Supervisor, Community Health Enrollment

The Supervisor of Community Health Enrollment, reporting to the Eligibility & Enrollment Manager, will set strategy and create accountability specific to Medicaid screening & enrollment, Charity Care screening & enrollment, and point of service collections.

KEY RESPONSIBILITIES:

Overall Responsibilities:

• Set strategy for, create accountability, and actively supervise Community Health Enrollment Specialists (CHES) responsible for:
  • Medicaid Enrollment
  • Charity Care Enrollment
  • Point of service collections

• Set metrics for performance across Revenue Operations categories:
  • Includes: POS cash, MCD screening, Charity Care screening, application submission, and daily productivity expectations
• Partner with hospital Patient Access Directors and departmental leadership to identify performance issues, develop improvement plans, deploy teams and manage to results
• Ensure hospitals meet financial and operational metrics

Team Responsibilities:

• Medicaid Enrollment
  • Partner with Manager to ensure MCD enrollment metrics are being hit consistently, documentation is consistent and robust
  • Escalate issues to Medicaid State & County Program Partners
• Charity Care Enrollment
  • For patients screened as not eligible for Medicaid, evaluate eligibility for Charity Care and coordinate completed application with qualifying patients
  • Partner with CBO leadership where their involvement is required to process completed Charity Care applications
• Point of Service Collections
  • Set strategy for which areas team members will focus on for collections
  • Devise metrics and reporting to monitor performance
  • Partner with Patient Access & Clinical staff at hospitals to ensure maximum impact of team

Other Responsibilities:

• Work with Compliance to ensure all appropriate regulations are being communicated to hospitals and followed appropriately
• Develop new Revenue Operations procedures, where appropriate
• Evaluate potential new vendors
• Serve as business owner for new pilots and product implementations
• Develop leadership materials and present to senior leadership
• Denial Prevention and Revenue Enhancement Initiatives

REQUIRED KNOWLEDGE & SKILLS:

• Hospital experience required
• Experience with Microsoft Excel and statistical analysis
• Understanding of drivers of financial performance for health care providers
• Highly detailed and organized
• Excellent communicator (both oral and written communication)
• Ability to work successfully with a range of team members, from entry level to executive level employees
• Bilingual; Spanish-speaking preferred.

EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:

1. Education: Associates Degree required; Advanced degree in hospital administration preferred.
2. Experience (Type & Length): 3-5 years’ relevant work experience required. Experience within a healthcare consulting firm or large company preferred.
3. Travel: Up to 80% travel within the division.
4. Other: Bilingual; Spanish-speaking preferred.