Financial Counselor, Supervisor

Company Overview:

Cayuga Health is the region's leading healthcare system, and most trusted driver of integrated health services, together with valued partners. We empower our people and employ our capabilities to equitably improve the well-being of the communities we serve. At Cayuga Health System, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies, and research protocols. We have a commitment to its employees by providing competitive rates and compensation, a comprehensive employee benefits programs, attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.

Nestled in the beautiful Finger Lakes region, Cayuga Health provides an outstanding place to work in a vibrant community. Come discover all that Ithaca, New York and Cayuga Health has to offer!

Position Overview:

As a Financial Counselor (FC) Supervisor, at Cayuga Medical Center, you are responsible for providing oversight to the Financial Counsels to ensure the Revenue Cycle goals are met regarding, scheduling appointments for planned surgeries and planned admissions to ensure all aspects of insurance approval have been met. The Financial Counselor Supervisor will also ensure that the patient/guarantor is informed of all financial liabilities and that the pertinent documentation is updated into the appropriate systems. The position requires integral communication with patients, insurance companies, department administrators, physicians, and other departmental staff to ensure the ideal patient experience.

Minimum Qualifications:

• Review authorization request trends to recommend process improvement
• Perform quality checks to ensure perform goals are met. (Processing guideless and metrics)
• Provide scheduled feedback to team and assist to help remove barriers
• Analysis of report data including identification of root cause for escalation to the CHS Director
• Monitor worklist volumes to ensure management of workflow.
• Serve as a liaison between the Financial Counselors and internal and external customers, to include but not limited to, Revenue Cycle team member, Utilization management, Health Information, Infrastructure Management and all Clinical area
• Assist team with the processing of FC functions/job duties (when required), which includes researching and reviewing payer guidelines, obtaining authorizations, and issuing with supporting documentation.
• Identifies errors/discrepancies with the authorization request and FC packets.
• Successfully adhere and execute financial policies and processes, act with integrity, good judgment, take initiative and pro-actively solve problems
• Exhibits expertise in the use of all registration systems, electronic verification tools and Web based resources.
• Provided oversight with alternative payment process for uninsured patients, to include but not limited to: Assisting FC to identify payment source
  • Collect down payment and establish plan payment
  • Work with Surgical Services to reschedule any uninsured patients until payment source, or payment plan, is established
  • Medicaid
  • CMC Financial Assistance Program

• Manage the following programs:
• Lens Program for cataract surgeries
• Cosmetic Surgeries
• Provide oversight to FC as it related to the patient estimates and the collections of estimated balances for new and established patients, including proper completion of Good Faith Estimate form.
• Demonstrates a positive and professional approach and communicates effectively with customers and team members at all times.
• Maintains flexibility in work schedule availability that allows department to change/modify work schedule to meet departmental needs.
• Meets federal, state and hospital requirements related to compliance issues.
• Attends and participates in department staff meetings and attends other meetings as assigned
• Process disciplinary actions in accordance with the established policies at CHS
• Other job-specific duties as assigned

Education Requirements:

• Bachelor's Degree (and two (2) year of relevant supervisory experience)
• In lieu of a Bachelor's Degree, an Associate's degree (and four (4) year of relevant supervisory experience) or a HS diploma (or equivalent) with eight (8) years of relevant supervisory experience

Experience:

• Four (4) years' experience of healthcare experience working for a health plan, physician practice, surgery center or hospital in a business capacity required.
• Experience using Microsoft Office suite including Word and Excel.
• Experience in data processing, hospital registration, insurance verification, insurance pre-certification / authorization with a healthcare provider or insurance company required
• Three (3 )years of supervisory or training experience (preferred)

Physical Requirements:

Lifting up to 20 pounds, standing or sitting for extended periods, as well as repetitive use of hands and fingers.

At this time Cayuga Health System will not sponsor a new applicant for employment authorization for this position.

If you are interested in applying for this position and you require an accommodation, please contact Cayuga Health System at hr@cayugamed.org

Cayuga Health System Commitment to Diversity, Equity & Inclusion

Cayuga Health System commits to treating all people with dignity so that everyone who comes to us is safe, cared for, and respected. We will support the growth of our employees and the health of our community by embracing the rich diversity of social and cultural identities, needs, and life circumstances of all people. We strive to recognize and overcome personal biases and systemic policies that marginalize others and contribute to disparities in healthcare access, equitable care, and good health outcomes.

Cayuga Health is dedicated to our vision for diversity, equity, and inclusion. As we strive towards our vision, we welcome the opportunity to work alongside a diverse range of employees.