Supervisor Patient Financial Services

JOB SUMMARY :

This position is responsible for managing the Refunds, Patient Reps and Self-Pay Collectors. The supervisor will manage all self-pay and third-party refunds and approve all refunds. The management of the self-pay collectors along with the patient reps, this employee will oversee all phone calls, statement issues, and budget plans. This supervisor will have complete management of the Payroll Patient payments. This position is responsible for supervising the Medicare, Medicaid, Government and Commercial Patient Account Representatives. The supervisor is responsible for maintaining the accounts receivable for assigned sections and for ensuring accurate and timely payment for all claims. Claims are appealed when necessary and all correspondence is processed in a timely manner. Assist staff with daily operational issues.

JOB SPECIFIC RESPONSIBILITIES :

• Develop staff job descriptions. Evaluate staff performance and provide timely and factual feedback as necessary. Complete performance appraisals according to hospital policy.
• Keep the Director / Assistant Director of Patient Financial Services regularly informed of issues, recommendations for improvement and ongoing operational events.
• Develop and implements customer service initiative in the Patient Accounting / Collections Department.
• Management of the ARCTR Credit Balance Report and Budget Plan Reports.
• Correct all Patient Accounting errors when noted and inform the proper supervisor / employee of errors and what measures should be taken to prevent reoccurring errors.
• Supervision of all Patient Reps and take any overflow of calls and assist with any customer service issues.
• Supervision of the Self-Pay collectors and maintain their incentive pay report. Must be able to assist with problem solving and customer service.
• Management of all refunds. Must approve all refunds and be able to solve any issues with refunds.
• Maintain collections requirements and ascertain budget plans as set as required.
• Assist any employee within the Patient Financial Services Department with any problems, issues, or concerns. Work all correspondence within 48 hours.
• Has a working knowledge of the benefits and reimbursement policies / rules for billing and collections.
• Understand all FSCs, transaction codes and denial codes and their proper use.
• Determine primary and secondary payers according to rules and regulations.
• Appeal / resolve all denied claims.
• Ascertain that follow-up is conducted every 30 days either by phone or through email / letter contact with the insurance companies.
• Make accurate and complete documentation on all visits worked.
• Retain all remittance advices / EOBs.
• Schedule and hold ongoing education / status meetings to assure employees maintain interest and an acceptable level of knowledge regarding their job duties.

EDUCATION AND EXPERIENCE :

LICENSURES / CERTIFICATIONS / REGISTRATIONS :

None required

SKILLS AND ABILITIES :

INTERACTION WITH OTHER DEPARTMENTS AND OTHER RELATIONSHIPS :

Constant interactions is required with Admitting, Utilization Review, Fiscal Administration, Resource Assistance, Health Information Systems and Information Systems. Frequent interaction is required with all revenue generating departments. Interaction with other departments shall occur as needed.

PHYSICAL CAPABILITIES :

Work is of medium demand, walking, sitting and standing most of the time while on-duty. Occasional lifting of equipment is required. Adequate hand / eye coordination and fine motor skills required for typing. Talking and hearing is essential in dealing with co-workers and customers.

ENVIRONMENTAL / WORKING CONDITIONS :

Work in a well-lighted, heated and ventilated building. Hours may vary to accommodate needs of other departments.

DIRECT REPORTS :

UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Request for accommodations in the hire process should be directed to UMC Human Resources.