The Patient Service Advisor Supervisor will be a key resource for students/faculty providers, attending faculty and PSAs in the development of treatment plans that adhere to third party payer coverage and accurately determine patient financial responsibility for non-covered services. As the PSA Supervisor, this position will be available to provide guidance to the clinical team on procedural compliance with coding and reimbursement requirements, signed treatment plans and payment agreements and required documentation to ensure revenue cycle optimization. This position will also be responsible for maintaining a strong and current knowledge base on regulatory information as it pertains to coverage and eligibility guidelines and be able to explain these concepts and answer the prevailing rules and regulation questions of students, residents, attending faculty, clinic staff and PSAs. A primary function for the PSA Supervisor is to manage an assigned group of PSA staff and ensure the accuracy of their evaluation of treatment plan coding, assignment of patient financial liability and other work. In addition, the PSA Supervise will collaborate closely with the Clinic Managers and members of the care team on resolving patient issues pertaining to treatment plan or billing related concerns. The PSA Supervisor customer facing role provides essential advisory services to the patient, as well as students, faculty and staff in the teaching clinic, while also ensuring compliance with a wide range of policies and regulations that govern care.
Maintain critical knowledge base of Medicaid and Medicaid Care eligibility and coverage guidelines as it pertains to dental coverage in CDM.
Expert in the rules and regulations affecting coding, reimbursement and documentation as it pertains to the development of treatment plans, private payment agreements and billing.
Identify gaps in coverage and eligibility knowledge of students, residents, faculty and PSA and educate accordingly to close those gaps.
Provide guidance to clinical care team on issues tied to treatment plans, payment plans, outstanding balances, eligibility and coverage issues and non-covered services.
Manage team of PSAs and ensure accuracy of their work.
Sign off on high dollar treatment plans and private payment agreements before finalized by PSAs.
Fill in gaps to ensure that all treatment plans are completed in a timely fashion.
Collaborate closely with Clinic Managers to resolve patient billing issues particularly those that have been escalated or require Administrative Adjustments and/or Refunds.
Initiate steps to evaluate and improve customer satisfaction as appropriate as it relates to customer facing advisory services.
Ensures patients and all stakeholders are treated with respect and courtesy.
Promote and ensure high productivity and quality of the work of the PSAs. Also promote culture of teamwork, commitment and accountability.
Ensure adequate staffing levels of PSAs to meet timely workload requirements at CDM. Responsible for payroll functions and vacation/sick day management of staff.
Train, hire, and perform annual performance appraisals for all PSAs. Encourage growth and knowledge base. Responsible for staff mentorship, development and training.
Conform to all Article 28, HIPAA, billing compliance and safety policies and guidelines. Ensures that staff meet regulatory requirements as mandated including but not limited to Art. 28 awareness, HIPAA compliance training, and any and all CU, CUMC, and CDM training programs.
Liaison between Patient Care Team and Finance Revenue Cycle team. Escalate any issues as appropriate. Advises the Senior Leadership on matter pertinent to revenue optimization.
Maintains matrix reporting to Chief Financial Officer for key revenue cycle integration. CFO also will provide oversight to ensure PSA Supervisor maintains current billing and financial knowledge base.
Performs other duties and responsibilities as assigned.
Requires a bachelor's degree or equivalent in education and experience, plus a a minimum of three years of related experience.
Experience with Article 28 Medicaid Dental billing. Knowledge of Dentistry and electronic Dental billing systems. 5 or more years of related work experience. Ability to lead a team to meet complex operational objectives in an academic dental clinic.
Coding, Third Party Reimbursement and ability to determine patient responsibility for non-covered services as well as financing options for a proposed treatment plan experience.
Strong customer service orientation.
Proven ability to provide advisory services as a key member of a patient care team.
Strong interpersonal skills and ability to build and maintain relationships.
Excellent communications skills, both written and verbal.
Equal Opportunity Employer / Disability / Veteran
Columbia University is committed to the hiring of qualified local residents.
Internal Number: 505250
About Columbia University
Columbia University is one of the world's most important centers of research and at the same time a distinctive and distinguished learning environment for undergraduates and graduate students in many scholarly and professional fields. The University recognizes the importance of its location in New York City and seeks to link its research and teaching to the vast resources of a great metropolis. It seeks to attract a diverse and international faculty and student body, to support research and teaching on global issues, and to create academic relationships with many countries and regions. It expects all areas of the university to advance knowledge and learning at the highest level and to convey the products of its efforts to the world.