Supervisor Patient Financial Services

Purpose of Job

This position is responsible for the coordination of all activities related to the billing process. Ensures that billing activities are accurately performed according to departmental processes, procedures, and policies.

Job Functions

1. Provides direct supervision of the Patient Account Representatives in Patient Financial Services. Supports the department director/manager through development of programs, goals and objectives consistent with those of the organizations overall strategic plan and initiatives.
2. Supervises staff resources by overseeing the recruiting, selecting, hiring and orienting qualified individuals. Evaluates staff performance in an accurate, consistent, objective and timely manner. Assists in the development of core position hiring strategies and ensures opportunities for professional development. Contributes a cohesive billing, customer service, and other support functions of Patient Financial Services department committed to providing distributive, clinical and service quality to all customers.
3. Serves as a resource to staff by answering questions, assisting with problems, and providing training as necessary.
4. Implements quality and performance improvement measures for the business office.
5. Carries out functions with an awareness of operating expenses and key indicators within the budget for Billing, Customer service, and other support functions in Patient Financial Services. Supports department director/manager in quality improvement efforts and service delivery that contributes to the overall success and financial viability of Patient Financial Services.
6. Reviews and monitors applicable processes, policies and procedures. As assigned, ensures compliance with local, state and federal regulatory agency standards.
7. Reviews and resolves issues related to claim generations, clean claim ratios, rejected, denied billings. Determines the accuracy of charge capture, missing charges, late charges, covered and non-covered charges. Ensures timely submission and acceptance of claims to all payers.
8. Proactively identifies and acts upon improvement projects and opportunities through observation, data analysis, engagement with partners, review of external impact factors and best practices, as well as ongoing communication with leadership and staff.
9. Elevates issues with payers and reports improvement as appropriate.
10. Carries out functions to assist department director/manager with vendor management to include: access, invoicing, and customer service.
11. Other duties as assigned.

Minimum Education/Work Experience

• High School graduate or equivalent
• 1-2 years Hospital and/or Clinic billing experience with emphasis on accurate and timely billing, insurance claims management, patient account management, and compliance and regulation knowledge

Preferred Qualifications

• Familiar with medical terminology

Knowledge/Skills/Abilities

• Professional presence and effective interpersonal skills
• Demonstrated ability to supervise and coach a team
• Excellent communication and influencing skills and ability to build strong working relationships at all levels
• Ensures excellent service with a high degree of urgency to internal and external customers
• Demonstrated computer aptitude in computer programs including, but not limited to mastery of the Microsoft Suite as well as familiarity with HR-specific platforms for timekeeping and scheduling, and HME-specific programs
• Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above.
• Knowledge of insurance functions
• Capable of making independent decisions with the use of good critical thinking and problem solving skills

Link to Employee Health Physical Demands

JOB FUNCTIONS:

• This position is responsible for the coordination of all activities related to the billing process. Ensures that billing activities are accurately performed according to the departmental processes, procedures, and policies.

1. Provides direct supervision of the Patient Account Representatives in Patient Financial Services. Supports the department director/manager through development of programs, goals and objectives consistent with those of the organizations overall strategic plan and initiatives.

2. Supervises staff resources by overseeing the recruiting, selecting, hiring and orienting qualified individuals. Evaluates staff performance in an accurate, consistent, objective and timely manner. Assists in the development of core position hiring strategies and ensure opportunities for professional development. Contributes a cohesive billing, customer service, and other support functions of Patient Financial Services department committed to providing distributive, clinical and service quality to all customers.

3. Serves as a resource to staff by answering questions, assisting with problems, and providing training as necessary.

4. Implements quality and performance improvement measures for the business office.

5. Carries out functions with an awareness of operating expenses and key indicators within the budget for Billing, Customer Service, and other support functions in Patient Financial Services. Supports department director/manager in quality improvement efforts and service delivery that contributes to the overall success and financial viability of Patient Financial Services.

6. Reviews and monitors applicable processes, policies and procedures. As assigned, ensures compliance with local, state and federal regulatory agency standards.

7. Reviews and resolves issues related to claim generations, clean claim ratios, rejected, denied billings. Determines the accuracy of charge capture, missing charges, late charges, covered and non-covered charges. Ensures timely submission and acceptance of claims to all payers.

8. Proactively identifies and acts upon improvement projects and opportunities through observation, data analysis, engagement with partners, review of external impact factors and best practices, as well as ongoing communication with leadership and staff.

9. Elevates issues with payers and reports improvement as appropriate.

10. Carries out functions to assist department director/manager with vendor management to include: access, invoicing, and customer service.

11. Other duties as assigned.

EMPLOYMENT REQUIREMENTS

• Minimum Education/Work Experience

• 
  
  • High School graduate or equivalent
  • 2-5 years proven Hospital and/or Clinic billing experience
  
  
• 
  Knowledge/Skills/Abilities
  
  • Professional presence and effective interpersonal skills
  • Ability to meet and maintain the necessary background checks as aligned with position functions
  • Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above
  • Demonstrated ability to supervise and coach a team
  • Excellent communication and influencing skills and ability to build strong working relationships at all levels
  • Ensures excellent service with a high degree of urgency to internal and external customers
  • Demonstrated computer aptitude to include ability to effectively utilize the Kronos system and Microsoft suite
  • Knowledge of insurance functions
  • Capable of making independent decisions with the use of good critical thinking and problem solving skills
  
  
• 
  Preferred Qualifications
  
  • Familiar with medical terminology
  
  

Compensation

Many factors are taken into consideration when determining compensation such as: the requirements of the position, experience, education, knowledge, and skills along with location and internal equity. Pay listed does not include any shift, weekend, or other differentials.

Benefits

Ridgeview strives to provide comprehensive and market competitive benefits to meet the needs of our employees and their families.

Click here to view the benefits available.