Pre-Registration/Insurance Verification Team Lead

  • Company: Hospital Corporation of America
  • Location: Houston, Texas
  • Posted: November 03, 2017
  • Reference ID: 08948-140346
JOB TITLE: Pre-registration/Insurance Verification Manager

GENERAL SUMMARY OF DUTIES - Responsible for the day-to-day operations of the pre-registration/insurance verification department. Performs pre-registration and insurance verification when necessary to ensure targets are met. Performs daily QA chart audits, tracks and trends performance and productivity by employee. Provides ongoing training and education. Assumes responsibility for staffing, problem solving, and leading by example. Demonstrates knowledge of human growth and development, assessment, range of treatment, and care of patients appropriate to the ages of patients served.
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
  • Controls department staffing according to budgetary guidelines
  • Performs daily QA of pre-registration/insurance verification work processes
  • Meets regularly with all staff one-on-one to ensure effective mentoring and high levels of performance
  • Tracks, trends, and reports performance by employee/department
  • Recognizes and Rewards outstanding performance, creativity, and teamwork on a regular basis
  • Daily review, maintenance, and biweekly preparation and submission of employee time sheets as required
  • Works closely with facilities as necessary to ensure successful integration of facility needs and PAS standards
  • Responds timely to requests for information or assistance from all levels
  • Works daily PA and Meditech reports (as defined by RPAD) to ensure accurate and timely account follow up
  • Retains a working knowledge of Social Agencies to ensure appropriate patient referral
  • Meets weekly with RPAD to review department operations and productivity measures
  • Defines upfront collection goals each month and works with staff to ensure goals are met
  • Promptly addresses all personnel or performance related issues, documenting each encounter
  • Supports and contributes to PAS Education programs
  • Maintains quality Performance Improvement program and documentation - solicits input from staff and offers ideas for improvement on a regular basis
  • Completes monthly reports as assigned (ARMAP, etc)
  • Effectively communicates with staff in writing via the use of Meditech or Outlook e-mail to back up verbalization
  • Conducts monthly staff meetings and in-service
  • Assumes on-call responsibilities to ensure adequate staffing and trouble shooting
  • Screens applicants and performs initial interview
  • Performs 90 day and annual employee evaluations
  • Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"
  • Other duties as assigned

Qualifications:
KNOWLEDGE, SKILLS & ABILITIES
  • Organization - proactively prioritizes needs and effectively manages resources
  • Communication - communicates clearly and concisely
  • Leadership - guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services
  • Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
  • Tactical execution - oversees the development, deployment and direction of complex programs and processes
  • Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures and systems
  • PC skills - demonstrates proficiency in Microsoft Office applications and others as required
  • Financial management - applies tools and processes to successfully manage to budget

EDUCATION
  • High school diploma or GED required. Associate's or Bachelor's Degree preferred.


EXPERIENCE
  • Patient Access experience
  • Minimum 5 years management experience

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