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Financial Counseling Services Manager

Work Schedule/Days:  Day / Monday - Friday
Employment Type:  Full-Time
Location:  Support I 
Requisition #:  67921

 

JOB SUMMARY

Provides leadership for financial counseling and price estimate activities in support of the system's missions and values. Coordinates activities related to financial assistance programs and patient insurance coverage throughout Children’s Healthcare of Atlanta entities. Serves as an expert and team member to proactively support the centralized financial counseling team, which covers Medicaid enrollment, Financial Assistance, and Estimates and communicate with families, physicians, and key departments to resolve issues.  Manages the intake and delivery of price estimates to families throughout the Children’s Healthcare of Atlanta entities.  Performs detailed analytics to  optimize information system use, operational workflows, and processes that impact financial counseling and price estimates. Maintains productive relationships with Revenue Cycle leaders and stakeholders throughout Children’s Healthcare of Atlanta, including physician practices, hospital operations, Finance, Reimbursement, Information Systems & Technology, and others as appropriate. Proactively supports efforts that ensure delivery of safe patient care and services and promote financial counseling at Children's Healthcare of Atlanta.

EDUCATION

Bachelor’s degree in healthcare, business administration, or related field

CERTIFICATION SUMMARY

• No professional certifications required

EXPERIENCE*

  • Five years’ experience in Financial Counseling, Revenue Cycle, Finance, or other relative experience
  • Experience in assessing, analyzing, and developing reports with SQL or Access 
  • Experience leading and managing teams

PREFERRED QUALIFICATIONS*

  • Experience with Epic Financial Assistance Module
  • Experience with Epic Price Estimates
  • Epic certification
  • Master’s degree
  • Knowledge of insurance coverage
  • Knowledge of Georgia Medicaid programs and enrollment criteria
  • Experience working with finance, reimbursement, managed care contracting, and revenue cycle leaders to present key performance indicators with accounts receivable analysis and recommendations for improved reimbursement
  • Experience in optimizing Epic revenue cycle applications

KNOWLEDGE SKILLS & ABILITIES*

  • Detailed knowledge of Financial Counseling key performance metrics—including Self Pay Conversion Rates, Charity Care Enrollment Rates, and Price Estimate Accuracy —and demonstrated success in managing to those metrics
  • Possesses and demonstrates excellent communication, critical thinking, organizational, and interpersonal skills
  • Ability to lead staff through difficult situations with parents to ensure the optimal financial results with enrolling patients in Medicaid and the delivery of price estimates
  • Ability to communicate directly with parents about price estimates and following organizational protocols to ensure the accuracy of price-estimates
  • Proven aptitude for problem-solving and critical thinking that is results-focused
  • Knowledge of key Children's Healthcare of Atlanta Electronic Medical Record System, Epic, or equivalent system.  System subject matter expert on Epic Financial Assistance Module.
  • Knowledge of Georgia Medicaid programs
  • Knowledge of state and federal regulations for Price Estimates and Financial Assistance
  • Demonstrated understanding of provider finance, reimbursement, managed care contracting, and revenue cycle processes
  • Ability to function in a dynamic environment subject to impromptu changes in schedules and priorities
  • Ability to communicate well and present findings verbally and via presentations, spreadsheets, and written documents
  • Ability to multitask and work both independently and within teams
  • Demonstrated ability to develop and manage budgets and other financial skills
  • High level of proficiency in the use of Microsoft Excel, Word, and PowerPoint

JOB RESPONSIBILITIES*

  1. Has primary responsibility for the oversight of Financial Counseling and ensures key-performance metrics are met.
  2. Has primary responsibility for converting self-pay patients to either government-based or commercial coverage as well as screening patients for financial assistance.
  3. Has primary responsibility for the delivery of Price Estimates to families and patients.
  4. Has detailed knowledge of Georgia Medicaid enrollment requirements and federal/local regulations for financial assistance.
  5. Has detailed knowledge of clinical operations, Epic system expertise, and insurance coverage to develop and communicate accurate price estimates to families.
  6. Coordinates all Epic system updates to Price Estimate templates.  Understands impact of changes to downstream and upstream areas to appropriately manage Price Estimates.
  7. Develops professional relationships with stakeholders within Children’s as well as external vendors to foster collaboration and partnerships for improved financial counseling and price estimates efforts.
  8. Manages the approval process for the Charity Exception Committee.
  9. Participates in internal and external audits for the Financial Assistance Policy as needed to ensure regulatory compliance.
  10. Performs periodic monitoring and validation of Price Estimate templates to ensure accuracy and compliance with state and federal requirements
  11. Manages escalated Price Estimate issues by working with Revenue Cycle Directors and Revenue Cycle Vice President
  12. Identifies trends, issues, and concerns related to self-pay conversions and financial assistance and collaborates with revenue cycle and other leaders across the organization for resolution.
  13. Identifies community foundation and charitable program resources available for patients and guarantors.
  14. Works to achieve compliance with all governmental, payer, and regulatory agencies’ requirements by routinely analyzing standards, regulatory rules, and Children’s policies, and develops and implements activities and policies/procedures designed to meet requirements of these agencies. Directs formulation of responses to governmental, payer, and regulatory audits and requests.
  15. Manages the orientation, competency assessment, and mandatory education for Financial Counseling staff. Ensures the development of educational programs needed for teams assigned.
  16. Validates that information system implementations and upgrades are completed successfully in conjunction with IS&T, Reimbursement, Managed Care, and other areas/departments as needed.  Has direct responsibility for Price Estimate and Financial Assistance functionality.
  17. Supports Revenue Cycle Directors and Revenue Cycle Vice President in implementing and achieving revenue cycle goals and initiatives.

SYSTEM RESPONSIBILITIES*

Safety: Practices proper safety techniques in accordance with hospital and departmental policies and procedures. Responsible for the reporting of employee/patient/visitor injuries or accidents, or other safety issues to the supervisor and in the occurrence notification system.
 
Compliance: Monitors and ensures compliance with all regulatory requirements, organizational standards, and policies and procedures related to area of responsibility. Identifies potential risk areas within area of responsibility and supports problem resolution process. Maintains records of compliance activities and reports compliance activities to the Compliance Office.

PHYSICAL DEMANDS*

Ability to lift up to 15 lbs independently not to exceed 50 lbs without assistance
Bending/Stooping - Not Present
Climbing - Not Present
Hearing/Speaking - Effective communication with employees, supervisors/managers and staff. Effective communications with patients and visitors, as required.
Lifting - Occasionally (activity or condition exists up to 1/3 of time)
Pushing/Pulling - Not Present
Sitting - Constantly (activity or condition exists 2/3 or more of time)
Standing - Occasionally (activity or condition exists up to 1/3 of time)
Walking - Occasionally (activity or condition exists up to 1/3 of time)

WORKING CONDITIONS*

 

About Us:

Children’s Healthcare of Atlanta has been 100 percent committed to kids for more than 100 years. A not-for-profit organization, Children’s is dedicated to making kids better today and healthier tomorrow.

With 3 hospitals, 20 neighborhood locations and a total of 673 beds, Children’s is the largest healthcare provider for children in Georgia and one of the largest pediatric clinical care providers in the country. Children’s offers access to more than 60 pediatric specialties and programs and is ranked among the top children’s hospitals in the country by U.S. News & World Report.

Children’s has been recognized as a Fortune 100 Best Place to Work, a Best Place for Working Mothers, and as a top employer for diversity and millennials.  We offer a comprehensive compensation and benefit package that supports our mission, vision and values.  We are proud to offer an array of programs and services to our employees that have distinguished us as a best place to work in the country.  Connect to our mission of making kids better today and healthier tomorrow. 

Have questions about the recruitment process?  Check out What to Expect.

Address:  1575 Northeast Expressway, Bldg 1, Atlanta, GA  30329
Function:  Revenue Cycle - Patient Financial Services


Nearest Major Market: Atlanta

Job Segment: Counseling, Medical, EMR, Information Systems, Manager, Healthcare, Technology, Management