Coordinating Manager L. B - MetroPlus

NYC Health + Hospitals/Gotham Health is one of the largest Federally Qualified Health Center (FQHC) in the country, providing coordinated world-class primary and specialty care with dignity and respect for all New Yorkers, without exception. At Gotham Health, we practice a person-centered caring culture that values delivering compassionate, quality healthcare in partnership with our patients, community organizations, and staff. Gotham Health is focused on high-quality, affordable care to everyone regardless of ability to pay or immigration status. Gotham Health serves the community through a two-pronged approach: providing treatment to those who need it while at the same time emphasizing prevention. We strive to deliver services in a way that maximizes each patient's opportunity to achieve successful health outcomes, we believe in every person's right to participate in their care plans, we facilitate partnerships with other community resources to meet the needs of our patients beyond healthcare, and we celebrate and recognize the compassionate care of our committed staff. Join our team if you want to be part of our Gotham Health Family, a person-centered, fully integrated, and innovative ambulatory care network that enables all New Yorkers to live their healthiest lives. Job Description PURPOSE OF POSITION: Provide adequate training and development to Gotham's Financial Counselors and Registration Staff to ensure all financial goals are strategically implemented and executed in a uniformed manner. To implement a standard preregistration workflow for all ambulatory care departments in order to secure visits, prepare for televisits, streamline check-in and improve the patient experience. Implement standard work flow to all Financial Counselors. Provide in person/virtual training to all of Gotham sites. Review work flows and work ques to ensure revenue optimization. It plays an integral part in assisting the Finance Department to provide necessary accounting information for strategic reporting. AREAS OF RESPONSIBILITIES: Financial Counseling Registration Revenue Retention Patient Retention Revenue Opportunity Patient Accounts SUMMARY: •Results driven •Extreme attention to detail and excellent organizational skills •Contributes to team effort by accomplishing related results as needed •Must be able to work in a fast pace environment •Must be able to multitask •Must be able to effectively communicate with staff members and management DUTIES AND RESPONSIBILITIES: •Supervise and Train Employees on standard procedures for checking a patient in EPIC and having the prescreening conversation about insurances in order to determine the patient's needs •Review patient account records to insure patient's insurance are properly set up to be billed; ensure timely billing process, verify insurance eligibility and/or authorizations on accounts assigned where applicable. •Participate in cross functional department projects •Serve as back up for the sites when necessary •50% Travel between sites, evening and weekends required •Track daily Patient Retention Specialist volume (patient appointments, telephone calls) •Collaborate with registration to ensure appointments were completed •Review monthly Managed Care Rosters •Outreach and make appointments to non-users •Provide daily, weekly and monthly reports of progress •Manage Work Queues •Facilitates team meetings as necessary •Training for Pre-Authorization and Radiology Procedures •Set long- and short-term goals and implements strategies to meet desired objectives. •Coordinates and holds weekly, Bi-Weekly and Monthly meetings with all leadership in order to keep the communication lines open. Minimum Qualifications 1. A Master's degree from an accredited college or university in Public Health, Public Administration, Business Administration, Social Work, Psychology or Rehabilitation Counseling; and 2. Two (2) years of full-time experience in medically-oriented health care and medical support systems environment, one (1) year of which included experience in an administrative or supervisory capacity in such occupations as physical, occupational, inhalation, speech and audiology therapy or as Medical/Laboratory Technologist, Microbiologist (various specialties), Chemist (biochemist), Radiation and X-Ray Technician; or two (2) years of responsible level experience in business management systems or general administration including one (1) year in a supervisory or administrative capacity; or 3. A Baccalaureate degree from an accredited college or university in disciplines listed in "1" above; and 4. Three (3) years of full-time experience, as described in "2" above, including two (2) years of experience in an administrative or supervisory capacity in occupations, as listed in "2" above; or 5. A satisfactory equivalent combination of education, training and/or experience. Note: Certification or licensure may be required. Department Preferences QUALIFICATIONS FOR THE JOB: •Prescreening a Patient •Determining Status & Eligibility •Opening / Closing a Financial Case •Clearing RTE with Insurances •Understanding Coverages and Insurances •Creating a coverage in Epic •Troubleshooting a data mismatch •Attaching Insurance to HAR CERTIFICATION(S)/LICENSE(S): N/A EDUCATIONAL LEVEL: High School Diploma or Equivalent KNOWLEDGEABLE IN: EPIC, Manage Care, Insurance Coverage, Customer Service EQUIPMENT/MACHINES OPERATED: COMPUTER PROGRAMS/SOFTWARE OPERATED Microsoft Excel Word, PowerPoint, Outlook, EPIC, PTar Registration and Reports, New York State of Health Applications YEARS OF EXPERIENCE: Five years of Registration and Financial Counseling If you wish to apply for this position, please apply online by clicking the "Apply Now" button NYC Health and Hospitals offers a competitive benefits package that includes: Comprehensive Health Benefits for employees hired to work 20+ hrs. per week Retirement Savings and Pension Plans Loan Forgiveness Programs for eligible employees Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts College tuition discounts and professional development opportunities Multiple employee discounts programs Vacancy Control Board Number VCB #: GGM-

Created: 2024-11-05