Supervisor Central Financial Clearance Authorization Job Listing at MedStar Health in Columbia, MD (Job ID 145659)

Description

General Summary of Position
Supervises and coordinates the daily activities of Patient Access & Central Financial Clearance with the overall operations of the assigned department. in conjunction with management monitors and supports pre-authorization and pre-certification workflows ensuring that representatives are completing expected quality and productivity goals. Establishes priorities schedules distributes work and reassigns tasks as necessary to prevent denials. Provides team members with opportunities for learning creativity and personal growth. Works with all team members to resolve authorization clearance and customer service issues with both internal and external customers.

Primary Duties and Responsibilities

• High School Diploma or GED required or
• equivalent required
• Associate's degree in healthcare preferred
• related certifications from AAHAM HFMA and related organizations preferred
• One year of relevant education may be substituted for one year of required work experience.

• 1-2 years Job related experience and knowledge of hospital or physician business office procedures. required or
• Experience in pre-authorization and pre-certification revenue cycle management or insurance related fields. required or
• 1-2 years Successful supervisory experience in a hospital or physician office environment. preferred and
• Knowledge of medical terminology procedure and diagnosis codes. required
• One year of relevant professional-level work experience may be substituted for one year of required education.

• HFMA NAHAM or AAHAM revenue cycle certification e.g. CHAA CHAM CRCS CRCS or related field preferred or

• Detailed working knowledge and proficiency in supervising payer authorization and pre-clearance processes with particular focus on understanding of payer requirements.
• Ability to resolve complex payer issues to completion training individuals in the authorization pre-clearance and denial processes.
• Excellent leadership communication telephone etiquette and interpersonal skills.
• Able to deal effectively and professionally with a variety of different individuals.
• Excellent organizational skills to manage multiple tasks in a timely manner.
• Ability to perform in a high-pressure fast-paced environment.
• Proficient use of hospital registration and/or billing systems and Microsoft applications and other software applications.