Community Health Systems Client Services Supervisor - Victoria, TX in Victoria, Texas

Description:

The Client Services Supervisor supervises the activities and functions of on-site representatives and serves as the central point of contact for ESS services at a specific location within a region. In addition to supervisory responsibilities, the ESS Client Services Supervisor screens referred self pay patients for programs such as Medicare, Medicaid, Medicaid for Nursing Home Placement, Crime Victims, Vocational Rehabilitation, QMB, SSI and any/all other third party coverage including other available local, state and federal programs and the Hospital s Financial Assistance Program; and provides Point of Service collections for self pay patients, patients who have balances after insurance or Medicare payments, and patients that do not qualify for any programs/coverage. The CSS must have the ability to perform and train all duties of the Onsite Representative position.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

  • Oversee daily, weekly and monthly functions of onsite Reps by assigning tasks, coordinating workflow and establishing priorities as needed. This includes the assignment of duties, account analysis, documentation and follow up, payment file reviews and other similar duties to effectively manage the ESS inventory.

  • Prepare and provide reports to Supervisor(s) on work in progress, address any backlogs, and provide a course of resolution to the Client Services Director.

  • Oversee daily, weekly and monthly staff schedules to assure adequate coverage to the facility. Receive notifications for planned and unplanned absences and secure coverage from other staff or by filling the shift personally.

  • Serve as the liaison between ESS Client Services Director,CallCenter, ESS corporate office and onsite staff. Serve as the liaison between Hospital staff (PAD/BOD) and ESS division. Serve as the liaison between physician offices, local agencies and others and the ESS division.

  • Establish a well understood workflow process to ensure multi-shift employees will know what needs to be done during each shift.

  • Verify accuracy of forms, correct errors and retrain employees on deficiencies.

  • In collaboration with the Client Services Director, interview and make suggestions for new ESS employees according to company policy and employment law.

  • Train new employees and conduct employee evaluations in collaboration with the Client Services Director.

  • Meet with employees regarding disciplinary actions in collaboration with the Client Services Director and HR Manager.

  • Review/update employee time records to ensure accuracy in timekeeping in accordance with company policy and employment law.

  • Review and approve field visits only if criteria are met to justify the expense.

  • Review and approve expense reports for Onsite Representatives and submit in a timely manner.

  • Perform as the subject matter expert related to all state, federal and local funding sources available; additionally, have strong understanding and ability to train staff on compliance of PHI and EMTALA.

  • Maintain current knowledge of changes that occur in state programs and communicate with Call Center Director and Executive Director in order to update systems and train employees impacted by the change.

  • In collaboration with the Client Services Director, implement operational changes and upgrades as necessary.

  • Ensure that state(s) certification requirements are met and staff certifications are maintained at all times.

  • Conduct special audits or projects as requested.

  • Ensure compliance with Hospital policy and procedures and pertinent laws or regulations.

  • Observe professional ethics in maintaining confidential information acquired concerning the personal, financial, medical, or employment status of patients and their families.

  • Follow accepted safety practices for patients and hospital, report safety hazards and initiate appropriate action, and participate in safety instructional programs.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The position requires this individual to be able to travel occasionally and be flexible to the day-to-day operational demands.

Must be able to complete certification satisfactorily to become a Certified Application Counselor in the states necessary for your position.

Education and/or Experience: A Bachelor s degree or relevant experience in lieu of degree, preferably in a hospital business office/admissions departments, or supervisor/manager in an eligibility company preferred. Working knowledge of Medicare, Medicaid, Medicaid for Nursing Home Placement, Crime Victims, Vocational Rehabilitation, QMB, SSI and any/all other third party coverage and other available local, state and federal programs preferred. Average proficiency using computers for data entry, email, web searching, etc. is preferred.

Language Skills: Ability to read, analyze, and interpret common financial reports and legal documents. Ability to respond to common inquiries or complaints from employees, customers and regulatory agencies. Ability to effectively present information to company employees including top management.

Other Skills: Capable of strong human relations skills and ability to practice, sincere empathy for others. High emotional maturity and ability to function under stress including making timely decisions under pressure.

Physical Demands: While performing the duties of this Job, the employee is regularly required to use hands to finger, handle, or feel and talk or hear. The employee must occasionally lift and/or move up to 25 pounds and will frequently be required to move through a Hospital facility and other facilities, according to travel requirements (e.g. airport, hotel, etc.). Specific vision abilities required by this job include close vision and ability to adjust focus. ,

**Bilingual in English and Spanish required

Job: Eligibility Screening Services

Organization: DeTar Healthcare System

Location: TX-Victoria

Requisition ID: 1836479