Supervisor, Patient Accounts

The supervisor of patient accounts provides assistance with overseeing, coordinating, and managing the daily operations related to the billing and collection of third-party accounts. Compiles and analyzes statistical data to measure and explain staff performance, accounts receivables, and progress towards financial targets. Identifies trends and recommends process improvements to enhance workflows, expand staff training and skills, advance productivity, and meet department goals. Provides technical guidance and assistance to the Revenue Cycle staff on complex billing, payment, and/ or follow up activities

Essential Functions

• Understands and adheres to Performance Standards, Policies and Behaviors
• Ensures accounts are billed and followed accurately, timely, and in a compliant manner
• Resolves routine questions and problems posed by support staff, referring more complex issues to the Manager
• Assist in updating policies and procedures as necessary. Develops and implements processes, procedures, and controls to identify and address discrepancies associated with third party payments received
• Compiles and organizes statistical data related to staff productivity and quality weekly. Identifies and communicates both positive and negative trends to the management team
• Manage and participates in performance discussions as requested by the Manager
• Assist with developing and conducting training for respective applications and staff
• Maintain training materials, job aides, competencies, and training records for all staff to manage individual performance
• Keeps abreast of all billing and reimbursement regulations and standards to ensure compliance with any published or anticipated changes issued by governmental agencies and/or third-party payers
• Shares knowledge with staff through verbal and prepared written communication. Ensures CHS managed care contracts terms and conditions are adhered to by support staff and contracted parties
• Actively leads and participates in payer meetings to communicate and resolve billing and reimbursement issues
• Assists Manager in preparing materials in advance
• Monitors the performance of outside agencies including reconciling inventories and invoices
• Troubleshoots and acts as a point of escalation for issues arising internally and externally as a result of a vendor partnership
• Recruits and trains new personnel. Assists Manager with evaluations and counseling when needed
• Prepare departmental and ad-hoc reports as requested
• Participates in special projects as requested by the Manager
• Keeps the Manager and Director informed as to the status of the department
• Develops and submits departmental goals and objectives as required by the Division Administrator
• Attends and participates in educational programs or activities to maintain current level of knowledge or expertise to manage department
• Supervises and controls the billing to all third-party agencies
• Reviews, completes, and prepares the Medicare Credit Balance Report on a quarterly basis
• Reviews pre-collection report and assists with preparation of accounts for transfer to bad debt for outside collection agencies
• Reviews trial balance reports as needed for monitoring staff performance, and/or adjustments
• Adheres compliance to all financial assistance policies and regulations regarding financial assistance
• Performs all other related duties as assigned

Qualifications

• High School Required or GED Required, Associate Degree Preferred
• 1-3 years of previous experience in INPATIENT, patient accounts required
• Knowledge of hospital billing and reimbursement of insurance as well as third-party billing
• Ability to use basic office equipment and knowledge of CTR computer terminals
• Medical terminology helpful but not mandatory
• Ability to cooperate with others
• Must be able to speak, write understand and communicate the English language
• Effectively communicate with internal and external customers
• Integrity to handle the confidential aspects of work
• Retains composure under stress
• The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc
• The person in this position frequently communicates with insurance plans patients who have questions, must be able to exchange accurate information in these situations
• Must be able to greet patients arriving
• Effective 12/1/2022 the HBI (Healthcare Business Insights) one time certification course is required and must be completed prior to start date Upon Hire Required