Job Category:
Revenue CycleWork Shift/Schedule:
8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health of our communities.
Under the leadership of the Director of Centralized Scheduling, the Ambulatory Surgery Center (ASC) Revenue Cycle Supervisor will serve as the primary liaison for community organizations across the region seeking free ambulatory surgery services for financially indigent patients and managing the efficiency and effectiveness of overall access into an NGHS Ambulatory Surgery Center (ASC). This role will facilitate and coordinate referrals to surgical specialty offices for charity care patients, ensuring they receive treatment at the ASC. The Ambulatory Surgery Center (ASC) Revenue Cycle Supervisor will collaborate with the Scheduling Case Manager and Physician Specialty Advisors to support the urgent referral review process and assess invasive surgical cases for medical urgency. Additionally, the supervisor will develop, implement, and supervise the efficiency of patient scheduling, pre-certification, ability to pay, regulatory compliance and cash collections. Serves as the Revenue Cycle point of contact for ASC leadership for issue resolution and communication regarding functions such as scheduling, registration, precertification, billing, financial counseling, and coding.
Licensure or other certifications: Currently licensed as an LPN or RN in the State of Georgia
Educational Requirements: Bachelor's Degree. In lieu of Bachelor's degree, a minimum of five (5) years of related experience including all levels of experience below.
Minimum Experience: Two years of healthcare experience, experience in field sales/marketing/outreach and/or provider/customer relations
Other:
Preferred Licensure or other certifications:
Preferred Educational Requirements:
Preferred Experience: Case management experience
Other:
Must demonstrates excellent observation skills and problem solving ability.
Robust analytical skills to independently determine medical necessity on assigned cases. Ability to assimilate large volumes of data including data reporting as needed.
Ability to work independently in stressful situations.
Capable of building strong relationships with both internal and external customers.
Detail and deadline oriented with strong follow up skills.
Strong verbal communication and interpersonal skills. Strong listening and writing skills.
Excellent time management skills. Ability to work in an environment of deadlines with time sensitive tasks.
Demonstrates leadership skills and ability to facilitate (train/lead) a group.
Exemplifies the organization's customer service standards.
Promotes teamwork.
Responds positively to change regarding work.
Manages revenue cycle relationship with ASC leadership and serves as a liaison to facilitate communication to and from the ASC related to revenue cycle functions including scheduling, registration, precertification, coding, billing, and financial counseling.
Uses a proactive leadership style to model and promote a culture of trust and communication. Seeks suggestions and input from staff and colleagues. Promotes active participation of all staff in decisions that affect them.
Provides leadership and mentoring to individuals reporting directly to this position. Demonstrates ability to measure individual employee performance against criteria-based performance standards and uses evaluations as management tools and opportunities for coaching and developing staff.
Promotes a service-oriented culture within the organization and assures satisfaction with the quality and amount of support provided for departmental functions, initiatives and projects; includes incorporation of the principles of total and continuous quality improvement while exceeding the expectations of the customers.
Overall responsibility for hiring and supervising staff in scheduling of admissions, pre-certification, pre-registration, insurance verification, and financial counseling.
Collaborate with Quality Assurance/Trainer to assess quality of registrations and coordinate necessary training.
Acts and leads in a manner that is reflective of the philosophy, vision and values of NGHS. Integrates these values throughout all initiatives and efforts.
Develops formal relationships with community assistance organizations that are aware of the need for surgical care within the indigent population and ensures we are following the Braselton ASC Charity policy in order to meet the requirements as specified in the CON.
Partners with physicians to ensure financially indigent patients receive physician services that are essential for the provision of ambulatory surgical and related care.
Identifies, develops, and facilitates educational materials for regional referral sources to include physician practices and other health related entities to support and offer best practices to enhance this referral base; regular rounding with providers for education and training on current processes and procedures is expected.
Coordinates referrals from the surgical specialty offices for charity care patients in order to be treated at the Ambulatory Surgery Center; works closely with The HealtheConnection team to ensure contact with key decision makers in the region regarding implementing and supporting the HealtheConnection program and initiatives (thus supporting ease of access into the health system)
Serves as a liaison between the patient and Financial Navigation team. Assists patients with navigation through the charity care application process.
Works closely with the NGMC scheduling case manager and advisor, in addition to monitoring OR schedules, to identify appropriate charity care cases that can be treated at the ambulatory surgery center are considered; escalates to the office/physician when cases are identified to determine if the case can be moved
Reports charity dollars monthly and quarterly to leadership and escalates barriers to Senior Leadership. Tracks data relating to the urgent referral review process to be shared with the Charity Care Oversight Committee quarterly
Demonstrates autonomy and initiative in problem identification and resolution; escalates method concerns as opportunities for improvement
Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time
Weight Carried: Up to 20 lbs, Occasionally 0-30% of time
Vision: Moderate, Frequently 31-65% of time
Kneeling/Stooping/Bending: Occasionally 0-30%
Standing/Walking: Occasionally 0-30%
Pushing/Pulling: Occasionally 0-30%
Intensity of Work: Occasionally 0-30%
Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving
Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.
NGHS: Opportunities start here.
Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.