Business Services Patient Access Supervisor

Description

GENERAL SUMMARY OF DUTIES: 

Well-versed individual, with the ability to liaison between patients, insurance companies and all of Piedmont HealthCare personnel. The Business Services Patient Access Supervisor will assist the Business Services Manager in exercising leadership qualities to engage staff in accurate and punctual practices. Furthermore, contribute to processes and systems to create efficient workflows for the Business Services Department. Will conduct skillful use of systems, communication, leadership, research, assessment and resolution. Professionally perform tasks related to accuracy in health insurance billing and collections of all transactional areas in Piedmont HealthCare patient accounts. Proficient in keeping a calm and collective attitude throughout. Gives support to staff and aims to lead by example. The Business Services Patient Access Supervisor will retain and provide essential information to resolve any inaccuracies generated in Piedmont HealthCare patient accounts. 

Overall, committed to the Mission and Vision of Piedmont HealthCare. 

ESSENTIAL FUNCTIONS:

• Promptly take all customer service calls regarding patient accounts, insurance coverage, statements, and answer any additional questions patients may have relating to complex insurance coverage and billing questions. In addition, communicate with different insurance companies to gather distinctive information about coverage, eligibility, prior authorizations, co-pay levels, deductibles, etc. 
• Responsible for filing and following up on insurance claims to carefully ensure accurate balances are estimated. 
• Thorough in posting charges, payments and adjustments comprised from services rendered per Piedmont HealthCare contracts. 
• Confidently make outgoing calls to patients regarding outstanding balances, both current and collection amounts. In turn, encourage patients to either make a payment or set up a payment plan to avoid being sent to a collection agency. 
• Assertive in assisting and formulating a consistent payment plan that is healthy for each patient’s budget. 
• Communicate with satellite offices to research and configure activity in patient accounts, such as visits, coding, billing, etc. 
• Willingly assist with all customer service related functions to grow business and create positive patient relations.

Requirements

EDUCATION: 

Required: High School Diploma 

Preferred: Associates Degree in Business, Finance, Health Information Management, or a related field.

EXPERIENCE: 

Minimum of 5 years experience in physician office or billing environment and a minimum of 1 year supervisory role.

KNOWLEDGE AND SKILL REQUIREMENTS:

• High regard to the Mission and Vision of all Piedmont HealthCare practices, methods and values along with all organizational policies, procedures and systems
• Strong knowledge of the Piedmont HealthCare Compliance Plan including HIPAA regulations and OSHA guidelines/standards
• General knowledge of insurance filing, reimbursement, and coding (CPT/ICD 10 specifically)
• Understand medical terminology and have the ability to read a medical record
• Experienced in using Microsoft Office 365 tools (Word, Excel, Outlook).
• Excellent PC operating skills (keyboard, mouse) with the ability to multi-task using multiple software applications 
• Ability to navigate dual monitor work station
• Competent in managing accounts receivable efficiently
• Proactive in planning, organizing, and strategizing
• Excellent communication and writing skills
• Self-reliant in taking initiative and exercising independent judgment
• Enthusiastic in working effectively with staff, patients and physicians
• Ability to adapt and deal courteously with internal and external customers in a fast-paced environment
• Ability to make good judgments in demanding situations
• Ability to react to frequent changes in duties and volume of work 
• Ability to listen empathetically 
• Ability to logically and accurately organize details 
• Ability to manage multiple tasks with ease and efficiency 
• Self-starter with a willingness to try new ideas 
• Ability to work independently and be result oriented 
• Positive, can-do attitude coupled with a sense of urgency 
• Effective interpersonal skills, including the ability to promote teamwork 
• Strong problem-solving skills 
• Broad knowledge of health care business office practices and principles 
• Basic math skills and knowledge of general accounting principles 
• Maintain confidentiality of sensitive information 
• Knowledge of