Oakland, CA, 94606, USA
79 days ago
Supervisor, Financial Counseling and UM
**Position Summary:** The primary role of the Supervisor, Financial Counseling and UM is to supervise the Utilization Management and Financial Counselors activities to insure a payor source is identified prior to or within 24 hours of an admission. The role includes ensuring accuracy of financial information and clinical information is communicated to the appropriate payors to insure all services provided are reimbursed. The Coordinator provides the necessary support and leadership to achieve departmental goals and objectives. The Coordinator oversees the financial impact of daily admissions and coordinates any clinical payer concerns with the Utilization management department. Demonstrates overall improved Revenue Cycle performance within the financial counseling and Utilization management areas. **Position Requirements:** **Education:** Associates Degree in business, health care administration or other related field or equivalent combination of education and related work experience. **Experience:** Five years in a hospital, or clinical setting, preferably Utilization Management, Financial Counseling or related field. **Knowledge, Skills & Abilities:** In-depth knowledge of the current insurance world, preferably as it relates to Hospital Admissions, including extensive understanding of MediCal, California Children's Services, Managed Care, MediCal Managed Care and other payor classifications. Ability to work independently, Ability to process accurate information within defined time frames. A strong self- starter with the ability to prioritize in a fast pasted environment. Excellent Medical terminology. Microsoft Office Suite (Word, Excel). EPIC or other electronic Medical System preferred. **Physical Requirements:** Sit: Up to 8 hours/day Stand/Walk: 3-6 hours Bend/Stoop: Up to 3 hours Reach: Up to 3 hours Rep Use of UE/Grasp: Up to 8 hrs Lift/Push/Pull: 15 lbs This job requires the ability to hear alarms clients and/or instruction. The ability to see accurately from 20 inches to 20-ft. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function of this position.
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