DescriptionThe Supervisor provides supervision and leadership to staff to ensure prompt payment and/or reimbursement of patient accounts for FMOLs various hospitals and physician clinics. Under the direction of department manager the supervisor is responsible for ensuring compliance with company policies and procedures as well as state and federal regulations. As directed the Supervisor is responsible for the following tasks: interviewing and training employees; assigning and directing work; assisting with the annual performance appraisals; rewarding and disciplining employees; addressing/resolving complaints and problems related to claims processing.
Responsibilities- Supervision
- Directly supervises assigned staff: schedules maintains time and attendance assists with/makes hiring decisions and assists with training of new employees; and directs and evaluates job performance. Teaches counsels and mentors providing constructive feedback. Works with staff to continually improve understanding and competency.
- Ensures daily productivity and quality standards set by management are maintained.
- Provides support and acts as a team lead over patient charge posting billing and collection operation; assists with workrelated problems and assists coworkers with patient account inquiries in a professional and considerate manner that promotes efficient departmental operation.
- Promotes the quality and efficiency of his/her own performance through participation in staff educational programs approved continuing education courses and specialized skill training programs.
- Provides quality training and orientation for assigned employees informs coworkers of relevant departmental policies and procedures allocates tasks to coworkers as needed and implements and monitors departmental work schedules and duty assignments.
- Assists with planning of and participates in internal and external meetings as a representative of the department serving as a subject matter expert and/or support with leading staff.
- Anticipates and assists with the planning of mandatory and recommended training programs for professional development.
- Payer Relations
- Promotes efficient departmental operations by monitoring controls to ensure appropriate submission billing and payment cycles and recommending/monitoring procedures for followup on third party approvals billing and collection for overdue accounts.
- Promptly answers inquiries from patients coworkers and employees regarding patient accounts in a kind and courteous manner.
- Performs followups on unpaid claims by contacting intermediary or insurance carrier in order to ensure that patient is free from financial burden. Prepares a list of past due accounts for collection in order to ensure that legal and payer requirements are met and patients interests are appropriately represented.
- Works with insurance companies on provider contract agreements in order to ensure that correct adjustments to patient accounts are applied in a manner that best represents the financial interests of the patient.
- Receivables
- Ensures implementation of established billing and collection procedures and ensures that patient accounts receivable records comply with established policies and procedures in an effort to promote quality health care services and prudent hospital management.
- Monitors accounts receivable and cash receipt functions and keeps current on governmental third party and private insurance payer reimbursement billing procedures in an effort to ensure the proper and efficient handling of patient billing procedures.
- Other Duties as Assigned
- Performs other duties as assigned or requested.
QualificationsExperience 4 years experience in related field. Bachelors Degree in related field substitutes 2 yrs. exp. Associates Degree in related field trade school or certification substitutes 1 yr. exp. Related field is defined as Business Billing Coding Accounting Bookkeeping Revenue Cycle LPN or RN.
Education High School graduate or equivalent
Special Skills Knowledge of ICD10 CPT and HCPCS coding; ability to read and understand third party payer explanation of benefits.
Licensure Must obtain CMS certification within three (3) months of employment.
Required Experience:
Manager