Supervisor Insurance Follow-Up | 40 hours per week | Patient Financial Services

Minimum Hiring Wage:

From $52,291.20 a year

Job Details:

Scheduled hours: Days (Mon-Fri)

Job Description:

A Brief Overview

The Supervisor - Insurance Follow-Up provides leadership and strategic direction across all entities of Great River Health System to ensure timely, accurate revenue recognition, billing, follow-up and collections for hospital and professional services. This position supervises the daily operations of facility and professional billing, follow-up & collections of insured claims with third party payers, client billing, and denial management in collaboration with the Revenue Integrity team. The Supervisor - Insurance Follow-Up coordinates any staffing shortages as they arise and serves as a back-up for staff. The Supervisor - Insurance Follow-Up works collaboratively with the Revenue Cycle leadership, Clinical Leadership and Physician Clinic Administration to implement strategies for billing and collections of facility and professional services in support of Great River Health System's goals for patient care and a consistent patient experience.This position works to appropriately integrate operations, facilitate best practices, achieve efficiencies, and align with GRHS's strategic plan while maintaining quality and customer service standards and ensuring the department is operating under GRHS policies and procedures, and applicable State and Federal laws and regulations. This position serves as an expert within the revenue cycle for billing and follow-up and collections of insurance accounts receivables and provides a bridge between clinical and revenue cycle areas to support quality patient care and revenue cycle objectives.

What you will do

• Supervise facility and professional billing, follow-up & collections of insured claims with third party payers within the Patient Financial Services team and collaborates with departments across GRHS to ensure timely, accurate follow-up and collections.
• Provides daily supervision of workflows. Assists with job duty assignments to achieve patient and customer satisfaction and meet operational goals and objectives. Coordinates registration activities with other departments to ensure that services are provided in an efficient and timely manner.
• Fills in as needed, working with Billing & Insurance Follow-Up staff. Provides guidance to staff for checking status of claims with third party payers, responding to requests for additional information and documentation, denial review and submitting claims for reconsideration, and documenting follow-up activities.
• Assists with development and implementation of performance standards (quantitative and qualitative) for area of responsibility, monitors productivity and quality metrics.
• Works collaboratively with the Patient Access and Health Information Management departments for timely review and resolution of registration and coding related pre-bill edits and denials.
• In collaboration with the Revenue Integrity team, identify denial trends and seek resolutions to reduce denials through changes in people, process and/or technology as needed.
• Maintains working relationships with payer representatives. In collaboration with the PFS Director and Revenue Integrity Director, participates in payer meetings and provides data and/or supporting documentation for identified claim issues and denial trends. Assists with payer projects for resolution of claim issues.
• Establishes a strategic relationship with third party vendors. Assists with new and existing vendor partnerships on an as needed basis.
• Reviews accounts/claims for quality and completeness of follow-up activities. Keeps up to date on changes imposed by Medicare, Medicaid, Commercial Insurance as well as applicable Federal and State laws impacting health care.
• In collaboration with Patient Financial Services leadership, ensures completion of regularly scheduled QA reviews of Patient Financial Services staff, to include feedback to individual staff.
• Supervises the development and implementation of training and education programs to address needs of the functional areas of responsibility and as mandated by regulatory, accrediting, licensing and department standard operating procedures.
• Perform or assist with departmental operational duties as necessary.
• Supervises, coaches, and monitors staff members to ensure team performance and operational excellence.
• Facilitate staff meetings - organize, scheduling, agenda preparation, and presentation.

Qualifications:

Qualifications

• H.S. Diploma or General Education Degree (GED) Required
• Associate’s Degree (AA) Associates Degree in Business, Finance or Healthcare related field Preferred
• 4-6 years Minimum 4 years’ experience in core Patient