Supervisor Financial Counselor

FQHC Financial Coordinator Supervisor

The FQHC Financial Coordinator Supervisor acts as a role model and resource for financial counseling staff. This role leads activities of a financial counseling service team. The FQHC Financial Coordinator Supervisor serves as a technical expert and a resource for staff and patients. The FQHC Financial Coordinator Supervisor maintains focus on ensuring effective operations through organizing, scheduling, and monitoring department workload. In addition, this individual will monitor work quality and productivity metrics and coordinate training as needed while maintaining exemplary levels of customer service in accordance with the AtlantiCare Mission, Vision, and Values.

This position maintains a liaison relationship with the FQHC Revenue Cycle department to ensure ongoing performance improvement, regulatory compliance, and achievement of best practice targets. The Financial Coordinator Supervisor provides direct oversight and supervision of Financial Coordinators for the health center, with all coordinators reporting to this role.

The Financial Coordinator Supervisor demonstrates expert level knowledge of the health center's Sliding Fee Discount Program (SFDP), NJ Uncompensated Care (LOA), and Ryan White program requirements. This includes ensuring accurate and consistent eligibility determinations and application of discounts in accordance with HRSA requirements and applicable state and federal regulations. The Supervisor is responsible for ensuring all determinations are properly documented, supported, and audit-ready, and provides guidance to staff to maintain consistency, accuracy, and compliance across all programs.

The Financial Coordinator Supervisor has the knowledge, skill, and ability to oversee and manage NJ Get Covered (Health Insurance Marketplace) enrollment activities. This includes ensuring patients are appropriately screened, educated on available plan options, and assisted with accurate and timely enrollment into qualified health plans.

Separately, the Supervisor oversees NJ Medicaid Presumptive Eligibility (PE) processes. This includes ensuring accurate eligibility screenings, timely determinations, compliance with state requirements, and appropriate follow-up for full Medicaid application completion.

The Supervisor is responsible for leading core financial coordination functions, including understanding the patient registration process, addressing billing inquiries, establishing payment arrangements, maintaining accurate patient financial records, and ensuring the collection of co-payments, deductibles, and other patient financial responsibilities.

The Supervisor is expected to maintain a strong working knowledge of front-end revenue cycle operations, including verification of third-party payer coverage, and pre-authorization and pre-certification requirements, to support staff and ensure accurate and compliant workflows.

The Financial Coordinator Supervisor collaborates closely with CSR staff, the hospital Patient Access staff and ancillary departments to ensure consistency, accuracy, and a positive patient experience across all interactions.

The Supervisor maintains a strong working knowledge of state and federal programs, including LOA (NJ Uncompensated Care), Medicare, Medicaid, and commercial payers. This includes understanding billing and reimbursement methodologies, insurance and medical terminology, and compliance requirements and HIPAA compliance practices.

The Financial Coordinator Supervisor possesses the knowledge and skill necessary to verify diagnosis codes, complete medical necessity checks for Medicare, complete patient estimates for the uninsured and underinsured.

The Financial Coordinator Supervisor is responsible for assisting and leading the day to day operations of their site/area. The Financial Coordinator Supervisor supervises monthly/quarterly audits with the financial coordinators and analyses and reports the findings to supervisor. Coordinates and prepares monthly reporting on Health Insurance Marketplace (NJ Get Covered) activities, including tracking and documenting all patient encounters with Financial Coordinators for entitlement benefit screening, application, and enrollment. The Supervisor is responsible for ongoing monitoring of the SAGE system, including oversight of patient application activity, response timeliness, and appropriate system utilization to ensure compliance and workflow efficiency.

The Financial Coordinator Supervisor will serve as the point of contact for all financial assistance related questions. Communicate with patients to identify and understand financial, social, and medical histories and other relevant patient information. The Financial Coordinator Supervisor is responsible for gathering all relevant information required to process financial assistance requests; including but not limited to audits for LOA working with. Document all communication and follow up in the EMR. The Financial Coordinator Supervisor will assess the current financial situation of patients through the verification of patient insurance benefits; serving as the technical expert in confirming patients benefit coverage and health center reimbursement.

The Financial Coordinator Supervisor provides ongoing feedback to the Grant Director and/or Practice Supervisor regarding daily financial operations, workflow gaps, and staffing needs. Financial Coordinator Supervisor

The Financial Coordinator Supervisor must pass annual marketplace recertification. If this requirement is not met, the Supervisor must complete retraining and retesting until a passing score is achieved. Failure to maintain certification may result in corrective action. The Financial Coordinator Supervisor must maintain an 80% or above accuracy on the annual LOA audit, with expectations for consistent performance. Failure to maintain certification may result in corrective action.

The Financial Coordinator Supervisor can perform all job duties based on department procedure and protocol independently. Attends all required and recommended training and in-services and successfully passes all competency tests associated with the services. The Financial Coordinator Supervisor is responsible for passing any additional certifications that aid in the proficiency of their designated areas such as Medicaid Presumptive Eligibility and Certified Application Counselor certifications.

The Financial Coordinator Supervisor maintains high level of accuracy meeting or exceeding established standards (A or above) and achieves defined productivity benchmarks across Key Performance Indicators (KPI) including LOA audit performance. The Financial Coordinator Supervisor will support staff in ensuring department goals and initiatives are met in regard to established productivity rates, LOA and Medicaid enrollment goals, and other KPIs established within the department.

This includes reinforcing expectations, supporting workflow adherence, and monitoring compliance with departmental procedures.

The Financial Coordinator Supervisor assists leadership in communicating new processes and ensuring staff engagement, understanding, and adherence to updated workflows and requirements. Financial Coordinator Supervisor

The Financial Coordinator Supervisor will complete a minimum of ten hours of professional development annually through ARMC or an approved outside learning opportunity in order to enhance growth and development.

The Financial Coordinator Supervisor provides direct supervision of Financial Coordinators and is responsible for monitoring and managing staff performance, including coaching, mentoring, training, and corrective action as needed. The Supervisor leads performance improvement initiatives and ensures staff competency through onboarding, education, and ongoing training. The Supervisor must be proficient as a preceptor in at least two (2) areas of Financial Counseling and is responsible for training and onboarding new hires.

The Financial Coordinator Supervisor is expected to achieve a rating of Valued Contributor or Remarkable Talent on their annual performance evaluation without written disciplinary actions. written disciplinary documents on file. If the valued contributor rating is not achieved an action plan will be put in place to remediate the lead back to valued contributor. The Supervisor must be proficient in all core responsibilities of the Financial Coordinator role and maintain required certifications within designated healthcare financial systems.

This position supports organizational goals by providing high-quality customer service, participating in performance improvement initiatives and demonstrating commitment to teamwork and collaborations.

QUALIFICATIONS

EDUCATION : High School diploma required; Associate degree preferred. LICENSE/CERTIFICATION : Health Care Financial System required within 1 year from date of hire or transfer. Certified Application Counselor (CAC) certification through the NJ Get Covered platform required within six (6) months of date of hire or transfer. New Jersey Presumptive Eligibility (NJ PE) certification required within six (6) months of date of hire or transfer and maintained by the FQHC. Employee must maintain certifications in good standing in accordance with program requirements.

EXPERIENCE : Minimum 3 years' experience in Healthcare registration, financial counseling, insurance enrollment, eligibility assistance preferred or relevant customer service environment required. Prior experience with Medicaid, NJ FamilyCare, Marketplace/NJ Get Covered enrollment guidelines, presumptive eligibility, sliding fee discount programs, charity care, and third-party payer verification processes required. The Financial Coordinator Supervisor must be proficient with registration processes and procedures throughout the department. Incumbents are required to maintain a Valued Contributor Performance Rating annually including no disciplinary action, to progress within FQHC Leadership and AtlantiCare. Demonstrates knowledge of general computers, and data entry functions required. Excellent communication, organizational and analytical skills required. Ability to perform job duties in a high volume fast paced environment. Candidates must continuously display professionalism, courtesy and respect to all customers that always mirror AtlantiCare's Values/Behaviors. Candidate must have reliable transportation. Ability to effectively communicate both orally and in writing is sufficient to perform the essential functions; read, understand, and apply policies and guidelines; obtain information from a variety of sources is required. Bilingual preferred.

PERFORMANCE EXPECTATIONS

Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position.

WORK ENVIRONMENT

Potential for exposure to the hazards and risk of the hospital environment, including exposure to infectious disease, hazardous substances, and potential injury.

This position requires reaching, stooping, kneeling, and crouching approximately 25% of the workday. This position requires frequent lifting, approximately 25-30 pounds, and occasional lifting of 50-100 pounds with assistance. This position also requires pushing and pulling computers on wheels approximately up to 100% of the day if assigned to the Emergency Department or Labor and Delivery.