Supervisor, Accounts Receivable - HBC Government - Remote

Supervisor, Accounts Receivable - HBC Government - Remote

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke Health's Patient Revenue Management Organization

Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions.

REMOTE POSITION (First Shift)

Job Description :

Assist with the training and orientation of new employees

Quality Reviews : Provide communication within 24 hours to staff regarding Error Feedback received by Quality Review and discuss overall monthly quality review scores with each staff member

Complete monthly OER / productivity reports for each staff member

Maintain attendance controller logs for each employee; monitor and approve PTO time off requests

Complete API with accurate employee information

Communicate changes in policy, payor updates, and procedures to staff as needed

Prepare and discuss monthly, midyear, and yearly performance evaluations on each employee, with documentation to support, in a timely manner to meet the deadlines provided for each

Coordinate, schedule, and communicate effectively with Manager promoting a positive and productive work team. Share organization, planning, and presentation of weekly team meetings as scheduled

Set up and perform interviews; complete hiring process for open positions in a timely manner

Adhere to and enforce the Duke Staff Handbook and complete Corrective Actions, where appropriate, in a timely manner with documentation; prepare review with Manager prior to completion

Follow FMLA guidelines, when it applies to an employee situation

Follow Injury Form requirements according to policy and procedure re and website instructions

Follow Safety website instructions and monitor timely completion by employees on a monthly basis to ensure compliance

Prepare all counseling and written documentation in a timely manner, with appropriate Performance Improvement Plans

Monitor security access for all staff and inform management of any necessary updates in a timely manner

Round with direct reports regularly per departmental policy

Acts as resource to staff and responds to inquiries and questions in a timely manner

Review and approve or deny adjustment requests following departmental policy and procedure

Track, trend, and recommend solutions for preventable adjustments (timely filing, on authorized, etc.)

Provide education and feedback to staff as needed for errors recognized during adjustment review

Accounts Receivable / Denial Monitoring Review :

Review, analyze, and distribute aging A / R reports

Trend and report questionable rejections

Maintain and review high dollar balances and verify that the action taken previously was appropriate and will yield positive results

Proactively identify changes required for third party billing and collections and coordinate with the claim team, charge processing, reimbursement and / or third-party to implement changes and train staff

Notify Manager of any aging problems with supporting documentation of findings

Participates in the development of operating goals and objectives for the unit; recommends, implements, and administers operating protocol and procedures to enhance operations

Attends meetings and participates on committees, as assigned.

Review, discuss, and / or suggest any Policy and Procedure changes necessary with your manager

Make recommendations as needs are identified

Actively participate in Work Culture initiatives based off quarterly and annual work culture scores and action plans.

Minimum Qualifications :

Education :

Work generally requires knowledge of clerical and accounting principles usually acquired through an associate degree in Accounting or a directly related field.

Strongly preferred : College degree or significant years of patient revenue cycle / process experience in lieu of college degree.

Experience :

Work requires a minimum of 5 years of healthcare experience, with a focus on hospital billing and collections. Strongly preferred : five years of healthcare revenue cycle experience, ideally with Denials and Prior Authorization, front end, and back end experience.

Knowledge, Skills, and Abilities :

• Experience in revenue cycle with a concentration in accounts receivable and denials
• Excellent communication skills, oral and written
• Ability to systematically analyze problems, draw relevant conclusions, and devise appropriate course of action
• Ability to analyze data, perform multiple tasks, and work independently
• Must be able to develop and maintain professional, service-oriented working relationships with senior leadership, patients, physicians, co-workers and employees
• Ability to work in a fast paced environment, with focus on team building
• Experience with supervising staff both onsite and remotely
• Experience with billing and collections; professional and hospital

System Experience :

Preferred : Masetro Care, Hyland / Onbase, Microsoft PowerPoint, FSS (Medicare Billing), Payer Portals, Lotus Notes

Required : Microsoft Word, Microsoft Excel

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideasan exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions : Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and / or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.