Radiology Manager

CBO Collections Supervisor

Position Code: SupCBOColl-8115

Department: Patient Financial Services

Safety Sensitive: Yes

Reports To: CBO Collections Manager

Exempt Status: Yes

Qualified candidates must have:

• High school diploma or equivalent
• Three years experience in insurance billing including electronic transmission of claims
• Understanding of government payers reimbursement
• One year lead or supervisory experience

Position Purpose:

All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHIs vision of providing the regions best clinical care and patient service through an environment that fosters respect for others and pride in performance. Regularly directs the work of two or more full time employees. Interviews and selects personnel, recommends promotion, corrective action, and termination of employees as needed. Handle employee complaints and grievances. Supervises the activities of Physician Services Support and Patient Financial Services in all areas of collections. Performs Quality Control in all areas of the insurance collection process to help protect the organizations financial interest. Ensures errors are corrected and account resolution is sought. Maintains positive interaction with the staff and departments to advise and assist with the requirements.

Key Responsibilities

Leadership: Effectively delegates and assigns duties, responsibilities, special assignments; plans to meet the needs of the departments customers; communicates effectively with other departments and services; participates in the Hospitals committees and meetings as requested or needed; assesses current volumes, and projects/plans for future service needs; establishes operational goals and objectives; evaluates achievements at least annually.

Financial Performance: Randomly audits collections and remits using sampling techniques to ensure accuracy; coaches employees for improvement where necessary based on predetermined parameters; ensures that requirements are obtained as required and that insurance authorizations are effective during the admissions process; deals with insurance company provider representatives when issues effecting cash flow arise.

Operations: Assists with the development and implementation of policies and procedures for the department; assists with preparing policies and procedures for approval; evaluates the teams performance according to current industry principles in order to maintain and improve the level of care and results of the patient; oversees and supervises all aspects of collections; establishes, maintains and reviews quality control; responsible for adding necessary and appropriate new services for overall good practices; assists with managing departmental safety and sanitation standards; ensures safe and sanitary conditions; provides supervision of the teams preventative maintenance program and works with the appropriate personnel to ensure that equipment is safe, operable and meets regulatory standards; maintains knowledge of and compliance with regulating/accrediting agency requirements; works front line duties when necessary; maintains departmental records for all area of responsibility; performs any other duties as assigned by the CBO Collection Manager or other superiors.

Quality Improvement: Plans, organizes, coordinates, and controls the systems by which patients billing information is developed, processed and maintained; ensures that the design of these systems provides for timely, courteous and accurate behavior of staff providing these services at all times; monitors and evaluates the quality of the collection teams and assists with making improvements where they are needed.

Employee Management: Develops and revises job descriptions for teams positions as needed; interviews, selects and hires new or replacement staff to fill approved positions; deals effectively, courteously and professionally with reporting staff, peers and superiors, as well as with patients and visitors; effectively utilizes positive reinforcement to motivate staff and instill confidence; effectively utilizes employee improvement and corrective action methods when necessary; schedules work hours and assignments for employees of assigned teams to meet the needs of the departments customers; administers hospital and department policies and procedures; assists with the employee appraisals and personnel action requests within 30 days of due date.

Staff Development: Provides opportunities for self and staff development through orientation in-services, education, and needed training; maintains professional qualifications and remains abreast of current developments and trends in collections and reimbursement processes; holds regular staff meetings to provide communication, direction, and education.

Community and Physician Relations: Provides/coordinates community and education programs as needed; responds to physician requests, monitors the effectiveness of the teams services, and maintains a rapport with the Medical Staff members and their office personnel.

Qualifications:

• High school diploma or equivalent
• Three years experience in insurance billing including electronic transmission of claims
• Understanding of government payers reimbursement
• One year lead or supervisory experience

Preferences:

• College level education
• Clinic or hospital business setting experience

Special Position Requirements:

Blood Borne Disease Exposure Category: Category III

Work Requirements:

Ability to sit for six to seven hours daily at a computer terminal; occasionally lifts and carries up to 15 pounds of files to storage area; must be able to deal calmly and effectively with frustrated and/or angry clients.