Supervisor Patient Financial Services

The Supervisor provides supervision and leadership to staff to ensure prompt payment and/or reimbursement of patient accounts for FMOL's 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.

 

Job Function :

1. Supervision
   1. 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.
   2. Ensures daily productivity and quality standards set by management are maintained.
   3. Provides support and acts as a team lead over patient charge posting, billing, and collection operation; assists with work-related problems and assists co-workers with patient account inquiries in a professional and considerate manner that promotes efficient departmental operation.
   4. 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.
   5. Provides quality training and orientation for assigned employees, informs co-workers of relevant departmental policies and procedures, allocates tasks to co-workers as needed, and implements and monitors departmental work schedules and duty assignments.
   6. 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.
   7. Anticipates and assists with the planning of mandatory and recommended training programs for professional development.
2. Payer Relations
   1. Promotes efficient departmental operations by monitoring controls to ensure appropriate submission, billing, and payment cycles and recommending/monitoring procedures for follow-up on third party approvals, billing, and collection for overdue accounts.
   2. Promptly answers inquiries from patients, co-workers, and employees regarding patient accounts in a kind and courteous manner.
   3. Performs follow-ups 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 patient's interests are appropriately represented.
   4. 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.
3. Receivables
   1. 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.
   2. 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.
4. Other Duties As Assigned
   1. Performs other duties as assigned or requested.

MINIMUM REQUIREMENTS: 

Experience: 4 years' experience in related field. Bachelor's Degree in related field substitutes 2 yrs exp. Associate's 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

Skills and Training: Knowledge of ICD-10, 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.