one, and large or small groups (committees, meetings, etc)