POSITION SUMMARY:

Under direction of VP RMF /Manager, Supervisor will coordinate and manages the daily activities of the Patient Accounting collections and Billing; ensures the timely and accurate gathering of statistical data and key patient information; ensures timely and accurate billing of accounts receivables and prompt follow-up of such accounts in order to maintain an acceptable level of days in receivables.

POSITION EDUCATION/QUALIFICATIONS:

• High school diploma/GED is required
• Previous supervisory experience (3 yrs.) in Patient Accounting , Business Office preferred
• Ten years (10 yrs.) healthcare experience required,
• Hospital experience, preferred
• Healthcare certification, preferred
• Excellent customer service skills
• Microsoft office suite computer skills required, Excel knowledge preferred
• Good written and verbal communication skills, required
• Ability to communicate clearly and concisely with all levels of management
• Bilingual - English/Spanish

JOB KNOWLEDGE/EXPERIENCE:

• One – Two (1-2) years Hospital billing experience preferred
• Medical Terminology, ICD-10 Codes, CPT Codes, HCPCS code, Modifier knowledge, preferred
• Requires good communication and organizational skills.
• Requires reasoning ability, analytical skills and good independent judgment
• Requires working with frequent interruptions.

POSITION RESPONSIBILITIES:

• Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices.
• Demonstrates high quality Service Excellence, positive customer service and telephone etiquette by treating all customers with dignity and respect; utilizing age specific skills and knowledge.
• Ensures patient confidentiality requirements are met in accordance with HIPAA policies and procedures.
• Coordinates and manages the daily activities of the Patient Accounting collections, either directly or through subordinate supervisors and/or lead personnel
• Oversee the daily operations of the collections functions to ensure claims are billed accurately on a daily basis and unpaid and/or denied claims are worked on a daily basis to increase cash collections and reduce bad debt write-offs
• Review outstanding AR balances to identify and resolve payer issues including incorrectly processed claims
• Monitors and ensures productivity reports are completed at 95% or greater at the end of the week and reviews each staff's productivity to make certain staff meet productivity standards.
• Review Denials Module dashboard and reports on volume of accounts pending tasks or departmental review for employee accountability and increase workflow.
• Completes and submits daily, weekly and monthly reports to the VP/Manager .
• Performs and maintains QA on for all areas, includes trending and analysis of the data, as well as the development and implementation of action plans.
• Resolves issues escalated by patients and/or staff.
• Meets with Manager/VP regularly to effectively communicate and resolve issues, set and prioritize goals and improve processes.
• Works closely with peers to ensure all procedures regarding patient’s accounts are completed in a thorough and timely manner.
• Develops and recommends long and short range goals and specific actions to maximize results in the department.
• Cooperates and assists staff to foster productive teamwork
• Hires, trains, evaluates and participates in disciplinary actions and grievance responses to staff
• Manages all employees with equal standards, efficiently and professionally.
• Responsible for payroll activities for staff. (Timecards, PTO requests, etc.,)
• Responsible for the orientation of new employees.
• Coaches and counsels staff as necessary provides written documentation of coaching and/or counseling sessions as appropriate.
• Recommends termination of employees as necessary. Maintains appropriate documentation to support such recommendations.
• Performs employee's performance evaluations in a timely manner.
• Ensures all personnel policies are followed.
• Recommends changes in department policies and procedures to the Director.
• Leads in a way that motivates employees.
• Provides employees with guidance and supervision, but gives them sufficient opportunity to carry out their assignments and make decisions.
• Creates an atmosphere conducive to employee development by personal example and by encouraging and praising initiative, imagination and resourcefulness.
• Other duties as assigned.