Patient Accounts Supervisor-NY

Job Description

Job Description

Job Description: Patient Accounts Supervisor

Fulltime Day Shift M-F 8am-4pm

Salary Range- $70,000-$102,000 (based on experience)

Position Summary

The Patient Accounts Supervisor oversees, coordinates, and manages the daily operations of third-party billing and collections. This role compiles and analyzes statistical data to measure staff performance, manage accounts receivable, and track progress toward financial targets. The supervisor identifies trends and recommends process improvements to enhance workflows, expand staff training, advance productivity, and meet department goals. Additionally, this position provides technical guidance and assistance to Revenue Cycle staff on complex billing, payment, and follow-up activities.

Essential Functions and Responsibilities

1. Understands and adheres to organizational performance standards, policies, and professional behaviors.
2. Ensures accounts are billed and followed up on accurately, timely, and in a compliant manner.
3. Resolves routine questions and problems posed by support staff, referring complex issues to the Manager.
4. Assists in updating policies and procedures. Develops and implements processes, procedures, and controls to identify and address discrepancies in third-party payments.
5. Compiles and organizes weekly statistical data related to staff productivity and quality. Identifies and communicates performance trends to the management team.
6. Manages and participates in staff performance discussions as requested by the Manager.
7. Assists with developing and conducting training for department-specific applications and staff.
8. Maintains training materials, job aides, competencies, and training records for all staff to manage individual performance.
9. Keeps abreast of all billing and reimbursement regulations and standards to ensure compliance with changes issued by governmental agencies and third-party payers.
10. Shares industry knowledge with staff through verbal and written communication. Ensures managed care contract terms and conditions are strictly adhered to by support staff and contracted parties.
11. Leads and participates in payer meetings to communicate and resolve complex billing and reimbursement issues.
12. Assists the Manager in preparing materials in advance for leadership meetings.
13. Monitors the performance of outside agencies, including reconciling inventories and invoices.
14. Troubleshoots and acts as a point of escalation for issues arising from external vendor partnerships.
15. Recruits and trains new personnel. Assists the Manager with employee evaluations and performance counseling when needed.
16. Prepares departmental and ad-hoc reports as requested.
17. Participates in special projects as directed by leadership.
18. Keeps the Manager and Director informed regarding the operational status of the department.
19. Develops and submits departmental goals and objectives as required by the Division Administrator.
20. Attends and participates in educational programs or activities to maintain a current level of healthcare industry expertise.
21. Supervises and controls all billing processes submitted to third-party agencies.
22. Reviews, completes, and prepares the Medicare Credit Balance Report on a quarterly basis.
23. Reviews pre-collection reports and assists with the preparation of accounts transitioning to bad debt for outside collection agencies.
24. Reviews trial balance reports to monitor staff performance and account adjustments.
25. Ensures strict compliance with all corporate financial assistance policies and regulations.
26. Performs all other related duties as assigned.

Education & Experience Requirements

• Education: High School Graduate or GED required. Associate Degree in Business, Healthcare Administration, or Accounting from an accredited college preferred.
• Experience: Minimum of three years of prior experience in healthcare patient accounts.
• Industry Knowledge: Strong understanding of hospital billing, insurance reimbursement models, and third-party billing regulations.
• Technical Skills: Ability to use standard office equipment and proficiency with healthcare computer systems and billing terminals. Knowledge of medical terminology is helpful but not mandatory.
• Certification: Completion of the Healthcare Business Insights (HBI) one-time certification course is required during the onboarding period and must be completed prior to the official start date.