Director of Auth & Eligibility, Home Health at Kindred at Home in Clarkdale, GA
Compassionate care, uncompromising service and clinical excellence - that's what our patients have come to expect from our clinicians. Kindred at Home, a division of Kindred Healthcare Inc., is the nation's leading provider of comprehensive home health, hospice, and non-medical home care services. Kindred at Home, and its affiliates, delivers compassionate, high-quality care to patients and clients in their homes or places of residence, including non-medical personal assistance, skilled nursing and rehabilitation and hospice and palliative care. Our caregivers focus on each unique patient to deliver the appropriate care and emotional support to our patients and their families. Director of Eligibility & Authorizations is responsible for leading and planning the Authorization division of the Revenue Cycle operations for a 50
person department in a corporate office with staff across multiple states and time zones; designing, implementing, and enforcing policies and procedures; ensuring the most effective systems are in place for successful execution of the revenue cycle strategy; streamlining effective authorization processes across multiple markets; and managing by metrics. This position is highly visible and requires a strong leader with the ability to prioritize, plan, and direct the division to ensure industry-leading results. General Duties & Responsibilities Adheres to Organization's Policy and Procedures Assists department in carrying out various programs and procedures Acts as a role model within and outside the Company Performs duties as workload necessitates Maintains a positive and respectful attitude Communicates regularly with supervisor about Department issues Demonstrates flexible and efficient time management and ability to prioritize workload Consistently reports to work on time prepared to perform duties of position Participates in administrative staff meetings, committees, and special projects Recommends new approaches to effect on-going continual improvements to policies, procedures, and documentation Maintains compliance with federal and state regulations Performs other related duties as required and assigned Consistently promotes the company's core values. Completes required Curo annual training. Essential Functions of Position Lead the Authorization team to ensure that the organization can submit accurate claims and collections in accordance with all third party contract terms including Medicare, Medicaid, managed care, commercial insurance and direct patient pay. Maintain and enhance Authorization policies and procedures and ensure staff adherence to policies. Maximize the use of integrated systems to effectively automate the eligibility, benefits and authorizations process. Work with others on the Revenue Cycle leadership team to maintain compliance with all Medicare, Medicaid, State and Federal Regulation, and NAHC standards and ACHC standards. Collaborate with senior management in the development and analysis of performance metrics to ensure division operations support the achievement of the company's strategic goals and objectives. Monitor the review of medical records and documentation related to Medicare, Medicaid and affiliated Managed Care Organizations for proper authorizations. Ensure consistent quality of the billing authorization process by distributing and assigning duties and responsibilities to employees, ensuring skill levels are appropriate to the assigned tasks and monitoring the division's productivity. Manage and communicate with the team on the appeal process related to authorization denials. Work with the field staff on obtaining all documentation necessary for proper authorizations Prepare detailed analyses and reports of billing authorization activities and results. Requires continuous improvement in the revenue cycle related to eligibility and authorizations. Manage field operations' problem escalation and customer service relating to billing authorizations. Assist with the implementation of all new billing authorization systems for acquired companies. Effectively interact with all departments including Operations and Business Development. Provide mentoring, coaching and performance reviews for all direct reports. Manage team operations, including hiring, orientation, training, development, coaching, corrective actions, and ongoing monitoring of all staff work-related activities. Education/
Experience:
Bachelor's in Accounting, Finance, Business Management or Healthcare Administration/Management preferred Three years of Home Health or Hospice experience Experience with Homecare-Homebase billing system preferred Advanced Microsoft Office skills HomeCare-HomeBase preferred This role requires full COVID-19 vaccination Specialized Knowledge/Skills:
Familiarity with employment related regulations (state and federal) required Ability to work with confidential information Well organized and confident to work independently, but is a team player Ability to communicate clearly to field, mid-level, and executive staff Exercises professional judgment and demonstrates good problem-resolution skills Very comfortable working with multiple online and computer applications Ability to balance multiple tasks and manage conflicting priorities Strong attention to detail and follow-up skills Maintain professional behavior when dealing with subordinates Excellent communication skills both written and verbal, and interpersonal skills Ability to manage projects concurrently Possess excellent troubleshooting and problem solving skills Flexible and responsive to changing business needs Ability to manage new processes and new computer systems Ability to perform strategic planning and priority setting for a billing authorization division in a fast-paced, growing environment
Salary Range:
$100K -- $150K
Minimum Qualification
Healthcare ManagementEstimated Salary: $20 to $28 per hour based on qualifications.
person department in a corporate office with staff across multiple states and time zones; designing, implementing, and enforcing policies and procedures; ensuring the most effective systems are in place for successful execution of the revenue cycle strategy; streamlining effective authorization processes across multiple markets; and managing by metrics. This position is highly visible and requires a strong leader with the ability to prioritize, plan, and direct the division to ensure industry-leading results. General Duties & Responsibilities Adheres to Organization's Policy and Procedures Assists department in carrying out various programs and procedures Acts as a role model within and outside the Company Performs duties as workload necessitates Maintains a positive and respectful attitude Communicates regularly with supervisor about Department issues Demonstrates flexible and efficient time management and ability to prioritize workload Consistently reports to work on time prepared to perform duties of position Participates in administrative staff meetings, committees, and special projects Recommends new approaches to effect on-going continual improvements to policies, procedures, and documentation Maintains compliance with federal and state regulations Performs other related duties as required and assigned Consistently promotes the company's core values. Completes required Curo annual training. Essential Functions of Position Lead the Authorization team to ensure that the organization can submit accurate claims and collections in accordance with all third party contract terms including Medicare, Medicaid, managed care, commercial insurance and direct patient pay. Maintain and enhance Authorization policies and procedures and ensure staff adherence to policies. Maximize the use of integrated systems to effectively automate the eligibility, benefits and authorizations process. Work with others on the Revenue Cycle leadership team to maintain compliance with all Medicare, Medicaid, State and Federal Regulation, and NAHC standards and ACHC standards. Collaborate with senior management in the development and analysis of performance metrics to ensure division operations support the achievement of the company's strategic goals and objectives. Monitor the review of medical records and documentation related to Medicare, Medicaid and affiliated Managed Care Organizations for proper authorizations. Ensure consistent quality of the billing authorization process by distributing and assigning duties and responsibilities to employees, ensuring skill levels are appropriate to the assigned tasks and monitoring the division's productivity. Manage and communicate with the team on the appeal process related to authorization denials. Work with the field staff on obtaining all documentation necessary for proper authorizations Prepare detailed analyses and reports of billing authorization activities and results. Requires continuous improvement in the revenue cycle related to eligibility and authorizations. Manage field operations' problem escalation and customer service relating to billing authorizations. Assist with the implementation of all new billing authorization systems for acquired companies. Effectively interact with all departments including Operations and Business Development. Provide mentoring, coaching and performance reviews for all direct reports. Manage team operations, including hiring, orientation, training, development, coaching, corrective actions, and ongoing monitoring of all staff work-related activities. Education/
Experience:
Bachelor's in Accounting, Finance, Business Management or Healthcare Administration/Management preferred Three years of Home Health or Hospice experience Experience with Homecare-Homebase billing system preferred Advanced Microsoft Office skills HomeCare-HomeBase preferred This role requires full COVID-19 vaccination Specialized Knowledge/Skills:
Familiarity with employment related regulations (state and federal) required Ability to work with confidential information Well organized and confident to work independently, but is a team player Ability to communicate clearly to field, mid-level, and executive staff Exercises professional judgment and demonstrates good problem-resolution skills Very comfortable working with multiple online and computer applications Ability to balance multiple tasks and manage conflicting priorities Strong attention to detail and follow-up skills Maintain professional behavior when dealing with subordinates Excellent communication skills both written and verbal, and interpersonal skills Ability to manage projects concurrently Possess excellent troubleshooting and problem solving skills Flexible and responsive to changing business needs Ability to manage new processes and new computer systems Ability to perform strategic planning and priority setting for a billing authorization division in a fast-paced, growing environment
Salary Range:
$100K -- $150K
Minimum Qualification
Healthcare ManagementEstimated Salary: $20 to $28 per hour based on qualifications.
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