Children's Hospital Boston Patient Financial Clearance Supervisor in Boston, Massachusetts
73765BRJob Posting Title:Patient Financial Clearance SupervisorDepartment:Finance-Patient Access CenterAutoReqId:73765BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:FinanceJob Posting Description:Come join a dynamic team of clinicians, administrators and revenue cycle professionals who help Boston Children’s Hospital patients access the best pediatric care in the country. We support physicians and nurses and the revenue cycle by financially clearing high cost services like surgeries, emergent admissions, infusion services, genetic testing, and high-tech radiology exams. Seeking an enthusiastic, creative thinker, to lead a team to ensure our pediatric patients can access high cost infusions, genetic testing, and radiology services. The position is 100% remote with occasional meetings in Boston.
This Patient Financial Clearance Supervisor will be responsible to:
Organize and supervise the daily activities of team members and productivity to ensure staff are working proactively to obtain payer authorizations before the date of service
Perform and monitor all personnel functions of the department, subject to established hospital and departmental personnel policies and in consultation with department manager
Maintain a thorough knowledge of payer rules, regulations, policies, and procedures as they impact the billing process
Ensure that all patient encounters contain accurate demographic information and appropriate referrals and authorizations are obtained
Develop and update departmental procedures in order to accommodate payer‑specific requirements and to expedite financial clearance
Develop and maintain effective professional relationships with representatives of payer organizations in order to obtain authorizations, facilitate appeals of payor decisions; interpret regulation or policy; gather information pertinent to current or proposed developments
Work closely with department manager, sharing critical information and statistical data, and developing strategies that will enhance the department's performance and human resources.
Evaluate, coach and train staff for development and performance improvement
Schedule monthly one on one meetings with team members to review improvements and/or underperformance concerns
Create and lead standard meetings to provide team members with any new insurance policies and updates; and to ensure account throughput and completion
Communicate with HR on any and all work performance, attendance, and behavioral concerns
Complete employee performance evaluations accurately and timely in accordance with hospital and departmental requirement
To qualify, you must have:
An Associate's degree in Accounting, Business or a closely related field or 2 years of occupationally‑specific education or/and 2+ years’ experience is required. A Bachelor's degree is preferred.
Knowledge of Standard hospital EHR systems required with EPIC a plus
The analytical skills to resolve complex problems requiring the use of scientific, mathematical, or technical principles and in‑depth, experienced‑based cross‑functional knowledge
Excellent written and verbal communication skills in order to effectively deal with conflicting views and issues and mediate fair solutions
The ability to identify, analyze and resolve problems and situations quickly and effectively
Strong knowledge of overall Revenue Cycle Operations related to Healthcare
The ability to work remotely from any state except CA
Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.Office/Site Location:BostonRegular, Temporary, Per Diem:Regular Remote Eligibility :Part Remote/Hybrid