• Job Description

  Req#: R-25004289

  Location:

  Avera Cancer Institute-Sioux Falls

  Worker Type:

  Regular

  Work Shift:

  Day Shift (United States of America)

  Position Highlights

  Monday - Friday, 8:00 AM - 5:00 PM

  
  You Belong at Avera

  
  Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

  
  A Brief Overview
  
  Responsible for the supervision of patient advocate staff by coordinating communication and workflow with patient advocates, clinic care teams and outside departments to create a positive outcome for patients and staff. A successful Supervisor assists with the development, implementation, and standardization of education and training for patient advocate staff and ensures patients are provided needed coverage or cost- related education, necessary patient assistance and follow-up, and authorization of services.
  
  What you will do
  
  

  • Supervises and evaluates the daily performance workflow and the engagement of patient advocate staff to detect unsatisfactory trends or performance deficiencies. Is accountable for the development of current and future training and goals for the department.
  • Coordinates, investigates, and provides resolutions between interdepartmental opportunities regarding prior authorizations, co-pay assistance, and other programs with respect to other department patient advocates, billing/revenue cycle teams, and others as applicable. Facilitates relationships and workflows with outside departments including patient access, denial management, revenue cycle and business office.
  • Monitors and provides root cause analysis as needed on denials. Ensures follow up on retrospective authorizations or working of denials for acquiring payment from payers.
  • Develops, implements, and updates department specific policies, procedures, and competencies related to effectiveness of the department goals. Optimizes EMR to ensure workflows that allow for all needed services to be authorized and re-authorized as well as transparency to authorization information between departments.
  • Investigates alternate funding from non-profit foundations or manufacturer sponsored compassionate care programs as needed.
  • Fills in for Patient Advocate staff when necessary.
  • Responsibilities include interviewing, hiring, developing, training, and retaining employees; planning, assigning, and leading work; appraising performance; rewarding and coaching employees; addressing complaints and resolving problems.

  
  Essential Qualifications
  
  The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.
  
  Required Education, License/Certification, or Work Experience:
  
  

  • Associate's in social work, health care administration, or medical coding; related experience in health insurance, billing, coding or pharmacy; or equivalent combination of education and experience.

  
  Expectations and Standards
  
  

  • Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
  • Promote Avera’s values of compassion, hospitality, and stewardship.
  • Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
  • Maintain confidentiality.
  • Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
  • Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

  
  

  
  Benefits You Need & Then Some

  Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.

  • PTO front-loaded for eligible hires

  • Free health insurance options, for full-time single coverage on Avera High Deductible Health Plan

  • Up to 5% employer matching contribution for retirement

  • Career development guided by hands-on training and mentorship

  Applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org .

• About the company

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