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Inspire health. Serve with compassion. Be the difference. Job Summary Provides appropriate supervision ensuring efficient admission and accurate, complete registration of patients; including obtaining prescribed demographics, insurance, pre-authorization, and financial information. Maintains sound credit, collection and cash control procedures. In collaboration with Director and Manager, assists in development and implementation of departmental goals.
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Ensures that appropriate/necessary information is obtained, to include processing insurance verification, providing estimates and pre-certification for patient registration and billing purposes. Conforms with guidelines as specified by facility or practice and departmental policy and procedures. Verifies that appropriate/necessary documentation is secured for processing of Financial Assistance applications according to the guidelines specified by the organizational policy, procedures and 501R regulations. Complies with Federal regulations by maintaining yearly updates to Federal Poverty Levels. Establishes departmental quality and compliance. Performs regular audits and evaluates processes, workflows and procedures to identify opportunities for improvement. Implements change and takes initiative to resolve issues as needed. Develops departmental goals and objectives. Establishes priorities, assigns work, and monitors workflow. Provides routine feedback to the team regarding productivity, quality audits and customer service to ensure continuous improvement in operations and/ or financial performance. Reviews and updates policies and procedures on a regular basis. Ensures regular in-service training is provided for all subordinates to keep job knowledge current. Ensures team is up to date on procedure changes, policy changes and federal guidelines. Maximizes reimbursement by ensuring compliance with third party requirements, including precertification and insurance verifications. Keeps abreast of reimbursement requirements and maintains current knowledge of applicable government, managed care, and/or third-party regulations and guidelines. Ensures compliance and communicates discrepancies to appropriate personnel or departments, i.e., Patient Account Services, Managed Care. Monitors the performance of appropriate Work queues to ensure timely completion. Adjusts shift coverage as necessary. Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a supervisor job which may have direct supervision of team members which may include hire/termination authority, disciplinary authority, and performance management responsibilities.May have budget input or responsibilities. Job is not considered a member of management staff.
Education - High School diploma or equivalent Experience - Five (5) years hospital admissions, physician billing, or cred/collections. One (1) year related healthcare experience. One (1) year supervisory or lead level experience
In Lieu Of
Required Certifications, Registrations, Licenses
Knowledge, Skills and Abilities
Knowledge of office equipment (fax/copier) Proficient computer skills including word processing, spreadsheets and database Work Shift Day (United States of America)
Location Patewood Outpt Ctr/Med Offices
Facility 7001 Corporate
Department 70019055 Patient Access Quality Management
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
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Prisma Health
May 08, 2025