Supervisor, Verification and Authorizations

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success! Role: The Verifications & Authorizations Supervisor is responsible for supervising the daily operations of insurance verification and authorization processes including nursing home room and board invoicing and Medicaid eligibility screening processes. This position is also responsible for ensuring compliance with CHS policies and procedures in addition to providing administrative oversight of these activities as they relate to revenue cycle and related systems. Qualifications: Associates degree or an equivalent combination of experience and education Minimum of three (3) years of related insurance verification and authorization experience, preferably in a Hospice environment Minimum of one (1) year of supervisory experience Strong supervisory skills including training, ensuring that departmental policies and procedures are implemented and consistently followed Excellent customer service skills, interpersonal skills, ability to work independently, ability to work with a team, critical thinking, organizational skills, and knowledge of regulatory requirements appropriate for the position Knowledge of Hospice billing and regulations preferred Ability to work in a fast-paced environment, remaining proactive, detailed oriented, resourceful and efficient, with a high level of professionalism Strong computer skills with Excel, Word, PowerPoint, and database Excellent written and verbal communication skills Competencies: Satisfactorily complete competency requirements for this position. Responsibilities of all employees: Represent the Company professionally at all times through care delivered and/or services provided to all clients. Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse. Comply with Company policies, procedures and standard practices. Observe the Company's health, safety and security practices. Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company. Use resources in a fiscally responsible manner. Promote the Company through participation in community and professional organizations. Participate proactively in improving performance at the organizational, departmental and individual levels. Improve own professional knowledge and skill level. Advance electronic media skills. Support Company research and educational activities. Share expertise with co-workers both formally and informally. Participate in Quality Assessment and Performance Improvement activities as appropriate for the position. Leadership Success Factors: Communication. Express thoughts and ideas clearly. Adapt communication style to fit audience. Initiative. Originate action to achieve goals. Adaptability. Can adapt to changing circumstances and handle unexpected situations. Judgment. Make realistic decisions based on logical assumptions, factual information and in consideration of organizational resources. Planning, Organizing and Controlling. Establish course of action for self and/or others to accomplish a specific goal; plan proper assignments of personnel and appropriate allocation of resources. Monitor results. Leadership. Use appropriate interpersonal styles and methods in guiding others. Ethics. Model highest standards of conduct and ethical behavior, adopting a strong position against fraud and abuse. Regulatory Compliance: Educate and monitor staff regarding their own and the Organization's responsibilities for regulatory compliance. Job Responsibilities: Provide training, feedback, and ongoing support to assigned team members including identifying areas of improvement and ensuring that team members have the necessary resources and tools to perform their job duties. Ensure compliance with regulatory requirements and stay up to date with changes in regulatory requirements. Review and report on performance metrics related to insurance verification and authorization to identify trends and patterns. Assist with pre month-end and month end close processes to ensure accurate claim generation. Ensure timely submission of accurate time sheets and approve payroll. Manage productivity of assigned direct reports, ensuring continuity of operations and adequate coverage. Resolve escalated issues related to insurance coverage, authorizations, and nursing home room and board Ensure accuracy and completeness of insurance verification, authorization and nursing home invoicing Perform regular review of policies and procedures to ensure they remain up to date and are consistently followed; Proactively identify changes that need to be made. Proactively communicate issues and suggestions for process improvements to the Manager of Front End Revenue Cycle; Support Manager of Front End Revenue Cycle with various initiatives and goals. Serve as subject matter expert for systems utilized in area of responsibility. Performs other duties as assigned. This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy. Choices. Education. Guidance. As a progressive leader and premier health organization, Chapters Health System is dedicated to delivering innovative care throughout chronic illness progression and beyond. Since 1983 as a community-based, not-for-profit organization, Chapters Health has provided choices, education and guidance through its managed affiliates: CareNu, Chapters Health Hospice, Cornerstone Hospice & Palliative Care, Good Shepherd Hospice, Hope Healthcare, Hope PACE, Hospice of Okeechobee, HPH Hospice and LifePath Hospice. Chapters Health offers services throughout Florida and metro-Atlanta to improve the patient/family experience well in advance of end-of-life needs. Chapters Health and its affiliates are licensed in Alachua, Bradford, Charlotte, Cherokee, Citrus, Cobb, Collier, Columbia, Dixie, Fayette, Forsyth, Fulton, Gilchrist, Glades, Gwinnett, Hall, Hamilton, Hardee, Hendry, Hernando, Highlands, Hillsborough, Lafayette, Lake, Lee, Levy, Marion, Martin, Miami-Dade, Monroe, Okeechobee, Orange, Osceola, Pasco, Pinellas, Polk, Putnam, St. Lucie, Sumter, Suwannee and Union counties. Click here to view the video!