Pt Fin Advocacy Manager - Patient Access Fin Asst - Miamisburg - FT/Days
Full Time
Miamisburg, OH 45342
Posted
Job description
Overview:
Campus Overview:
REPORTS TO: Tracy Pearson, Patient Access Region 1 Director
JOB SUMMARY:
KEY JOB RESPONSIBILITIES: Network Financial Counseling Services (FC), Patient Financial Advocates (PFA) Financial Assistance (FA), Medication Assistance (MC) and point of service cash collections (POSC) processes. Educate, advise, support and oversees network compliance to policies and procedures including but not limited to; Patient Medicaid screening and enrollment for hospital facilities assigned, Kettering Health financial assistance programs and other local, state, and federal programs, up front collection scripting, payment posting, check scanning, cash reconciliation, daily deposits, cash security, FC/ PFA work queue management. Supports Hospital Care Managers, Social Workers, Medicaid outsource representatives, Outpatient facility leaders and staff, Pre-Access Out-reach Team, Medication Assistance team, physician practices and others. Department collaboration: POSC training, FA education, Smart Safe and check scanner set-up, and training for daily bank deposit. Monitor daily deposits, financial assistance applications and proof of income and Medicaid documentation scanned in On Base. Maintain and monitor IDD network check scanning devices for bank direct check deposit. Prepare sliding scale document yearly based on federal poverty guidelines, create reports tracking and trending Financial Assistance and cash collection monthly productivity results. Monitor and report monthly stats; Medicaid eligibility by facility and user, Financial Counselor productivity user and by program, Call center or “Service Line” stats including Emails sent to : POSC.SOS@ketteringhealth.org Financialcounselors@ketteringhealth.org Medicaidpendingnumbers@ketteringhealth.org Medication Assistance@ketteringhealth.org
COMPETENCIES:
REQUIREMENTS
Education:
EXPERIENCE:
KNOWLEDGE AND ABILITIES:
DIRECT REPORTS:
Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.
Campus Overview:
Kettering Health Miamisburg
- Serving the residents of Warren, Butler, and Southern Montgomery counties for over 40 years.
- Kettering Health Miamisburg, formerly Sycamore Medical Center, is a full-service hospital located minutes west of the Dayton Mall on Miamisburg-Centerville Road off I-75 in Miamisburg, Ohio.
- The cornerstone services for KH Miamisburg have been Bariatric surgeries and Orthopedic care.
- Expanded services include emergency care, sleep center, mammography, breast MRI, cardiac catheterization lab, wound center and DEXA scanning.
- 142 bed facility
- Awarded with 100 Top Hospital by IBM Watson Health for the 10th time in 2019.
- In 2020, KH Miamisburg received an “A” from the Leapfrog Group, a national patient safety watchdog, ranking among the safest hospitals in the United States.
- Accredited by the American College of Emergency Physicians as a Level 3 Geriatric Emergency Department.
- KH Miamisburg received several awards from Healthgrades:
- Outstanding Patient Experience Award (2017-2019)
- America’s 100 Best Hospitals for Prostate Surgery Award (2020)
- Joint Replacement Excellence Award (2020)
Kettering Health
Katherine Dancer
Job Description
Patient Financial Advocacy Manager
Hospital Facilities and Remote Locations
REPORTS TO: Tracy Pearson, Patient Access Region 1 Director
DATE REVIEWED: 05/11/2023
INDIRECT REPORT TO: Tracy Pearson
JOB SUMMARY:
Under the direction of the Region 1 Director, leads the development and implementation of comprehensive network financial counseling, Medicaid enrollment and point of service collection strategies for the operations; financial, and personnel activities associated with pre-service, financial counseling, Medicaid eligibility screening, posting, reconciliation and technical process functions related to point of service collections for KHN facilities.
KEY JOB RESPONSIBILITIES: Network Financial Counseling Services (FC), Patient Financial Advocates (PFA) Financial Assistance (FA), Medication Assistance (MC) and point of service cash collections (POSC) processes. Educate, advise, support and oversees network compliance to policies and procedures including but not limited to; Patient Medicaid screening and enrollment for hospital facilities assigned, Kettering Health financial assistance programs and other local, state, and federal programs, up front collection scripting, payment posting, check scanning, cash reconciliation, daily deposits, cash security, FC/ PFA work queue management. Supports Hospital Care Managers, Social Workers, Medicaid outsource representatives, Outpatient facility leaders and staff, Pre-Access Out-reach Team, Medication Assistance team, physician practices and others. Department collaboration: POSC training, FA education, Smart Safe and check scanner set-up, and training for daily bank deposit. Monitor daily deposits, financial assistance applications and proof of income and Medicaid documentation scanned in On Base. Maintain and monitor IDD network check scanning devices for bank direct check deposit. Prepare sliding scale document yearly based on federal poverty guidelines, create reports tracking and trending Financial Assistance and cash collection monthly productivity results. Monitor and report monthly stats; Medicaid eligibility by facility and user, Financial Counselor productivity user and by program, Call center or “Service Line” stats including Emails sent to : POSC.SOS@ketteringhealth.org Financialcounselors@ketteringhealth.org Medicaidpendingnumbers@ketteringhealth.org Medication Assistance@ketteringhealth.org
LEADERSHIP ROLES:
As a member of the management team charged with leadership at Kettering Health Network, there are distinct roles to provide for an environment of nurturing, growth, and success. These roles include: (1)
Leading through vision and values – which includes modeling and mentoring the values of this organization, (2)
Championing continuous improvement – by providing a secure environment in which initiative is encouraged and success recognized, (3)
Building partnerships – which includes improving interpersonal relationships, nurturing people and the development of joint ventures with businesses in the community we serve, and (4)
Facilitating learning – by modeling a personal openness to change and professional growth of myself and others. Effective leadership defines a strategic plan that is consistent with the organization’s mission, vision, and values; clearly communicates the mission, vision, values, and strategic plan throughout the organization; and fulfills the organization’s vision by providing the framework to accomplish the goals of the strategic plan.
MANAGEMENT ROLES:
To achieve the goal of the leadership function, the following processes must be done well: (1)
Planning for Service – leadership sets a departmental mission that is supportive of the organization long-range, strategic, and operational plans, and is reflected in departmental resource allocations and policies. (2)
Directing Service – leadership organizes, directs and staff’s commensurate with the scope of services offered. (3)
Implementing and Coordinating Service – leadership integrates patient care and support services throughout the organization (not just within departmental confines). (4)
Improving Service – Leadership establishes expectations and plans, and manages processes to measure, assess, and improve the performance of the organization through the people and resources they direct.
COMPETENCIES:
- Trustworthy
- Serves as a resource to the Executive Director of PA & Chief Operating Officers of Kettering Health Network to research issues which affect areas of managerial specialization and recommends policies, procedures, or other changes which enhance departmental consistency and effectiveness.
- Consolidates and analyzes weekly, monthly and annual reports to evaluate departmental productivity and communications results to staff and the Executive Director of PA & Chief Operating Officers of Kettering Health Network.
- Actively maintains a positive working relationship with other departmental Directors, managers or supervisors, employees, vendors, other hospitals, government agencies, etc., to ensure Patient Access Departments and Kettering Health Network goals are optimized and that good working relationships are cultivated and retained. Appropriately responds to complaints or inquiries by the department staff.
- Develops and implements quality initiative/improvements and participates in strategic planning.
- Develops systems and processes to ensure prompt, friendly, and accurate operations.
- At work station & ready to serve at scheduled time.
- Makes adequate advance arrangements for time off.
- Presents professional appearance; practices personal hygiene in accordance with policy.
- Consistently respects confidentiality of information.
Innovative- Supports KHN’s commitment to performance excellence.
- Maintains a program of continuous performance improvement in determining and achieving KHN’s strategic initiatives relation to Patient Access each calendar year.
- Demonstrates corporate-wide focus yet can interpret and implement strategies and planning at the local KHN level.
Caring- Provides for development and coordination of staff schedules.
- Monitors staff workload and adjusts balance demands with staff availability.
- Counsels employees both on-going and as part of the annual review process ensuring that these are completed in a timely manner.
- A role model for KHN Service Plus Programs and exhibits the key principles
Competent- Support Patient Access and other department leaders and staff in Kettering Health financial assistance services including Medicaid enrollment and other state, local and federal programs.
- Empower and lead departmental teams, though support, training making effective and efficient use of resources ensuring compliance and accountability to policies and procedural guidelines
- Meets monthly and bimonthly with leadership identifying opportunities for growth and strategies for implementing improvements with focus on exceptional patient financial service experience.
- Ensures and monitors the quality of patient financial service seeking options and resources offered to improve quality.
- Track and trouble shoot patient concerns and financial hardship requests collaborating with Patient Relations team, Director, and Patient Financial Services Customer Service Manager to identify trends and service recovery for quick resolve.
- Develops and implements cash accountability, point of service and non-patient area policies /processes, auditing cash requests and security, review, and design of marketing materials regarding financial options and resources.
- Serves as a liaison assisting network staff, vendors and other internal and external bodies involved and related to patient financial solutions, and Medicaid and other local, state, and federal services.
- Participates in and the development of training for financial screening, Medicaid and other programs, customer service scripting and cash daily deposit process. Providing consulting and support to users and follow up education related to financial services offered at the point of service.
- Actively identifies and analyzes the design of jobs, work processes, work flows, etc., for the Patient Access Department and implements appropriate changes including but not limited to hardware, software and/or other IT or other systems to improve effectiveness, productivity and efficiency related to point of service collections.
- Develops implementation and enforces departmental policies and procedures as needed for successful operations. Maintains policy and procedure manuals.
- Performs periodic audits/review of all Patient Access functions related to monitoring the accuracy, efficiency and productivity of the financial screening by registration staff at the point of service. Ensures employees are following established policies, rules, directives and procedures for all point of service collections operations.
- Complies with all applicable HFAP rules and regulations.
- Develops and maintains training programs to ensure staff maintains a high level of expertise and competency in job skills related to financial assistance services offered at the point of service.
- Utilizes performance measurements provided by managers, coordinators and other reports to discover problem/opportunity areas and set goals for immediate improvement. Identified performance trends and establishes collections standards.
- Attends, participates and serves in committees and task forces as appointed.
- PAC Exec Council
- PAC Large Group
- Other committees as assigned
- Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact Patient Access. Develops effective internal controls that promote adherence to applicable federal/state laws, and the program requirements of accreditation agencies and federal, state and private health plans. Seeks advice and guidance as necessary to ensure proper understanding.
- Develops and submits productivity, expense, usage and management reports.
- Lead and perform special projects and other duties as assigned.
Collaborative- Actively serves as a team member to provide appropriate interface, problem solving, issues resolution and timely processing throughout the Patient Access areas, clinical areas and external organizations.
- Demonstrates desirable management behaviors and attitudes (e.g. teamwork, commitment to excellence, investment in the development of people, innovation and open, direct communication).
- Attends, participates and serves in committees and task forces as appointed.
- Stays abreast of the latest developments, advancements and trends in the field of cash collection techniques and by attending seminars/workshops, reading professional journals and actively participating in professional organizations. Integrates knowledge gained into current work practices.
REQUIREMENTS
Education:
- Bachelor’s Degree required or 4 Years Direct Experience in Revenue Cycle Management.
EXPERIENCE:
- 4 Years Direct Experience in Revenue Cycle Management
- At least 2-4 years Patient Access/Scheduling experience
- At least 2 years’ experience with Financial Counseling or self-pay patient assistance
KNOWLEDGE AND ABILITIES:
- Knowledge in areas of health care finance, government regulations, management theory, reimbursement, budgeting, health technologies and other areas as appropriate.
- Excellent human relations and oral and written communication skills.
- Positive demeanor in one’s approach to dealing with people and problems.
- Approaches life with high energy.
- Membership in appropriate professional organizations is considered a necessary element of this position and participation in community organizations enhancing the effectiveness of the medical center is encouraged.
DIRECT REPORTS:
Access Financial Service Supervisor 1 FTE
Medication Assistance Coordinator (MAC) 1 FTE
Financial Counselor (FC) 11 FTE
Medication Assistance Counsel (MAC) 1 FTE
Patient Financial Advocates (PFA) 6 FTE
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