Pre-Reg Pre-Cert Supervisor

Pre-Reg Pre-Cert Supervisor Southlake Campus

The Pre-Reg Pre-Cert Supervisor is responsible for overseeing the pre-registration / pre-certification staff and follows all health system policies and practices. This position supervises the employee workflow and performance. Provides direction and leadership to respective staff. Assures staff productivity, quality and customer service are monitored and meet the departmental standards. Works in collaboration with department manager and multiple departments throughout the health system. Supports and adheres to the University of Kansas Health System's Code of Ethics and Business Standards.

Responsibilities and Essential Job Functions

• Oversees the pre-registration pre-certification functions that assure accuracy of demographic and insurance information.
• Possesses detailed knowledge of registration / pre-registration / pre-certification processes to provide necessary oversight and to assist in accomplishing work in short staffing situations.
• Provide relief coverage in planned or emergent absences of other supervisors, all shifts when requested.
• Demonstrates competence in the areas of critical thinking, interpersonal relationships, and technical skills.
• Assists with Human Resource management functions including interviewing, selection, orientation, education / training, feedback, performance evaluation, and policy and procedure development.
• Assist in updating and maintaining personnel files. Ensures employee competency and maintains written documentation of all counseling sessions as needed.
• Maintains and monitors Kronos records for employees.
• Acts as a resource supporting day to day operations including but is not limited to, contacting the patient, contacting responsible payers including government and non-government payers, contacting the patient's employer, referring uninsured and underinsured accounts to the Financial Advisors, and taking any other necessary actions.
• Contacts supervisor and physician immediately of any restrictions denying admission, such as inability to obtain pre-certification or any lock-in program by any agency.
• Ensures the patient or family is aware of any denials or limitations.
• Conducts daily WQ reviews, assists staff with workload prioritization and redistribution.
• Provides leadership presence and guidance through direction and role modeling.
• Performs reviews and internal audits to maintain standards of quality and quantity with emphasis on complete accuracy and timeliness of information gathered.
• Assures quality reviews and productivity reviews are being completed and feedback is given to staff for improvement.
• Ensures for sponsored admissions, employees contact patients' employer and / or insurance company to verify coverage and benefits, obtain benefit level, patient liability, billing address and preexisting condition information.
• Obtains pre-certification and / or authorization as needed.
• Contacts agency, as necessary, for authorization of payment.
• Complies with Medicare / Medicaid rules and regulations.
• Checks equipment to determine needs for repair and see that employees have adequate supplies to work with.
• Performs related assignments as requested by the Director, Assistant Director, Manager, and other administrative representatives.
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

Preferred Education and Experience

We are an equal employment opportunity employer without regard to a person's race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information.