Employment Spot

Job Description

GENERAL SUMMARY OF DUTIES - The Director of Central Scheduling/Insurance Verification is responsible for daily operations of all scheduling and insurance verification functions, coordinating when necessary with hospital departments from each facility associated with the SSC. This individual coordinates operations with hospital leadership representatives from each facility associated with the SSC, demonstrating strong commitment to customer relationships by taking ownership of issues and facilitating effective outcomes in a timely manner. The Director interprets policies and procedures, recommends changes as appropriate, and provides relevant feedback to SSC and the Facility leadership. Also serves as a key promoter of the SSC as a service organization which strives to meet and exceed the needs of its customers.

SUPERVISES â€" Central Scheduling and Insurance Verification Manager, may supervise all departmental staff in the absence of a manager.

OPERATIONAL DUTIES INCLUDE BUT ARE NOT LIMITED TO:

·         Plan, prepare and integrate the transition of facility Scheduling and Insurance Verification processes from facility to SSC.

·         Oversees SSC operations of Central Scheduling and Insurance Verification to ensure daily operations are maintained according to standards.

·         Serve as a primary liaison between SSC and facility directors.

·         Maintains regular communication with facility directors and leadership team.

·         Maintain and promote good customer relations with facility management, physicians and physician office staff.

·         Create departmental policy and procedures in compliance with SSC standards.

·         Review CS and CIV performance to ensure timeliness, accuracy, compliance and standards fulfillment as defined in SSC Service Level Agreement.

·         Inform SSC COO of any significant issues related to Central Scheduling and/or Central Insurance Verification.

·         Stay abreast of regulatory requirements and company compliance policies, ensuring timely staff education.

·         Inform staff of relevant changes and developments in payer requirements.

·         Ensure quality review measurements are in place

·         Proactively implements process improvements to ensure efficiency and accuracy in operations

·         Oversee management of CS and CIV personnel, providing recommendations for hiring, promotion, salary adjustment and personnel action where appropriate.

·         Develop specific objectives, budgets and performance standards for each area of responsibility

·         Submit monthly Central Scheduling and Insurance Verification data to facility directors, facility and

·         SSC leadership teams.

·         Perform review and prepare performance documents for direct reports

·         Assume a lead role for innovation, knowledge sharing and leading practices identification within the SSC and among peer group

·         Practice and adhere to the “Code of Conduct" philosophy and “Mission and Value Statement"

·         Other duties as assigned

Job Requirements

KNOWLEDGE, SKILLS & ABILITIES

·         Organization - proactively prioritizes needs and effectively manages resources

·         Communication - communicates clearly and concisely

·         Leadership - guides individuals and groups toward desired outcomes, setting high performance

·         standards and delivering leading quality services

·         Customer orientation - establishes and maintains long-term customer relationships, building trust and

·         respect by consistently meeting and exceeding expectations

·         Tactical execution - oversees the development, deployment and direction of complex programs and

·         processes

·         Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures

·         and systems

·         PC skills - demonstrates proficiency in Microsoft Office applications and others as required

·         Financial management - applies tools and processes to successfully manage to budget

·         Project Management - assesses work activities and allocates resources appropriately

·         Start-Up Operations - understands complexities and needs to start-up, build and maintain a new

·         business

EDUCATION

·         Bachelor’s Degree in Business or related field

·         Equivalent work experience may substitute degree requirement

EXPERIENCE

·         Scheduling and Insurance Verification experience required

·         Call center and clinical experience a plus

·         Minimum 5 years management experience