Supervisor Pre-Service Access

Job Summary

The Pre-Service Supervisor is responsible for administering, coordinating, and reviewing performance for areas of Pre-Service such as Pre-Visit Management, Pre-Registration, Pre-Authorization, Referral Management, and Financial Counseling. This position oversees the Nurse Coordinator and the Patient Advocacy Coordinator to complete Quality Reviews and productivity tracking. This leader seeks to identify and implement new and emerging strategies to increase efficiency, improve processes, and enhance the patient experience. To ensure goals are being achieved, the Supervisor works with the Pre-Service Manager, Practice leaders, Contact Center Leaders, Hospital leadership, and other stakeholder throughout the organization.
Essential Job Functions
Recruits, develops, retains and leads a talented team staff committed to accomplishing the goals of department. Oversees all human resource activities including recruitment, retention, performance reviews, and disciplinary actions. Develops, revises and implements administrative policies, procedures, guidelines and job descriptions.

Develops and implements short and long-range goals for departments and is responsible for measurable outcomes and effective use of resources. Responsible for program and service development in response to both internal and external stakeholders.

Analyzes denials data to identify trends and shares findings to drive process improvements. Communicates with staff to prevent future denials. Refers patients accounts to Financial Counselors, as needed. Manages technical ticket submissions and works closely with Information Services to enhance, build and optimize the EMR system.

Helps the department and meets capital and operating budget targets by seeking out operational efficiencies and involves employees and physicians in workforce redesign.

Develops, revises and implements administrative policies, procedures, guidelines and job descriptions. Acts as a mentor and promotes professional growth of employees. Takes responsibility for personal growth and development and meets all system education requirements.

Utilize the Financial Clearance Report, Upfront Collections, and Front End Productivity reports to drive accountability and metrics review with staff.

Ensures all referral information is accurately entered into appropriate systems. Communicates with providers regarding referral or complications with insurance coverage and informs Medical Director or patient regarding referral authorization and further care plans.

Ensure quality reviews and productivity standards are updated and reviewed with staff. Provide feedback to staff based on the quality reviews completed by the Nurse Coordinator. Work with the trainer to develop tip sheets, training guides, and any other supplement data to help staff.

Performs other duties as assigned or needed to meet the needs of the department/organization.

• Demonstrates understanding and follows infection control policies and procedures according to standard operating procedure.
• Maintains requirements for age specific competencies for the position and demonstrates the knowledge or principles of growth and developments and the skills necessary to provide patient/customer care/services.
• Demonstrates knowledge and understanding of and compliance with:
  • All pertinent safety, health and environmental policies, procedures and guidelines.
  • Working safely, without causing harm or risk to self, others or property.
  • The work environment safety procedures and prompt reporting of unsafe practices, procedures, accidents, injuries or other safety violations to the Leader.
  • The use of all safety equipment and personal protective equipment.

Education & Experience
Degree/Diploma

Program of Study

Required/Preferred

Bachelor's

Related Field

Preferred

Experience

Required/Preferred

A minimum of 2 years of related experience

Required