Enterprise Manager Scheduling and Financial Preservice

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Manages, coordinates, and supervises the daily operations of enterprise scheduling and financial pre-services including insurance verification, calculating and communicating patient financial responsibility, and coordinating payment arrangements and screenings. This department ensures seamless patient access by coordinating appointment scheduling, verifying insurance, completing preregistration, and securing financial clearance prior to service. It plays a critical role in patient experience and in revenue cycle. Additionally, this position directs the development and attainment of departmental goals and objectives as it relates to the organizational strategic mission and initiatives. Ensures that all employee needs are met through coordination of team within the enterprise revenue cycle.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor’s degree in healthcare administration or related field and five (5) years’ experience in multi-site scheduling, ambulatory operations management across diverse locations, or high-volume contact center environments.

OR

2. High School Diploma and ten (10) years’ experience in multi-site scheduling, ambulatory operations management across diverse locations, or high-volume contact center environments.

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Masters degree in healthcare administration, health informatics, or related.

2. Certified Revenue Cycle Representative (CRCR) through HFMA.

3. Seven or more years experience in multi-site scheduling, ambulatory operations management across diverse locations, or high-volume contact center environments.

EXPERIENCE:

1. Five (5) years of experience in healthcare scheduling. Preference for Epic certification Experience in registration, insurance verification, and estimate delivery.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

1. Manage centralized scheduling for outpatient, inpatient, and ancillary services across all facilities.

2. Coordinate with clinical departments to optimize provider availability and appointment slots. Maximize schedule utilization

3. Ensure accurate documentation of appointment types, locations, and required preparations.

4. Partner with IT to optimize scheduling templates to allow for patient self-scheduling.

5. Evaluate and implement new technologies for scheduling.

6. Manage preregistration processes including insurance eligibility and benefit collection, calculation and communication of patient financial responsibility via estimates, and coordinating financial processes for payment plans and charity care screenings.

7. Monitor KPIs including scheduling lead time, scheduling utilization, preregistration completion, insurance accuracy, estimate accuracy, and patient financial conversations.  

8. Sets solid analytical goals and directs team to achieve those goals using specific, targeted, data driven tactics. 

9. Manages department personnel to ensure qualified work force.  Ensure regular communication with team to ensure that employee needs are met and that the productivity and engagement of staff is maintained.

10. Works within budgeted expenses and participate in development and management of departmental budget.

12. Organizes and executes daily tasks in appropriate priority to achieve optimal productivity and efficiency, adjusting daily schedule as required to perform urgent assignments or special projects as assigned.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Ability to sit for long periods of time.          

2. Ability to lift, push or pull 10–15 pounds.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Standard office environment

SKILLS AND ABILITIES:

1. Financial, technical and professional skills.

2. Oral and written communication ability to effectively represent the department and Hospital in interactions with third party payers, patients, physicians and other departments.

3. Analytical and problem solving skills as well as the ability to work and communicate effectively with other departments.

4. Knowledge of local, State and Federal regulations pertaining to Hospital billing and collections.

5. Ability to perform a variety of duties, ranging from direct involvement in various projects to coordination and supervision of the activities of co-workers.

6. Knowledge of spreadsheet, word processing and office software applications. 

Additional Job Description:

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Exempt)

Company:

SYSTEM West Virginia University Health System

Cost Center:

535 SYSTEM Centralized Clearance Center