Medicaid Eligibility Area Manager Methodist in San Antonio, TX at Parallon

Date Posted: 9/12/2018

Job Snapshot

Job Description



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GENERAL SUMMARY OF DUTIES – The Area Manager reports to Area Director and/or Regional Director and is responsible for completing all assigned tasks to fulfill all facility contract requirements. Some facility contracts require Area Managers to also conduct Financial Counseling and Manager is assigned a shift for three days per week and has two days per week to fulfill all other administrative responsibilities of position and flex to cover shifts due to PTO request or call outs. 



DUTIES INCLUDE BUT ARE NOT LIMITED TO:
Will supervise a staff of Emergency Department Financial Counselors or a staff of Patient Benefits Advisors across multiple facilities.  The staffing level usually will be 5-10 employees.
•        Will coordinate with HR, Area Director, and Regional Director on all department recruitment needs and will conduct an assessment of potential applicants to interview and work closely with Area Director on the selection of appropriate candidates for employment.
•         Will complete all administrative tasks required for hiring, patient account maintenance, and all other required facility and TOG reporting needs.
•        Will provide staff training and ongoing department auditing to secure accuracy of all processes, specific facility and department requirements, and successful contractual performance results.
•        Will evaluate employee performance and is responsible for coordinating with HR, Area Director, and Regional Director for any needed corrective action and termination decisions.
•        Is responsible for daily operations of facility contract and will coordinate and communicate successfully with Administration of Hospital and Area and Regional Directors to secure maximum contract success.
•        Will participate in required TOG and facility meetings and any recommended activities to develop successful business relationships and quality contract performance requirements.
•        Will provide coverage as an Emergency Department Financial Counselor as designated by facility contract.
•        Identify and communicate continuous improvement suggestions and be a proactive and positive member of TOG management team.
•       Adheres to and supports organizational IT&S standards, policies, and procedures.
•       Adheres to Code of Conduct.
•       Performs other duties as assigned.



Job Requirements



KNOWLEDGE, SKILLS & ABILITIES

•       Working knowledge of medical terminology, practices and procedures, as well as laws, regulations, and guidelines.

•       An understanding of patient confidentiality to protect the patient and the clinic/corporation.

•       Demonstrated communication, problem solving and case management skills and the ability to act/decide accordingly.

•       Ability to collect, synthesize and research complex or diverse information.  Exceptional customer service and the ability to plan organize and exercise sound judgment.

 
  EDUCATION

•        College degree preferred.



EXPERIENCE

•       A minimum three years of hospital/medical business office experience with insurance procedures and patient interaction.

•       Strong familiarity with a variety of the field’s concepts, practices and procedures. 



CERTIFICATE/LICENSE

•       N/A



PHYSICAL DEMANDS/WORKING CONDITIONS – Requires prolonged sitting, some bending, stooping and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports. Requires lifting papers or boxes up to 50 pounds occasionally.  Work is performed in an office environment. Work may be stressful at times. Contact may involve dealing with angry or upset people. Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations. Occasional travel to division data center and/or other facilities may be required.

 

OSHA CATEGORY – The normal work routine involves no exposure to blood, body fluids, or tissues (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids).  Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency care or first aid, or to be potentially exposed in some other way.

 

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