Supervisor, Revenue Cycle

Location: Main Hospital Bldg - 1st Flr

Shift: Friday, Saturday, Sunday, Monday 2pm - 12am with weekend on call rotation

Primary Purpose
Supervise all processes related to the financial and operational functions within the Patient Financial Services (PFS) division to include all facets of PFS including both front and back end supervision.

Minimum Specifications


Education

• Must have a High School Diploma or GED equivalent.
• Prefer an Associate's degree in Business Administration.

Experience

• Must have a minimum of six (6) years' experience in patient registration, financial clearance, patient access, accounts receivable or revenue integrity within the past 10 years.

Equivalent Education and/or Experience

• May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above.

Certification/Registration/Licensure

• None

Skills or Special Abilities

• Advanced knowledge of healthcare A/R, collections, insurance, pre-authorizations, pre-registration, registration, financial counseling, and appeals
• Advanced understanding of Compliance Guidelines
• Advanced knowledge of healthcare reimbursement methodologies
• Advanced knowledge of the hospital based operations related to the revenue cycle including Health Information Management, Patient Access, Clinical Quality/case Management, Management Information Systems, Accounting and Finance
• Excellent written and verbal communication and interpersonal skills
• Ability to prioritize work demands and meet deadlines
• Demonstrate ability to hire and lead a cohesive team to optimal results
• Understanding of HIPAA and FDCPA compliance and regulations
• Proficient in PC/Systems including the Internet and MS office applications
• Must demonstrate a working knowledge of personal computers and other standard office equipment
• Must be able to demonstrate a working knowledge with regard to the software application used in the assigned area.
• Must have the ability to teach and instruct in a manner that others can comprehend and retain information
• Must understand managed care and insurance contractual arrangements
• Must possess deductive reasoning and rational thinking skills
• Must be detail oriented and have sharp analytical skills to address complex issues relating to managed care contracts, state and federal agency contracts, funding programs and budgetary constraints
• Must demonstrate a positive demeanor and a professional approach to dealing with patients as well as internal and external customers
• Must be able to relate to different cultures, backgrounds and individuals of all sorts with an unbiased demeanor and open mind
• Must be professional in appearance at all times

Responsibilities

• Selects, trains, motivates, supervises and evaluates employees. Makes recommendations for disciplinary actions up to and including termination. Responsible for ensuring maximum utilization of individual and group capabilities from the entire team. Responsible for Time and Labor editing to ensure all employee records are accurate and reflect actual time worked. Ensures employees are knowledgeable and current on all policies, procedures and laws pertaining to their job description.
• Must be able to travel to all Parkland facilities and work any and all shifts as necessary. Provides daily support/mentoring/training to new hires as well as existing Revenue Cycle staff. Provides assistance in managing escalated issues as needed. Assists in preparation for both short and long range planning recommendations for all departments in PFS.
• Must possess skills to audit, monitor and track productivity. Review patient accounts and financial files to ensure appropriate funding program sources are pursued. The application process must be completed accurately within the guidelines set forth. Routinely performs quality checks to ensure employees are exhibiting good stewardship over funds allocated for programs.
• Functions as a work leader providing operational support and demonstrates the ability to perform each task as efficiently and effectively as top performing team members. Must be able to perform every job task within the realm of job responsibilities under his/her leadership. Performs as back up to staff absences and vacancies, as necessary. Requires an understanding of reporting staff's duties.
• Performs quality assurance reviews toward meeting standards related to quality and quantity of work and providing feedback to staff regarding strengths and weaknesses. Provides individual feedback to staff regarding the quality and efficiency of his/her performance. Proposes and implements procedural and system changes for enhancing the staff's productivity, quality and efficiency.
• Clear understanding of Revenue Cycle Management and Regulatory Agencies required. Provides direction and monitoring to ensure compliance with government regulations, HIPAA standards and payor billing requirements. Responsible for the monitoring of daily activity and completion of reporting on all key point indicator measures.
• Actively involved in day to day operations of the department and maintain a professional, courteous, respectful and positive working relationship with patients, families, visitors and employees alike.
• Acts as part of the management team to ensure that the group is meeting all operational goals Interfaces with external entities such as third party payors, regulatory agencies and other health care institutions, vendors, patients and families.

Job Accountabilities

• Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.
• Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.
• Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.

Requisition ID: 988023