Job Summary:

As the Lead Financial Counselor, you are responsible for leading, managing and motivating team members on a daily basis. You will act in conjunction with the Supervisor/Manager and in the absence of the Supervisor you will oversee the daily functions and operation of your area, you will be the contact person for team members of your area, so your communication and organizational skills should be excellent. You should be able to act proactively to ensure smooth team operations and effective collaboration. Day-to-day operations will include that you monitor team performance and report on metrics, motivate team members, discover training needs and provide coaching, listen to team members' feedback ultimately, you should lead by setting a good example and engage the team to achieve goals. Must possess strong eligibility skills, with an understanding of eligibility for various governmental programs for the un-insured/under-insured population. Must possess a keen understanding of patient registration and insurance verification. This individual will have the ability to cultivate an environment which encourages patient and staff support alike.Performs related work as required.

Responsibilities:

• Responsible for the financial and administrative functions contributing towards the overall success of the department.
• Create an inspiring team environment with open communication, able to gear staff towards team goals, communicate clearly and effectively, delegate tasks and set deadlines.
• Oversee day-to-day operations.
• Assure optimal work flow in a fast-paced environment with ever changing patient and staff needs.
• Utilization of prioritizing tasks based on departmental needs
• Ensure staff is following guidelines for appropriate communication with patients and their families; in line with WMC core values.
• Maintain quality assurance in application processing and procedures, along with adhering to all compliance requirements mandated by CMS, HIPAA, JCAHO, etc.
• Greet patients and families in a positive, cheerful manner, promote our organization mission, vision and values.
• Review daily IP, ER, Surgery and OP private pay admissions to determine eligibility for various government programs.
• Conduct interview with patients and / or family members, record and maintain complete documentation of accounts.
• Assisting patients with coordination of benefit/eligibility issues, financial /insurance forms/applications and arrangements.
• Notifies case management, social services and admission staff of case screening determinations both verbally and written, calculates and collects cash payments as appropriate, aides in gathering data for financial reporting, set up payment arrangements with patients utilizing the WMC guidelines.
• Must possess a clear understanding of facility operations and procedures to include hospital, clinics and physician practices.
• Sustain process in place for authorizations, and patient clearances for procedures, discharge and/or transfers.
• Manages non clinical staff in a manner that promotes optimal productivity, achieves patient and physician satisfaction and engages employees to perform at their highest level, all consistent with the Westchester Medical Health System.
• Develops and implements process for responding to patient and employee concerns and issues.
• Ability to de-escalate passionate situations; whilst maintaining professionalism and guidance to staff and customers.
• Serves as a liaison between physician practices, management, and supporting departments.
• Utilizes education, experience and analytical judgment to perform critical job elements ensuring patient, peer and physician satisfaction, fostering positive relationships and effective communication.
• Provides on-site direct leadership and management, by coaching, developing and empowering direct reports.
• Identify areas for process improvement and daily quality monitoring of key performance metrics and accuracy of accounts. Follows a monitoring system to understand trends and system issues and reporting mechanisms to assure appropriate account follow up.
• Provide Ad hoc reporting to leadership team.
• Ability to discuss and collect outstanding balances.
• Ability to forge relationships and collaborate with hospital personal and agencies resulting in positive patient outcomes.
• Additional tasks as they relate.

Experience:

1- 2 years in a revenue cycle role in the hospital setting, required

Education:

High School Degree or GED, required. Associate's degree, preferred

Licenses / Certifications:

CAC,preferred

Other:

Must adhere to HIPAA rules and regulations as it relates to patient privacy and confidentiality, must be reliableand maintain professional attire and demeanor, must be willing to complete continued education/trainingrequirements. Special Requirements: Knowledge of Medical Insurances (Medicare, Commercial, HMO's, PPO's, etc.); EMTALA regulations, hospital billing and collection processes. Ability to work independently. Must pay attention to detail, ability to prioritize, ability to communicate with associates and patients alike, public relation skills and ability to de-escalate patients dealing with distressing situations, professional demeanor. Willingness to develop and/or improve public speaking skills, excellent writing and communication skills, and knowledge of medical terminology. Reliability and dependability for given work schedule.

About Us:

NorthEast Provider Solutions Inc.

Benefits:

We offer a comprehensive compensation and benefits package that includes:

• Health Insurance
• Dental
• Vision
• Retirement Savings Plan
• Flexible Savings Account
• Paid Time Off
• Holidays
• Tuition Reimbursement