Supervisor Government Accounts Receivable

Responsible for specific functionality (such as those processes comprising of government billing and follow up, denials management, and variance areas) within the daily management of the Patient Business Services Office, ensuring optimal use of all resources, to achieve departmental goals for productivity, cash, and practice goals for applicable financial results. Determines workflow priorities and effective methodologies to complete tasks. Generates both routine and ad-hoc reports and serves as a senior resource to staff. Responsible for staff training, management, and professional development of those employees falling under the auspices of this position. Remote work may be permitted dependent on departmental needs. Reports to the Hospital Revenue Cycle Manager.

• Responsible for the oversight of daily operations relating to assigned departmental functions. This oversight includes the monitoring of quality, the assurance of productivity, the determination of priorities, and the management of workflow - all of which ensures the optimal utilization of resources as well as the satisfaction of agreed-upon goals. May assume all managerial responsibilities of the department in the Hospital Revenue Cycle Manager's absence.

• Supervises the training, daily workflow, and productivity of team members under this role. Encourages staff members to adhere to organizational, professional standards as well as to expand competencies.

• Assist Revenue Cycle Manager in Managing all aged, denied, and variance follow-up processes, including periodically establishing individual team member goals and monitoring respective quality and productivity.

• Leads scheduled meetings with assistance from team member(s) responsible for respective carrier follow-up.

• Assist Revenue Cycle Manager Through Days in AR, workflow, and denial analyses, ensures that carrier issues/trends are identified, clarified, quantified, and brought to resolution.

• Facilitates interdepartmental orchestration as it relates to Government claims follow up and denial resolution.

• Assist Revenue Cycle Manager with specific processes designated to the reduction of old AR (defined as AR over 120 days old from date of post), including, but not limited to, a monthly deep-dive assessment of the greater than $50K and $100K report as well as AR over 365 days.

• Supervises and facilitates several other aspects of AR support within the department, including, but not limited to, timely filing adjustments, adjustment request approvals, quarterly Medicare credit report and annual enrollments.

• Works with outside vendors on insurance reprocess, denials and resolution.

• Acts as the system administrator regarding maintenance and support for direct reports.

• Other duties in support of Patient Business Services operations, as assigned by manager, including ad-hoc reporting, trend analysis, PTO approval and Kronos timecards.

• Demonstrates support for the mission, values, and goals of the organization through behaviors that are consistent with the standards of Stamford Health.

• Associate degree from accredited college or university, or equivalent experience. Bachelor's degree preferred. Medical billing certification or CPC preferred.

• At least five years of hospital billing experience, including extensive automated billing experience, using industry-accepted software (Meditech, Optum, Provider Portals, FISS, etc.).

• At least three years of experience, interacting with carrier representatives and/or carrier provider services management staff in resolving carrier issues.

• At least three years of supervisory experience.

• Strong knowledge of ICD-10, CPT-4 coding, and Revenue Codes.

• Comprehensive understanding of carrier data requirements for both paper and electronic claims.

• Well-versed in Government claims guidelines and explanation of benefits.

• Proficiency in Windows operating system and Microsoft Office applications (Word, Excel).

• Excellent communication, interpersonal, and staff training skills.

• Ability to multi-task, prioritize needs, and meet required timelines.

• Strong delegation skills coupled with a high aptitude for monitoring simultaneous staffing projects.

• Propensity to effectively bring complex issues to a satisfactory resolution with both internal and external partners.

• Ability to work with minimal direction.

• Uses, protects, and discloses patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.

• Committed to on-going professional development as evidenced by membership and continuing education in HFMA, or other healthcare accounting / finance professional organizations.