Billing and Collections Supervisor, RMF Revenue Cycle

DHR Health  -  US:TX:Edinburg - Days

Summary:

FLSA STATUS: ☐ Exempt ☒ Non-Exempt

MISSION STATEMENT:

Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.

VISION:

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

POSITION SUMMARY:

Under direction of Manager, Supervisor will coordinate and manages the daily activities of the Billing and Collections; 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 Billing and Collections, 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, CPT Codes, HCPCS code, Modifier knowledge, preferred

· Requires good communication and organizational skills.

· Requires reasoning ability, analytical skills and good independent judgment

· Ability to handle pressure, meet deadlines, and remain productive in challenging situations.

· Requires working with frequent interruptions.

· Occasional evening or weekend work may be required

Responsibilities:

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 RMF Revenue Cycle either directly or through subordinate staff and/or lead personnel
• · Oversee the daily operations of the patient account creation, charge entry, payment posting, patient and insurance refunds processing, patient statements and daily transmission of claims functions to ensure that all functions are processed accurately on a daily basis
• · Review daily production in all areas to identify and resolve issues for all assigned production
• · 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.
• · Completes and submits daily, weekly and monthly reports to the Manager –Director-VP RMF Rev Cycle as instructed.
• · Performs and maintains billing system work queues for all areas, including 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 Director/Manager 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
• · Trains and 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.

Other information:

LINES OF REPSONSIBILITIES:

(Chain-of-command)

1. Billing and Collections Manager → 2. Director of RMF Revenue Cycle → 3. VP of RMF Revenue Cycle → 4. CRO

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.

AGE SPECIFIC:

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirement relative to his or her age.

AMERICANS WITH DISABILITIES ACT: (ADA):

A. Essential Duties: Indicated by bold print within performance standards, preceding individual numbered criteria.

The following table provides physical requirements that will be associated with, but not limited to, this position:

B. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.

C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.

D. Aptitudes: HIGH 1 2 3 4 5 6 LOW

Intelligence: General learning ability: The ability to “catch on” or understand instructions and underlying principles. Ability to reason and make judgments. 3

Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3

Numerical: Ability to perform arithmetic operations quickly and accurately. 2

Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to “visualize” objects or two or three dimensions, or to think visually of geometric forms. 2

Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3

Clerical Perception: Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2

Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3

Finger Dexterity: Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3

Manual Dexterity: Ability to move hands easily and skillfully. To work with hands in placing and turning motions. 3

Eye-Hand-Foot Coordination: Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3

Color Discrimination: Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. 3

I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.

If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.

Employee Signature: ________________________________ Date: ____________________

Transfer/Hire Date Effective: ________________________.