Employment Type:

Full time

Shift:

Day Shift

Description:

POSITION PURPOSE

Work Remote Position

Supervises and coordinates the day-to-day billing and follow-up team responsible for billing and follow-up government and non-government accounts and related activities within the Hospital or Medical Group government revenue operations of an assigned Patient Business Services (PBS) location. Motivates staff to achieve the highest levels to meet the organization goals for customer service, operational and financial performance.  This position reports directly to the Manager Billing and Follow-up.

ESSENTIAL FUNCTIONS

Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.

Provides hands-on supervision of daily activities and workflows of the billing and follow-up team handling billing and follow-up of government accounts in order to achieve optimal area performance and colleague productivity goals as part of the revenue cycle process for an assigned PBS location.

Provides supervision and coordination of assigned tasks of billing and follow-up colleagues handling government accounts at an assigned PBS location.

Monitors timeliness of claims billed, paid/settled, and reviews documentation in appropriate system(s).

Ensures colleagues carry out duties and responsibilities in an effective manner, which in turn promotes maximized reimbursement based upon services delivered.

Identifies and implements solutions to problems and issues affecting accurate billing and follow-up activities.

Focuses efforts of colleagues on proactive practices, which includes contacting payors directly for payments due on accounts and reviewing and responding to all mail correspondence in a timely and efficient manner.

Identifies and participates in continuous quality improvement initiatives across the billing and follow- up team and other functional areas in order to streamline processes.

Participates in the redesign of billing processes and systems to improve service, data integrity, and staff productivity/quality to achieve departmental goals and process outcomes.

Reviews and track trends of the billing and follow-up process and makes recommendations for problem and issue resolutions based upon colleague findings; reports findings to the Manager and Director Billing and other PBS leadership.

Prepares service level metrics and explanatory summaries for the Manager and Director Billing and Follow-up and other PBS leadership.

Evaluates potential new colleagues and makes recommendations for hiring.

Assists with identifying training needs and coordinating with department trainer to develop and conduct training programs, including on-the-job training.

Assists with establishing performance standards for billing and follow-up colleagues. Monitors and tracks colleague activities against established performance standards and provides immediate feedback to achieve performance improvement.

Other duties as needed and assigned by the Manager.

Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

(Pay Range: $27.9645-$41.9467)

MINIMUM QUALIFICATIONS

Must possess a comprehensive knowledge of revenue cycle functions and systems, as normally obtained through an Associate's degree in Business or Healthcare Administration or a related field, and minimum of three (3) years of experience within the area of revenue management, specifically experience with Account Billing and Follow-up or other functions related to revenue cycle activities or an equivalent combination of education and experience. Experience in a complex multi-entity healthcare organization or large complex revenue cycle services preferred.

Exhibits supervisory skills that emphasize team‑building and strong leadership with the ability to provide clear oversight and coordination of department services, while also functioning as an individual contributor.

Supervisory or team leader experience preferred.

Strong written and verbal communication skills. Ability to communicate effectively with payors and work with all levels of colleagues to expedite revenue cycle processes while supporting customer service.

Effective critical thinking and problem-solving skills.  Ability to analyze data and prepare related reports and summaries.

Strong organizational skills supervising direct reporti