Supervisor Financial Clearance - Fluent Spanish Preferred

POSITION SUMMARY:

This position is responsible for monitoring, supervising, and supporting service-line oriented Financial Clearance teams, composed of Denial Prevention Analysts (DPA II’s). The role includes managing staff productivity, quality of work, and identifying training opportunities to facilitate successful completion of Financial Clearance functions, which includes but is not limited to, verifying insurance eligibility/ benefits, calculating patient liability estimates, securing prior authorization, providing notice of admission, obtaining referrals, and verifying medical necessity. These efforts will result in increased net revenues by reducing front-end related denial write-offs. Central to the Financial Clearance Supervisor’s role, interactions will be managed with providers, payers, patients, staff, and other Steward departments to support Financial Clearance functions.

KEY RESPONSIBILITIES:

• Supervises service line oriented Financial Clearance teams, composed of Denial Prevention Analysts (DPA II’s) that verify insurance eligibility/ benefits, calculate patient liability estimates, secure prior authorization, provide notice of admission, obtain referrals, and verify medical necessity
• Regularly monitors and evaluates Financial Clearance staff performance and adherence to departmental goals/ procedures, such as through Quality Assurance reviews. Provides regular feedback to staff to ensure accounts are completed appropriately
• Assists the Financial Clearance Manager with developing corrective action plans, completing staff performance reviews, and identifying training opportunities
• Assists the Financial Clearance Manager with implementing departmental goals, policies, and procedures
• Manages workload of Financial Clearance teams, such as through daily triage of worklists, to ensure proper prioritization, minimal backlogs, and unit results
• Manages daily staffing schedules, monitors attendance, and resolves daily staffing issues to maximize utilization
• Maintains knowledge of payer and government guidelines as well as company policies and procedures to ensure compliance related to all areas of responsibility. Provides education to staff to maintain adherence
• Leads team huddles, and assists staff with questions, problem accounts, and other training needs
• Supports and participates in a collaborative team-oriented environment, including serving as a coach in upskilling assigned staff both in the development of revenue cycle business and technical acumen
• Supports, cooperates with, and demonstrates safe work practices and attitudes
• Promotes positive relationships with external and internal Steward stakeholders, including other Steward departments, patients, providers, and insurance companies

REQUIRED KNOWLEDGE & SKILLS:

• Demonstrated ability to supervise teams or groups of colleagues.
• Experience with patient accounting systems is preferred.
• Possess ability to investigate, analyze and in coordination with management, resolve departmental issues.
• Possess ability to work efficiently and accurately, and to organize and plan work.
• Possess flexibility and adaptability to work additional hours and to work under stress.
• Ability to establish and maintain effective working relationships and communicate clearly with stakeholders both within and outside of Steward.

EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:

1. Education: High School diploma or GED required; Associate degree in business administration or healthcare preferred
2. Experience (Type & Length): At least 2 years’ experience working in a Patient Access or Pre-Service department or related area
3. Certification:
4. Other Qualification: Experience using Microsoft Office applications such as Excel and Word preferred