Patient Enrollment Supervisor

The Patient Enrollment Supervisor will be the point of contact for training on the patient enrollment process and workflow: Training the team on enrollment, registration, income determination, and preliminary funding assignments. The PES will work with the BH Manager to ensure the intake, admission, and follow up appointments of Cove patients is performed correctly. Ensure that Cove patients have accurate demographic and financial data entry and fee collection.

Scope of work

The duties listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position.

  1. Provide direct Supervision to the Patient Enrollment Specialists at A&R to ensure excellent customer services and enrollment process is thorough, efficient and accurate
  2. Monitoring of the medical appointments by the scheduler as they check in.
  3. Experience with Insurance Verification
  4. Implement the check-out window for intakes to ensure funding is identified on first day
  5. Confirm their Residential client's balances prior to their graduation and communicate that information to respective program supervisors.
  6. Ensure the MAT Program's Clinical Support Specialists- CSS in Tampa & MAT are included in any training needs regarding funding assignments and coordinate with their supervisor
  7. Ensure the CSS and PES are reviewing the Medicaid patient list monthly for active coverage by the 10th of month
  8. Assist the CSS review the $3.00 copay list from Tampa MAT manager weekly of the clients currently with no insurance that may qualify for SOR.
  9. Review requests for issues with payments posting correctly to investigate root causes.
  10. Support the admission process of insurance verification
    1. Checks of Medicaid and HCHP portal.
  11. Use of Availity portal to verify other insurances
  12. Assist patients with new income determinations annually or upon changes in level of care.
  13. Work with Outpatient programs including Court Services need for funding for the new clients. (applies the charge for MM, DCE, DUI, DETRR etc)
  14. Respond to Balance reconciliation requests from BH Manager and Finance
  15. Work with Grant support Specialist to trouble shoot patients without coverage report.
  16. Monitoring of the sign in sheet for Tampa daily.
  17. Provide front desk Coverage for MAT Tampa and A&R Tampa as needed.
  18. Review various tracking logs to audit for patient data accuracy, funding enrollment, insurance eligibility and balance management and report same to program directors and finance department representatives.
  19. Process intake for new patients to include entry of demographic information into EHR, signing consents, collecting and verifying income, subsidy, and insurance eligibility, and directing to additional resources as necessary.
  20. Complete patient enrollment process of insurance and healthcare enrollment, insurance-based transportation benefits, voter's registration, etc.
  21. Facilitate and maintain Medicaid and Hillsborough County Health Plan insurance eligibility, verifications, pre-certifications, and authorizations.
  22. Collect, track, and process co-pays and money transactions for patient payments, complete fee agreements, reconcile patient accounts and fees, and facilitate financial drops.

Supervisory Responsibilities: Direct report of front desk PSS staff and training point of contact for CSS at Tampa & Lakeland

Knowledge, Skills & Abilities:

  • Ability to read and interpret reports and documents. Ability to respond to inquiries or complaints. Ability to write and conform to prescribed style and format. Ability to follow an extensive variety of instructions and deal with several pre-determined variables. Knowledge of MS Office (Word, Excel, and Outlook) and various computer applications required. Ability to lead team and communicate concerns

Direct reports: 3-5