Supervisor Accounts Receivable - Follow Up

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Summary
Supports management in leading colleagues that are responsible for Account Receivable Follow-up. Monitors work queues and identifies accounts that underpaid/unpaid or have line item denials for balance resolution. Works collaboratively with management team to improve work flow efficiencies through review of claim denial/underpayment trends through meetings with contracting and the provider representative. Monitors staff performance (e.g. productivity, quality) and meets regularly with colleagues to review results and to identify ways to improve performance in an effort to decrease A/R aging and enhance cash flow.

Job Duties

• Hires, fires, trains, disciplines, conducts performance reviews, and provides other management responsibilities related to the ongoing department operations.
• Develops and monitors goals and objectives relating to the work quality, productivity, denial rates, work queue completion, and A/R aging.
• Monitors and manages WQs to ensure that accounts are worked in a timely manner, identifying opportunities for work flow modifications to improve efficiencies.
• Conducts routine one-on-one sessions with colleagues to review productivity and quality; addresses any questions/concerns as procedures are enhanced or new procedures developed.
• Evaluates procedures to improve work flow with a focus on reduction in claim errors and reduction in A/R aging.
• Monitors and reports on resolution of open A/R, Denials, credit balances, and A/R aging.
• Facilitates meetings with provider Reps, maintaining agendas and listing of problem accounts to ensure timely resolution.
• Maintains up-to-date knowledge on payer requirements, recommending work flow changes as new requirements are implemented by the payer and submitting recommendations for claim edits.

Minimum Qualifications

• High School Diploma/GED in Business, finance, or healthcare related curriculum.
• 3 years Experience in accounts receivable, healthcare, health insurance, or equivalent operations environment and
• 1 year Experience in a lead role (Senior Representative or Team Lead) Experience in accounts receivable, healthcare, health insurance, or equivalent operations environment
• Knowledge of hospital/physician revenue and receivable systems and use of a personal computer and related software applications.
• Demonstrates strong leadership, the ability to effectively manage and embrace change, effective decision-making, and delegation of tasks.
• Working knowledge of insurance carrier billing requirements for both government and commercial payers.

Preferred Qualifications

• Associate's Degree In Business, finance, or healthcare related curriculum. or
• Bachelor's Degree In Business, finance, or healthcare related curriculum.
• Knowledge of ICD, CPT, and HCPCS coding.
• Knowledge of Medical Terminology.
• CRCP - Certified Revenue Cycle Professional AAHAM - State of Pennsylvania within 1 Year or
• CPC - Certified Professional Coder - State of Pennsylvania within 1 Year

Physical Demands
Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.

Work Shift:
Day Shift

Address:
2100 Mack Blvd

Primary Location:
Mack Building

Position Type:
Onsite

Union:
Not Applicable

Work Schedule:
M-F 6am-6pm

Department:
1004-13054 CSS-Patient Accounting