Position Summary: The Front Office Supervisor directs, supervises, and coordinates staff and activities in the front office in addition to performing and managing some of the daily operations assignments vital to the billing and collections aspects of the clinic's business. Job duties include:
Provides input for candidate selection, training, scheduling, supervising and evaluation of front office personnel
Provide supervisory oversight for registration/intake, scheduling, reception, phone operator, and medical records
Responsible for work assignments and daily operations of above mentioned positions
Provides input for performance improvement plans for areas of focus as determined by clinic leadership team.
Monitors/measures results of process improvement and reports to clinic leadership team.
Serves as an advocate for patients/families in regards to resolution of concerns
Establish quality control techniques to ensure that correct billing information is collected to produce and generate clean claims for submission
Monitors compliance with and implementation of new policies and procedures
Provide excellent customer service including problem solving, timely follow up, general assistance to staff in answering phones, registration, insurance verification/referrals and scheduling appointments
Answers billing inquiries or directs inquirer to appropriate resource – liason between billing company and our office
Uses appropriate patient feedback and refers patients to other Ability to Pay or CICP programs when the need arises (undocumented, no income)
Identify and assist patients with various grant applications, tracking status, submission and eligibility for same. This includes drug replacement programs and drug assistance programs offered through drug manufacturers
Obtains and documents prior authorization from insurance companies for treatment and pharmacy medications
Verifies insurance benefits for blood cancer patients and works with the Blood Cancer Navigators to ensure that extent of coverage is clearly communicated.
Acts as a resource for other members of the clinic team related to benefits, authorizations and resources.
Receives and reviews charge documents from clinic, ensuring charge information is accurate and complete, which may include evaluation of the medical record documentation to validate coding and documentation to support the outpatient visit and compliance with legal standards and guidelines
Interprets medical information such as diseases or symptoms, and diagnostic descriptions and procedures for a given visit in order to accurately assign and sequence correct ICD9 and CPT codes
Presbyterian/St. Luke's Medical Center expects our Code of Conduct Value Statements to be reflected in the way every employee interacts with co-workers, patients and family members, and with others in the community.
We recognize and affirm the unique and intrinsic worth of each individual
We treat all those we serve with compassion and kindness
We act with absolute honesty, integrity and fairness in the way we conduct our business and the way we live our lives.
We trust our colleagues as valuable members of our healthcare team and pledge to treat one another with loyalty, respect and dignity
A. Licensure/Certification/Registration: None
B. Education: High School diploma or equivalent.
C. Experience: At least two years of medical office supervisory experience.
D. Special Qualifications: Strong communications skills are required. Knowledge of fiscal and human resources management, ability to multi-task, and strong customer service skills a must. Strong time management, conflict resolution, and trouble shooting skills required. Must have a good understanding of medical and insurance terminology. Knowledge of Microsoft Word and Excel.
Degree of supervision required: Involves limited guidance and direction by the Clinic Financial Manager. Employee will be expected to perform most job duties independently and in accordance with established departmental and clinic policies and procedures.
Ages of Patients Served: This position requires knowledge of growth and developmental needs of patients and families. Personnel in this position must recognize and respond to the behaviors of patients and families in each age category. The employee must be able to demonstrate the special skills required to care for patients and their families according to standards. (The skills and knowledge needed to provide such care may be gained through education, training or experience.)
Join our HealthONE family -- the largest healthcare system in the Denver metro area. Eight world-class hospitals. 40+ outpatient facilities. Countless opportunities.
HealthONE is an equal opportunity employer.