Accounts Receivable Supervisor, 250 E Liberty

Job Title

Supervise hospital claims billing and follow up to maintain unbilled and accounts receivable inventory within KPI metrics and industry standards. Educate and train staff on proper workflows, policies, and standards.

Essential Functions:

• Researches payer billing requirements and provides guidance to resolve outstanding accounts receivable balances
• Keeps up to date with payer claims processing requirements and government regulations
• Focuses on high dollar receivable accounts and adjust staffing as necessary
• Assists in the development of standards and policies pertaining to hospital claims billing and follow up
• Monitors and resolves claims holding on discharged not final billed (DNFB) list
• Identifies payers being submitted on paper rather than electronically and communicate the opportunities to leadership
• High dollar accounts will have consistent follow up until the account has been resolved
• Responsible for reviewing and understanding explanation of benefits/remittance advice
• Performs extensive account follow-up reviews and provide analysis of problem accounts

Other Functions:

• Familiar with inpatient only procedure list and works with Revenue Cycle leadership to prevent denials
• Participates in system testing and training
• Monitors staff productivity and quality to identify training or educational needs
• Identifies and reports all trends that may provide insight into payment challenges
• Attends seminars as requested
• Maintains compliance with all company policies, procedures and standards of conduct
• Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
• Performs other duties as assigned

Job Requirements (Education, Experience, Licensure and Certification):

• High School Diploma, or GED/Equivalent (required)
• Associates degree in healthcare related field (preferred)
• Two (2) years' experience in healthcare Revenue Cycle operations, billing or collections (required)
• Two (2) years' lead or supervisory experience in healthcare environment or equivalent (preferred)

Job Competency: Knowledge, Skills, and Abilities critical to this role:

• Reviews, comprehends, discusses HCFA billing with Insurance or Government agencies
• Knowledge of general insurance requirements
• Experience working directly with EOBs and contractual adjustments
• Ability to meet productivity expectations
• Completes tasks by deadline
• Language Ability: Must be able to communicate effectively in both verbal and written formats.
• Reasoning Ability: Able to critically think through complex patient situations, process improvements, evidence-based practice
• Able to assist others in developing clinical reasoning skills
• Computer Skills: General computer knowledge, working with electronic filing

Additional Responsibilities:

• Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times
• Maintains confidentiality and protects sensitive data at all times
• Adheres to organizational and department specific safety standards and guidelines
• Works collaboratively and supports efforts of team members
• Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community

UofL Health Core Expectation: At UofL Health, we expect all our employees to live the values of honesty, integrity and compassion and demonstrate these values in their interactions with others and as they deliver excellent patient care by:

• Honoring and caring for the dignity of all persons in mind, body, and spirit
• Ensuring the highest quality of care for those we serve
• Working together as a team to achieve our goals
• Improving continuously by listening, and asking for and responding to feedback
• Seeking new and better ways to meet the needs of those we serve
• Using our resources wisely
• Understanding how each of our roles contributes to the success of UofL Health