Supervisor Of Patient Accounting (Denials/Ar/Follow Up)

Medstar Research Institute Baltimore , MD 21203

Posted 2 weeks ago

Job Summary Supervises and coordinates the daily activities of area of responsibility, in conjunction with Team Leader, toaccomplish established monthly and quarterly financial and productivity goals. Establishes priorities,schedules, distributes work, and reassigns tasks as necessary.

Provides team members with opportunities forlearning, creativity, and personal growth. Works with all team members to resolve multiple primary andsecondary billing, collection, and customer service issues with payers and patients. Minimum Qualifications Education/Training High school graduation or equivalent.

Associate#s degree in healthcare preferred; courses inAccounting, Finance and Healthcare Administration preferred. # Experience 2 years experience in patient accounting or related field or an equivalent combination ofeducation and experience; 2 years successful leadership experience. Knowledge of medical terminology andpayer billing preferred. # License/Certification/Registration CRCS-I (Certified Revenue Cycle Specialist) certification through AAHAM is requiredor CRCS-I certification within 1 year of hire date in role with an Associate#s degree. # Knowledge, Skills # Abilities Detailed working knowledge and demonstrated proficiency in the major (Medicare, Medicaid and

Blue Cross) payer#s application billing and/or collection process, with particular focus on billing specificationsand contractual arrangements and/or multiple payer#s insurance verification and pre-certification guidelines.Ability to resolve complex payer issues to completion, training individuals in the billing and collectionprocesses. Excellent leadership, communication and interpersonal skills.

Excellent organizational skills tomanage multiple tasks in a timely manner.

Proficient use of hospital registration and/or billing systems, and

Microsoft Word and Excel software applications. Primary Duties and Responsibilities Assists Director with the development of financial, operational and productivity targets.

Supervises and effectively uses resources to achieve financial, operational, and customer service targets in conjunction with Team Leader. Conducts formal performance reviews and provides feedback to team members in accordance with Human Resource Personnel Assessment guidelines. Provides timely and appropriate counseling of personnel when they deviate from department standards.

Evaluates all staff after ninety days of employment and annually thereafter. Works with staff in a timely manner to improve, track, and develop areas of poor performance. Conducts monthly audit of a minimum of 1% of accounts that appear on the Collectors# Work list to ensure that accounts qualify for follow-up as defined by the Patient Financial Services Guidelines.

Identifies trends or problems and assists the Director with recommendations to improve the effectiveness of collection efforts. Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Complies with governmental and accreditation regulations.

Facilitates the identification of issues and solutions by team members. Works in conjunction with Director to resolve outstanding system, departmental, interdepartmental issues and concerns. Hires and retains appropriate and qualified personnel to perform the functions and services of the department.

Demonstrates appropriate interviewing skills and knowledge of employment laws. Maintains ongoing knowledge of UB92 and other mandatory state billing forms and filing requirements. Monitors online claim editing, submission and reconciliation processes weekly.

Ensures compliance of CPT, HCPCS and ICD9 coding regulations and guidelines. Notifies Director of any issues or problems related to billing compliance. Manages the work of the Collections team.

Provides team members with opportunities for learning, creativity and personal growth. Monitors daily billing and collection correspondence processes to determine improvement opportunities and assists Director with recommendations to analyze, design and implement changes. Maintains a minimum standard of 90% completion of mail and correspondence weekly.

Monitors the Collectors Workstation Qualification Summary Report weekly. Provides guidance to the team as necessary.

Identifies and evaluates collector productivity and base workload assignments in cooperation with the Team Leader to determine that the accurate allocation of resources, standards and effective collection efforts are optimized.

Maintain a minimum standard of 75% completion of total workloads assigned. Monitors the Monthly AR Statistics Report by Payor and five aging categories. Works in cooperation with Management to collect receivables within a reasonable timeframe.

Maintains a maximum percentage of accounts greater than 90 days in AR: Medicare 10%, Managed Care 15%, Commercial 15%, Blue Cross 15%, Medicaid manual 30%, and Medicaid electronic 15%. Monitors the Weekly Billing and Cash Projections Report to identify trends and/or problems, and assists Director with recommendations to meet departmental financial goals. Investigates and addresses issues related to slow payments from third party payors.

Monitors the Weekly Billing Error Report to identify trends and/or problems, and assists Director with recommendations to monitoring and follow-up with MIS and Access departments. Maintains a maximum error rate of 2%. Provides feedback to Access supervisors weekly regarding financial and demographic data collection errors. Reports SMS Systems issues to Director in a timely manner.

Participates in multidisciplinary quality and service improvement teams. Participates in meetings and on committees and represents the department and hospital in community outreach efforts. Performs other duties as assigned.

Supervises the day-to-day activity of said area in conjunction with Team Leader to accomplish established monthly and quarterly financial and productivity goals. Establishes priorities, schedules, distributes work and reassigns tasks as necessary.

Monitors the Weekly RMW Report of Accounts without completed activity codes.

Investigates, monitors and consults with Team Leader and makes recommendations to address untimely processing of reports and/or tasks. Maintains a standard of processing accounts at a maximum rate of 5% of the total number of assigned accounts.

  • Job Summary

  • Supervises and coordinates the daily activities of area of responsibility, in conjunction with Team Leader, toaccomplish established monthly and quarterly financial and productivity goals. Establishes priorities,schedules, distributes work, and reassigns tasks as necessary.

    Provides team members with opportunities forlearning, creativity, and personal growth. Works with all team members to resolve multiple primary andsecondary billing, collection, and customer service issues with payers and patients.

  • Minimum Qualifications

  • Education/Training

  • High school graduation or equivalent.

    Associates degree in healthcare preferred; courses inAccounting, Finance and Healthcare Administration preferred.



  • Experience

  • 2 years experience in patient accounting or related field or an equivalent combination ofeducation and experience; 2 years successful leadership experience. Knowledge of medical terminology andpayer billing preferred.



  • License/Certification/Registration

  • CRCS-I (Certified Revenue Cycle Specialist) certification through AAHAM is requiredor CRCS-I certification within 1 year of hire date in role with an Associates degree.



  • Knowledge, Skills & Abilities

  • Detailed working knowledge and demonstrated proficiency in the major (Medicare, Medicaid and

Blue Cross) payer's application billing and/or collection process, with particular focus on billing specificationsand contractual arrangements and/or multiple payer's insurance verification and pre-certification guidelines.Ability to resolve complex payer issues to completion, training individuals in the billing and collectionprocesses. Excellent leadership, communication and interpersonal skills.

Excellent organizational skills tomanage multiple tasks in a timely manner.

Proficient use of hospital registration and/or billing systems, and

Microsoft Word and Excel software applications.

  • Primary Duties and Responsibilities

  • Assists Director with the development of financial, operational and productivity targets.

    Supervises and effectively uses resources to achieve financial, operational, and customer service targets in conjunction with Team Leader.

  • Conducts formal performance reviews and provides feedback to team members in accordance with Human Resource Personnel Assessment guidelines. Provides timely and appropriate counseling of personnel when they deviate from department standards.

    Evaluates all staff after ninety days of employment and annually thereafter. Works with staff in a timely manner to improve, track, and develop areas of poor performance.

  • Conducts monthly audit of a minimum of 1% of accounts that appear on the Collectors' Work list to ensure that accounts qualify for follow-up as defined by the Patient Financial Services Guidelines.

    Identifies trends or problems and assists the Director with recommendations to improve the effectiveness of collection efforts.

  • Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Complies with governmental and accreditation regulations.

  • Facilitates the identification of issues and solutions by team members. Works in conjunction with Director to resolve outstanding system, departmental, interdepartmental issues and concerns.

  • Hires and retains appropriate and qualified personnel to perform the functions and services of the department.

    Demonstrates appropriate interviewing skills and knowledge of employment laws.

  • Maintains ongoing knowledge of UB92 and other mandatory state billing forms and filing requirements. Monitors online claim editing, submission and reconciliation processes weekly.

    Ensures compliance of CPT, HCPCS and ICD9 coding regulations and guidelines. Notifies Director of any issues or problems related to billing compliance.

  • Manages the work of the Collections team.

    Provides team members with opportunities for learning, creativity and personal growth.

  • Monitors daily billing and collection correspondence processes to determine improvement opportunities and assists Director with recommendations to analyze, design and implement changes. Maintains a minimum standard of 90% completion of mail and correspondence weekly.

  • Monitors the Collectors Workstation Qualification Summary Report weekly. Provides guidance to the team as necessary.

    Identifies and evaluates collector productivity and base workload assignments in cooperation with the Team Leader to determine that the accurate allocation of resources, standards and effective collection efforts are optimized.

    Maintain a minimum standard of 75% completion of total workloads assigned.

  • Monitors the Monthly AR Statistics Report by Payor and five aging categories. Works in cooperation with Management to collect receivables within a reasonable timeframe.

    Maintains a maximum percentage of accounts greater than 90 days in AR: Medicare 10%, Managed Care 15%, Commercial 15%, Blue Cross 15%, Medicaid manual 30%, and Medicaid electronic 15%.

  • Monitors the Weekly Billing and Cash Projections Report to identify trends and/or problems, and assists Director with recommendations to meet departmental financial goals. Investigates and addresses issues related to slow payments from third party payors.

  • Monitors the Weekly Billing Error Report to identify trends and/or problems, and assists Director with recommendations to monitoring and follow-up with MIS and Access departments. Maintains a maximum error rate of 2%. Provides feedback to Access supervisors weekly regarding financial and demographic data collection errors. Reports SMS Systems issues to Director in a timely manner.

  • Participates in multidisciplinary quality and service improvement teams. Participates in meetings and on committees and represents the department and hospital in community outreach efforts.

  • Performs other duties as assigned.

  • Supervises the day-to-day activity of said area in conjunction with Team Leader to accomplish established monthly and quarterly financial and productivity goals. Establishes priorities, schedules, distributes work and reassigns tasks as necessary.

    Monitors the Weekly RMW Report of Accounts without completed activity codes.

    Investigates, monitors and consults with Team Leader and makes recommendations to address untimely processing of reports and/or tasks. Maintains a standard of processing accounts at a maximum rate of 5% of the total number of assigned accounts.

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Supervisor Of Patient Accounting (Denials/Ar/Follow Up)

Medstar Research Institute