Company :
Allegheny Health Network
Job Description :
GENERAL OVERVIEW:
Provides direct supervision of staff within the Pre-Service Center and assists in managing daily operational processes.
ESSENTIAL RESPONSIBILITIES:
- Supervises staff, evaluates work and results, monitors staff time, and recommends or implements corrective actions. Suggests new approaches for performance enhancement and productivity. Identifies, quantifies, and monitors workflow processes for barriers, and initiates process improvements or problem resolution actions. (20%)
- Uses problem-solving skills to diagnose and resolve root process, payer, and system issues affecting revenue cycle objectives. Addresses barriers, process flow, or productivity issues. Performs employee evaluations, monitors attendance, and administers disciplinary actions as needed. (20%)
- Organizes, delegates, monitors, and measures special projects to ensure timely and accurate completion. Provides formal feedback on project results to management. (20%)
- Leads initiatives assigned by management, coordinating task teams or forums to deliver results as determined by leadership. Provides updates and ensures closure. (15%)
- Performs scheduling and preregistration duties, including patient demographic validation, insurance benefit verification, and benefits coordination. Excels in all areas of pre-service, including scheduling, preregistration/registration, financial clearance, insurance verification, check-in, and collections. Trains and leads team members. (15%)
- Delivers a positive patient experience in all interactions. Communicates effectively with contacts, resolves patient issues concisely, and promotes effective working relationships. (10%)
- Adheres to organizational policies and procedures relevant to the location and role.
- Performs other duties as assigned or required.
QUALIFICATIONS:
Minimum
- BA/BS degree or equivalent work experience in a multi-physician practice or facility billing/business office, specifically related to revenue cycle management, or relevant experience/education as determined by the company.
- 3-5 years' experience in a multi-physician practice or facility billing/business office, including staff supervision.
- Experience operating PC and using software applications.
Preferred
Disclaimer: This job description indicates the general nature and essential duties of the role. It may not include all duties, responsibilities, and qualifications required.
Compliance: Employees must adhere to ethical, legal standards, and behavioral expectations, including HIPAA and data security policies. All employees are responsible for compliance with the company's Code of Business Conduct and applicable laws.
Highmark Health and affiliates prohibit discrimination based on protected categories and aim for accessibility. For assistance or accommodations, contact HR Services at HRServices@highmarkhealth.org.