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 Home/Search  >  Previous Page Good Samaritan Society- Communities of SF & National Campus   > National Campus- HCBS Eligibility Supervisor
National Campus- HCBS Eligibility Supervisor Print |
Employer: Good Samaritan Society- Communities of SF & National Campus
Employment Type: Full Time

The Home and Community Based Services (HCBS) Eligibility Supervisor will oversee HCBS Specialists who complete daily eligibility processes for the Society’s HCBS agencies and assure workflow between the individual agencies and the Service Center is accurate and timely.  This work will result in a solidified revenue cycle to minimize bad debts and provide positive cash flow to agencies.  The Supervisor will be accountable for complying with all related laws and regulations pertaining to his or her position and for fulfilling his or her obligations under the Society’s Corporate Compliance Program.

-Assure payor/verification requests are completed on time and accurately and returned to agency based on the established service level.
-Supervise the eligibility daily workflow in securing client information, verifying payor source, and communicating with agency staff.
-Assure that: Medicare RAPS are resent on time; accounts are set up correctly in ARC for technology services; scanning/indexing is done correctly and on time; and Medicare flu shots are billed on time and accurately.
-Assist with quality assurance and performance improvement of policies, procedures, and responsibilities related to the eligibility functions.
-Escalate issues to the appropriate supervisors/staff in a timely manner.
-Supervise the payment team and handle various staff management duties.


-Two-year associates degree or equivalent combination of education/work experience in the Healthcare Insurance Industry. Prefer two years experience in HCBS Insurance Industry. Two years of Supervisory experience is preferred.

-Ability to communicate in both verbal and written form because the Service Center will be located off campus from individual agencies. Ability to promote a team environment between agency Executive manager, Director and Staff as it relates to the revenue cycle of our agencies. Ability to interpret state, federal, and any other third-party rules and regulations relating to Medicaid, Medicare, Managed Care, etc. Ability to identify problems, assess the problems to determine the root cause and then create an action plan for resolution. If resolution does not develop, need to be able to switch directions when necessary. Need to be able to determine when to involve own supervisor for assistance. Ability to multi-task. Ability to work with insurance companies in following up on outstanding payer verifications.

-Knowledge of services provided by HCBS agencies and how they are covered by various payors such as Medicare, Medicaid, Managed Care, etc. Knowledge of the Allscripts or other Society accounts receivable systems. Associated knowledge of the agencies workflow and staff functions that directly or indirectly have an effect on the eligibility process. Knowledge of Society policy and procedures and internal control procedures.

Contact Information

Good Samaritan Society- Communities of SF & National Campus

Other Information

Category(s): Healthcare, Insurance, Accounting
Industry: Healthcare / Health Services
Experience Req.: Yes
Degree Req.: No
Closing Date: 4/2/2018
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