Family Services Manager

Family Services Manager

Our patients are our number one priority! We're committed to giving children back their childhood!

Location: Frisco - Ambulatory Surgical Center

Time Type: Full time

Monday - Friday

8:00am - 4:30pm

Duties/Responsibilities

• Ensure that families are informed of charity care programs at the hospital and assist families with completion of the application for those programs prior to arrival for services
• Screens patients for government funding sources and arranges payment options with patients' families as well as private insurance utilizing On-Point and Federal Marketplace
• Greet and provides assistance to visitors and patients. Explain policies and procedures, and resolves problems
• Verify insurance coverage and update the billing system to reflect the insurance status of the patient as needed
• Analyze insurance coverage and benefits for service to ensure timely reimbursement
• Ensure that prior authorizations are obtained based on insurance plan contracts and guidelines as requested by the patient family
• Respond to requests from families/insurance companies regarding service cost estimates
• Enter and update physician referrals as required
• Determine availability of third party sponsorship for uninsured families and process patients in accordance with policy and procedure
• Explain bills, statements and any other patient correspondence as they relate to the hospital's financial assistance policies
• Calculate and post cash payments appropriately for patients as needed
• Perform other duties necessary to ensure all accounts are processed accurately and efficiently and patient/family needs are met
• Gather necessary documentation to support proper handling of inquiries and complaints
• Develops process improvement initiatives to increase the number of families served by our financial assistance program
• Assists with the development of meaningful, relevant, measurable goals for departmental operation
• Assists with the development of the departmental plan which is: based on an ongoing evaluation of clinic operation; efficient and effective in the use of resources and in meeting patient/family needs; appropriate to the scope and level of care required by the patients served; timely and designed to be responsive to the needs and expectations of patients/families; and commensurate with the organization's primary functions, mission, values and goals
• Coordinates and integrates inter and intra-departmental services
• Demonstrates effective human resource management skills for the attainment of departmental and hospital goals according to the mission and vision of the organization
• Recruits and selects appropriate staff based on the department and hospital needs
• Identifies staff development needs and provides appropriate opportunities for staff development and growth
• Monitors and evaluates individual staff performance on an ongoing, equitable and consistent basis
• Feedback, counseling and/or coaching is conducted in a timely manner, as appropriate
• Fosters communication between and among individuals and components of the organization by coordinating internal activities
• Provides adequate time for staff to participate in performance improvement activities
• Assures competencies of staff are documented and that staffing assignments are commensurate with current skills
• Coordinates the orientation of staff to department
• Assures that staff is oriented properly, effectively and in a timely manner
• Proper documentation of orientation activities are maintained in the personnel file
• Assures a safe environment for staff, patients/families and visitors through frequent rounds and assuring staff competency related to their jobs
• Assigns departmental coverage as needed
• Responsible for initiating and completing monthly departmental statistics
• Objectively evaluates staffing requirements and provides input to the annual operating budget
• Effectively manages resources to stay within budget
• Assists with the annual budget preparation and development for the Family Services department
• Communicates effectively with all staff, patients/families, visitors, etc.
• Promotes and role models appropriate interpersonal skills including effective leadership, conflict resolution, team building and meeting skills
• Communicates with manager, staff, physicians, patients, parents, other departments, etc, in an effective, assertive and positive manner
• Keeps staff informed of significant changes and events through regularly scheduled meetings and individual conferences

Required Skills/Abilities

• Work requires knowledge of basic grammar and mathematical principles normally required through a high school education, with some postsecondary education
• Bachelor degree preferred
• Two to five years of experience working in hospital patient access and/or billing, physician office billing and collections, or an equivalent combination of relevant education and/or experience