Supervisor, Patient Financial Counseling

Company: Hackensack Meridian Health
Location: Hackensack
Posted on: June 23, 2022

Job Description:

How have you impacted someone's life today? At Hackensack Meridian -Health -our teams are focused on changing the lives of our patients by providing the highest level of care each and every day. From our hospitals, rehab centers and occupational health teams to our long-term care centers and at-home care capabilities, our complete spectrum of services will allow you to apply your skills in multiple settings while building your career, all within New Jersey's premier healthcare system. - -The Supervisor, Financial Counseling for the Hackensack Meridian Health (HMH) hospitals network is responsible to implement, oversee, track, and monitor upfront cash collections, financial clearance, calculations for patient self-pay services, and payment arrangements. This includes patient education and customer services inquiries, financial counseling, eligibility screening, and enrollments with our patient payment banking partner, Commerce Bank.A day in the life of a Hospital Billing Supervisor at Hackensack Meridian Health includes: -

• Identify patients who need financial counseling and execute financial agreements in accordance with policies; receive referrals from Patient Access and clinical leaders. Track and audit agreements for compliance.
• Provides financial estimates for our International patients in accordance with policy; ensures accuracy of the related calculations, clear and timely communication, and constant account monitoring for those who travel to our facility for services. Works closely with the Director of Global Medicine to provide financial documents and bills as required by International sponsors and Embassies.
• Maintains regular communication with a patient's clinical team regarding the treatment plan; includes, modifications to the plan, and anticipated pharmacy items and doses.
• Audits accuracy of demographic and insurance information to ensure maximum reimbursement in accordance with our collection policy.
• Provide estimates for uninsured patients; work closely with the clinical leadership to obtain a comprehensive treatment plan; obtains charge information as needed from all ancillary departments. Monitor self-pay calculations and related communication to patients to ensure they are being provided in accordance with policy.
• Oversee the eligibility screening for Medicaid and Charity care; work closely with the Financial Assistance team to appropriately assist and schedule patients for appointments in that office.
• Function as the Presumptive Eligibility (PE) Coordinator to support gaining NJ Medicaid eligibility for out patients.
• Point of contact for the NJ Department of Health for all PE and NJ Medicaid inquiries.
• Provides patient education regarding their insurance benefits, eligibility, and expected out of pocket expenses.
• Provides supplemental customer service as needed. Also, assist patients who are enrolled in Research Studies and require additional explanation of coverage.
• Acts as a liaison with the Cardinal Health drug replacement program for patients in need.
• Monitors staff productivity, including all EPIC related work queues and system actions; ensures timely completion of duties and establishes performance standards for the team members.
• Plans, coordinates, and schedules the daily operations of the department in compliance with HMH policies.
• Liaison with Commerce Bank regarding the enrollment portal, related access and training needs. Responsible for reconciling portal accounts and balances.
• Work in close coordination with the Patient Access team to ensure a streamlined experience for patients and timely communication.
• Ensures team members are trained on procedures and requests additional training as needed.
• Responsible for interviewing, hiring, and termination of team members in accordance with corporate policies and procedures.
• Maintains accurate time & attendance records utilizing Clairvia and Peoplesoft in accordance with corporate policies.
• Completes the written performance evaluations for team members; assists them with goal development.
• Evaluates actual versus planned performance and metrics, presents and communicates missed opportunities; utilizes patient statements and bad debt data for such purposes.
• Builds relationships with departments and operations staff to obtain and analyze additional information to improve workflows and the overall patient experience.
• Addresses inquiries from other HMH departments regarding financial clearance.
• Monitor incoming and outgoing phone calls, timeliness of responses and overall quality of the service provided.
• Oversee outreach to patients with balances in the dunning cycle, in regard to facilitating payment and explaining payment options.
• Maintains strictest confidentiality and adheres to all HIPAA guidelines and regulations.
• Assesses the impact of new regulations or requirements, and acts as a resource to clinical departments regarding those requirements; discusses ideas with Senior Leadership.
• Identifies the needs of the patient population served and modifies and delivers care that is specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.). This process includes communicating with the patient, parent, and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.).
• Performs various other duties related to the Revenue Cycle as requested by Senior Leadership. Education, Knowledge, Skills and Abilities Required:
  • Bachelor's degree, preferably in accounting/business/healthcare administration, or equivalent relevant years of experience.
  • Minimum of 4 or more years of experience in a revenue cycle position.
  • Proficiency with insurance plans and determining patient out of pocket responsibilities.
  • Ability to travel among the HMH facility locations, as needed.
  • Proficient computer skills.
  • Excellent written and verbal communication skills.
  • Proven analytical and interpersonal skills.
  • Ability to work independently and multitask.
  • Excellent written and verbal communication skills.
  • Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms. -Education, Knowledge, Skills and Abilities Preferred:
    • Experience leading a team, monitoring productivity and quality.
    • Prior experience with Epic.
    • Experience counseling patients regarding financial obligations and providing related education.
    • Bilingual in Spanish
    • Familiar with eligibility requirements for NJ Medicaid and Charity Care. -Licenses and Certifications Required: Licenses and Certifications Preferred:
      • Certified in NJ Presumptive Eligibility/willingness to obtain certification.

Keywords: Hackensack Meridian Health, Hackensack , Supervisor, Patient Financial Counseling, Accounting, Auditing , Hackensack, New Jersey