Transplant Financial Advisor Supervisor
Job ID: R-39643
Job Type: Full time
Location: Westwood, Kansas
Position Summary / Career Interest:
The Transplant Financial Advisor Supervisor is responsible for overseeing the financial assistance practices supporting all patients throughout the health system. Supervises the employee workflow and performance by following the financial policy and procedures for the hospital enterprise. This position provides direction and leadership to front line staff and assures staff productivity, quality and customer service are monitored and meet the departmental standards. Works in collaboration with multiple departments throughout the health system. Supports and adheres to the University of Kansas Health System's Code of Ethics and Business Standards.
Responsibilities and Essential Job Functions
Required Education and Experience
Preferred Education and Experience
Required Licensure and Certification
Knowledge Requirements
The Transplant Financial Advisor Supervisor is responsible for overseeing the financial assistance practices supporting all patients throughout the health system. Supervises the employee workflow and performance by following the financial policy and procedures for the hospital enterprise. This position provides direction and leadership to front line staff and assures staff productivity, quality and customer service are monitored and meet the departmental standards. Works in collaboration with multiple departments throughout the health system. Supports and adheres to the University of Kansas Health System's Code of Ethics and Business Standards.
Responsibilities and Essential Job Functions
- Oversees the financial advisor functions including but is not limited to, contacting the patient, contacting responsible payers including government and non-government payers, contacting the patient’s employer, referring uninsured and underinsured accounts to the Financial Counselors, and taking any other necessary actions. Contacts leadership and physician immediately of any restrictions denying admission, such as inability to obtain pre-certification or any lock-in program by any agency. Ensures the patient or family is aware of any denials or limitations.
- Provides relief coverage in planned or emergent absences of other supervisors, all shifts when requested. Provides relief coverage in emergent absences of employees, all shifts, when requested.
- Assists with Human Resource management functions including interviewing, selection, orientation, education/training, feedback, performance evaluation, and policy and procedure development. Assist in updating and maintaining personnel files. Ensures employee competency and maintains written documentation of all counseling sessions as needed. Maintains and monitors Kronos records for employees.
- Acts as a resource supporting day to day operations which includes collecting health insurance, homeowner’s insurance, workman’s compensation insurance, pre-paid packages, grants, studies, COBRA, VA benefits, Crime Victim, auto insurance, Medicaid or Medicare. Complies with Medicare/Medicaid rules and regulations.
- Coordinates the screening of financially unsponsored patients and assists them in finding payment resolution for their accounts including: negotiate settlements, insurance, public assistance, payment arrangements, charity or overwhelming debt.
- Serves as liaison between the patient and family members and other health care personnel. Knowledgeable of administrative policies, department procedures, interface procedures of other departments: third party coverage, forms and requirements. Advices Manager of complaints from patient/public, liaisons activities and other information as it is received, or situations develop.
- Monitors daily WQs consisting of all unsecured accounts. Follow s up with staff to meet WQ goals.
- Ensures staff assist ""walk-in"" customers requesting assistance or customers calling into the department.
- Checks equipment to determine needs for repair and see that employees have adequate supplies to work with.
- Performs related assignments as requested by the Director, Manager and other administrative representatives.
- Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
- These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.
Required Education and Experience
- Associates Degree in a related field of study from an accredited college or university.
- 5 or more years of experience in financial advising, claims processing, benefits explanation, cost estimates, benefit pricing, or as a patient accounting representative.
- 2 or more years of lead or supervisory experience.
Preferred Education and Experience
- Bachelors Degree in a related field of study from an accredited college or university.
- 4 or more years of experience in Epic.
- 6 or more years of CPT-4 and HCPCS coding.
- 3 or more years of experience working in Microsoft Word and Excel.
Required Licensure and Certification
- Transplant Financial Advisor Certification within 6 months of hire.
- All certifications must be current at all times.
Knowledge Requirements
- Knowledge of Insurance (Commercial & Government).
- Working knowledge of Prior Authorizations.
- Transplant (BMT and/or Solid)
- Working knowledge of CMS regulations.
We are an equal employment opportunity employer without regard to a person’s race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information.
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