Supervisor, Patient Access, Orthopedics, Rehab, FT, Days

Essential Functions

• Ensures that appropriate/necessary information is obtained, to include processing insurance verification, providing estimates and pre-certification for patient registration and billing purposes. Conforms with guidelines as specified by facility or practice and departmental policy and procedures. -20%

• Verifies that appropriate/necessary documentation is secured for processing of Financial Assistance applications according to the guidelines specified by the organizational policy, procedures and 501R regulations. Complies with Federal regulations by maintaining yearly updates to Federal Poverty Levels. - 10%

• Establishes departmental quality and compliance. Performs regular audits and evaluates processes, workflows and procedures to identify opportunities for improvement. Implements change and takes initiative to resolve issues as needed. - 10%

• Develops departmental goals and objectives. Establishes priorities, assigns work, and monitors workflow. Provides routine feedback to the team regarding productivity, quality audits and customer service to ensure continuous improvement in operations and/ or financial performance. - 10%

• Selects, trains/orients, assigns and manages department staff (either directly or through subordinates). Develops standards of performance, evaluates performance and initiates or makes recommendations for personnel actions. Develops and maintains team schedules within budgeted parameters. Completes biweekly time and attendance and monitors weekly for accuracy. Reviews and approves time off requests. - 10%

• Utilizes the appropriate Prisma Health progressive discipline policy for employees with performance, behavior, or attendance problems. Ensures appropriate documentation of verbal counseling, warnings/reprimands, suspensions and for-cause terminations. Reviews personnel actions for compliance with Federal/State laws and regulations and Prisma Health policies. Demonstrates excellent rapport and the ability to encourage open communication with staff and resolve interdepartmental problems and conflicts. Communicates discrepancies and concerns to department manager. - 10%

• Reviews and updates policies and procedures on a regular basis. Ensures regular in-service training is provided for all subordinates to keep job knowledge current. Ensures team is up to date on procedure changes, policy changes and federal guidelines. - 10%

• Maximizes reimbursement by ensuring compliance with third party requirements, including precertification and insurance verifications. Keeps abreast of reimbursement requirements and maintains current knowledge of applicable government, managed care, and/or third-party regulations and guidelines. Ensures compliance and communicates discrepancies to appropriate personnel or departments, i.e., Patient Account Services, Managed Care. - 10%

• Monitors the performance of appropriate Work queues to ensure timely completion. Adjusts shift coverage as necessary. - 10%

• Performs other duties as assigned.