Patient Accounts Representative Supervisor

Description

 Work at Evergreen Treatment Services and make a difference in our community!

• ETS has been working to transform the lives of individuals and their communities through innovative and effective addiction and social services in Western Washington for over 50 years. Learn more about our mission and values .
• Change begins within. We strive to foster and sustain a diverse and inclusive community within our organization. Find out how we are working to achieve racial equity, health equity, and community justice.
• Our Clinic Services and REACH teams bring critical professional expertise and heartfelt compassion to the work they do every day to serve our most vulnerable community members. Check out the compelling stories told by our patients, clients, and staff members that provide more information and a clear picture regarding our organization’s essential work.

This dynamic position plays an important role in helping ETS accomplish our mission!

Job Summary: 

• The Patient Account Representative Supervisor role is part of the finance team that supports ETS’ mission through working together with other staff to transform systems of harm and inequity to create different approaches to improving community health and safety through addressing substance use and homelessness.
• The Patient Account Representative Supervisor role makes a critical difference at ETS by ensuring all eligibility, referrals, prior authorization, patient payments, and collection procedures are executed timely, accurately, and in line with governmental laws and policies. This position also supports day-to-day functions of certain accounting processes to ensure timely closing by importing clinic payments into our accounting software.
• Watch this brief video that provides information about this role and working at ETS.
• The annual salary range for this position is $72,000 to $79,000. ETS strives to achieve pay equity and transparency as part of our goal to create an equitable workplace.
• The position is hybrid and onsite, the location is at ETS’ Admin, Seattle, Renton and South Sound facilities. The days and hours are 5:00 am to 1:00 pm, Monday through Friday.

 What you contribute to this role – Responsibilities:

• Help ETS succeed in carrying out our mission through working together with other staff to transform systems of harm and inequity to create different approaches to improving community health and safety through addressing substance use and homelessness.
• Assist with the organization-wide initiative to reimagine our interconnectedness within our community to overcome the aspects of our society and organizational culture shaped by white supremacy and settler colonialism.

Eligibility & Authorizations  

• Responsible for managing the weekly batch eligibility reports. Running the reports, disbursing reports, and making sure all corrections are done within 48 hours of receiving to ensure proper billing goes out.
• Coordinates and reviews the monthly client eligibility and referral process done by the Patient Account Representatives to ensure claims go out with the correct patient information.
• Responsible for managing the entire prior authorization and referral process. Monitors and maintains prior authorization policies. Runs prior authorization reports to ensure staff are not letting prior authorizations lapse or terminate. Which includes incoming and outgoing referrals, prior authorizations, and network referral systems.
• Analyzes trends impacting patient eligibility, referrals, prior authorizations, and patient collections. 
• Takes appropriate action to realign assigned staff and revise policies and procedures.
• Analyzes reports for accuracy and performance on patient intake information, patient insurance information, referrals, and prior authorizations. 
• Reports trends, variances and problem areas due to performance indicators to direct report in a timely manner.

Patient Collections & Invoicing

• Responsible for managing the monthly patient statement run. Outstanding patient AR and collections.
• Responsible for invoicing SGF, Mobile Van, Score jail dosing and Thurston County jail dosing monthly.
• Payment Processing 

Account Management  

• Audits current procedures to monitor and improve efficiency of patient eligibility and satisfaction, referrals and authorizations along w