Patient Accounts Supervisor

Mercy Health System Janesville , WI 53548

Posted 2 months ago

JOB SUMMARY Supervises and coordinates activities of partners within a specific work group in Patient Accounts. Responsible for application of all Mercy Health System policies.

Coordinates work flow and processes with all Patient Accounts work groups and supervisors. Performs other duties as assigned. # ESSENTIAL DUTIES AND RESPONSIBILITIES # In depth knowledge of all applications used by Patient Accounting partners such as:# McKesson Star, Plus, Claims Administrator, Real Time Eligibility, MHS network, Microsoft Outlook, THIN, etc. Responsible for maintaining budgeted staffing levels.# Interviews and hires applicants.# Supervises partners and ensures workload is distributed equitably within the work group.

Performs audits to review partner performance on an ongoing basis to ensure policies and procedures are being followed consistently and that any issues are brought to the attention of the Director. Evaluates partners by conducting employee reviews on time.# Presents and discusses with partners pertinent findings and recommendations.# When deficiencies are noted, monitors employee performance through continued auditing to ensure that corrective action is taken. Tracks and measures volume of work assigned to the work group to set goals and monitor trends and shifts in volume, etc.# Changes in data and trends are brought to the attention of the director.

Monitors and maintains productivity on each partner to establish individual achievable goals.# Uses work load volumes to redefine alpha splits, etc. Coordinates functions within defined work group, works cooperatively with other work group supervisors to ensure smooth and timely processing of third party claims and timely follow-up with patients. Designs, revises, develops and implements policies and procedures in their respective work group and for the department to ensure process flows are consistently followed in Patient Accounts.

Coordinates with various third party payors to maintain and enhance appropriate claims processing procedures and ensures managed care contract terms are operationalized in the process. Responsible for reviewing and analyzing new government billing regulations/guidelines, new managed care contracts, and industry publications to advise director, partners, and other department heads of potential issues that could impact billing, reimbursement and compliance. Ensures that the department follows and adheres to all policies and guidelines regarding the handling of cash and checks, and the posting of payments and adjustments according to Finance.

Acts as a resource to system partners and management, outside vendors, and customers concerning billing and collection policies.# Ability to gather data, write, and present findings and recommendations of issues as they arise. Provides assistance in the development of in-services to departments and partners outside MBC on billing collections, Community Care, loan and payment policies. # AGE OF PATIENT POPULATION #### Neonate, child, adolescent, adult, and geriatric.



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COMPETENCIES



To perform the job successfully, an individual should demonstrate the following competencies: # Quality- Follows policies and procedures. Adapts to changes in the environment.

Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality. Applies feedback to improve performance. # Service- Responds promptly to requests for service and assistance.

Meets commitments. Abides by MHS confidentiality and security agreement. Shows respect and sensitivity for cultural differences. # Partnering- Supports organization#s goal and values.

Exhibits objectivity and openness to other#s views. Gives and welcomes feedback.# Contributes to building a positive team spirit. Generates suggestions for improving work. # Cost- Conserves organization resources. # EDUCATION # EXPERIENCE # High school diploma or equivalent required.# Associates degree in a business or healthcare field preferred.# Five years of healthcare experience required, with emphasis in billing, insurance, collections, registration, scheduling, or customer service.# Prior supervisory experience required. # CERTIFICATION/LICENSURE #####



Epic Resolute certification(s) or billing certifications (AAPC CPB, HFMA CRCR, or comparable certification) required# Language Skills Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.# Ability to write routine reports and correspondence.# Ability to speak effectively before groups of customers or employees of organization. # Mathematical Skills Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.# Ability to apply concepts of basic algebra and geometry. # Reasoning Ability Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.# Ability to deal with problems involving several concrete variables in standardized situations. # Computer Skills To perform this job successfully, an individual should have knowledge of Hospital or Physician Billing System software; Spreadsheet software and Word Processing software. # Other Qualifications Previous supervisory experience helpful. WORK ENVIRONMENT #######################################



OSHA Exposure Category C which means no employees in the specified job classification have occupational exposure.# The noise level in the work environment is usually moderate. # INFORMATION ACCESS ######################################



Patient may access patient care information needed to perform their job duties.# Partner may access financial data.# # WORK CONTACT GROUP ###################################



Partners, physicians, patients/family, visitors, vendors # SPECIAL PHYSICAL DEMANDS ##########################



########### The Special Physical Demands are considered Essential Job Function of the position with or without accommodations. While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear.

The employee is occasionally required to stand; walk and reach with hands and arms. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision. # LEVEL OF SUPV/SUPERVISES ############################



########### Directly supervises employees in the# Department. Carries out supervisory responsibilities in accordance with the organization#s policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.#

This position is responsible for supervision and planning for Walworth and Illinois Patient Access Partners and the Clinic Referral Specialists department. Assigns work and coordinates activities to maintain efficient workflow.

Monitors quantity and quality of work performed. Interviews, trains, supervises and evaluates employees. Maintains equipment and supplies for the department.

Revises, develops, and implements policies, procedures and performance standards. This position is required to travel to various clinic and hospital locations.



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Mercy Health System Janesville WI

Patient Accounts Supervisor

Mercy Health System