Manager Authorization and Scheduling Ancillary

Manager Authorization and Scheduling Ancillary

Requirements

• Bachelor’s Degree – required
• 5 – 7 years supervisor experience Hospital, Practice or Patient Billing specific to appointment and ancillary service scheduling – required
• Revenue Cycle Operation experience, including healthcare call center experience with demonstrated patient-centered approach to best practice appointment scheduling process. – required
• Demonstrated success In the development of a patient-centered environment; promoting and instilling all actions are to promote the optimal patient experience.
• Revenue Cycle Management to Include direct experience with denial prevention including but not limited to third party payer contractual agreements and Practice and Hospital Billing Regulations; review billing edits for long term approach for resolution at time of scheduling.
• Demonstrate critical thinking and ability for successful service recovery.
• Ability to meet daily, monthly and yearly scheduling volumes per budget projections.
• Excellent attention to detail and ensuring all procedures are followed for best practice pre-service (revenue cycle) processes; with strong analytical skill to identify process fail points and improvement measures implementation.
• Ability to think on your feet with solution to immediate patient complaints; focus of service recovery.
• Ability to lead, motivate and inspire team to achieve excellence in best practice revenue cycle principles.
• Understand system integration and optimizing system functionally for efficiency in workflow.
• Ability to create dally, weekly, monthly dashboards for ease of Identifying revenue cycle vulnerabilities; create cash targets for point of service collection.
• Multi-tasking in a high stress environment with the ability to meet mission critical expectations.
• CHAM (at hire or acquired within first 2 years of employ) – required

Responsibilities

• Ensure the recruitment and retention of a high functioning team — assuming accountability to daily productivity and quality standards, including building a diverse workforce.
• Ensure authorizations are obtained in a timely manner, assuring a secured financial source prior to scheduling.
• Ensure staff and leadership maintain strong collegial relationships with department stakeholders, including but not limited to Nurse Managers, Physician Leaders, Directors and Administrative Leadership, assuring appointments are scheduled in support of budget projections and assuring scheduling and authorization Issues are resolved timely without Impact to patient experience.
• Must be able to adapt to the ever changing regulatory and healthcare landscape Including change of payer regulations as it relates to authorization guidelines.
• Provide ongoing training to staff as it relates to scheduling concerns and claim denials assuring prevention of recurring concerns.
• Creates an environment of “YES” — ensuring patients are at the center of delivery of care.
• Conduct Service Recovery as required.
• Conduct outreach to community providers, building strong referral base.
• Provide training and re-education due to change policy, procedure and regulatory requirements.
• Maintain unit policy and procedures, Job aids and operational training manuals.

Preferred Qualifications

No preferred qualifications provided.