Supervisor, Patient Accounts Receivable

Kennedy Krieger Institute Baltimore , MD 21203

Posted 2 months ago

Overview

The Supervisor, Patient Accounts Receivable under general supervision, supervises the daily work activities of the billing and collection staff. This staff member is expected to provide leadership and guidance to staff to ensure maximum productivity and effectiveness in accordance with departmental standards and procedures.

Responsibilities

Supervise assigned Accounts Receivable staff including but not limited to; recruiting, professional development, performance appraisals, and progressive discipline up to and including termination. Plan, organize and delegate as necessary daily tasks and work assignments for self and team.

Set goals, prioritize work and coordinate the execution of work for self and team. Develop and implement strategies to help team members reach their individual and departmental goals. Ensure appropriate completion of all daily billing activities for members of billing staff.

Review and monitor work quantity and quality of billing staff.

Reviews daily unbilled, late charge and daily payment reports, for potential claims/account problems and to also ensure staff are processing claims/accounts on these reports per departmental guidelines. Meet with staff to review progress and to provide feedback, direction and instruction as needed.

Provide guidance, knowledge and troubleshooting assistance to billing staff for problem solving of patient accounts. Analyze, identify and report recurring problems and concerns impacting timely claim processing and reimbursement. Recommend process improvements to improve departmental performance and increased cash collections.

Train new departmental staff in billing functions for all insurances. Review staff adjustments and retrain where appropriate.

Qualifications

EDUCATION:

  • Completion of a high school level of course work with attainment of a high school diploma or state high school equivalency (GED) is required.

  • Associate's degree or higher in Accounting, Finance, Business Administration or related discipline preferred.

EXPERIENCE:

  • Minimum of five years of patient account billing and/or follow-up experience working with Blue Cross and Blue Shield, Medicare, Medicaid, commercial and/or other medical 3rd party insurances required.

  • Prior supervisory experience preferred

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Patient Accounts Specialist II (Denials/Ar/Follow Up)

Medstar Research Institute

Posted 2 months ago

VIEW JOBS 10/6/2020 12:00:00 AM 2021-01-04T00:00 Job Summary Under general supervision, performs accounts receivable follow-up/collection procedures to obtain timelyreimbursement from third party carriers and other payment sources on moderately complicated invoices in aDirect Contract assignment and/or with an invoice balance Performs collection activity for assigned divisions,third party carriers and individual providers. Maintains contacts with third party carriers and communicatebilling/reimbursement changes to management in a timely manner. Assists in evaluation of A/R andparticipate in development of collection strategies to decrease outstanding A/R. Leads and is a resource forInsurance Analyst I. Minimum Qualifications Education/Training High School Diploma or equivalent. Bachelors or Associate degree preferred. Considerationwill be given to an appropriate combination of education/training and experience. # Experience 4 years of progressively responsible experience in hospital/physician patient accounts orequivalent experience. Experience and proficiency using an automated billing system, GE IDX and ETMexperience preferred. # License/Certification/Registration No special certification, registration or licensure is required. # Knowledge, Skills # Abilities Effective negotiating skills, to include ability to resolve complex billing and collection situations withindividual patients or third party payers. Proactive problem solving skills. Ability to interpret data and relatedinformation, and discern trends and tendencies, as well as determine appropriate course of action. Ability towork as part of team, set goals, prioritizes work and assist in the coordination and execution of work. Ability toassist in the following areas: lead, monitor daily activities, evaluate, train and motivate performance of teammembers. Effective oral and written communication skills. Knowledge of ETM, basic operation of hardwareand work processing and spreadsheet packages, preferably Microsoft. Knowledge of relevant billing andcollection laws and regulations, hospital protocols. Knowledge of third party claims and diagnostic coding, toinclude ICD 9/10 and CPT coding. Primary Duties and Responsibilities Actively and continuously improves work processes for self. Uses continuous improvement tools and methods to improve individual, team and cross-departmental performance. Bases improvements on customer requirements, data, root-cause analysis and outcomes. Assists in creation/implementation of in service training materials and presentation for team development. Assists in the planning of work for self and Insurance Analyst I, including setting goals, prioritizing work and coordinating the execution of work. Assists supervisor in planning, coordinating and direction of daily work activities of clerical, billing and collection staff. Assists supervision in collection activities and functions. Assists with determining organization processes that maximize cash receipts. Bills patient accounts and assures accuracy by reviewing and verifying patient charges, coordinating benefit level, type of coverage, and/or approval for coverage. Collects insurance accounts by contacting insurance carriers and other third party payers to verify receipt of billing and other information needed to process claims, secure approximate date of payment, negotiate with claims personnel for prompt payment and resolve discrepancies in billings within appropriate time frames. Communicates effectively with staff at all levels of organization, both inter and intra-departmentally. Contacts and participates in meetings with internal and external customers to resolve difficulty payment or process issues. 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. Demonstrates proven successful organizational and analytical skills that ensure consistent completion of daily quota driven processing. Develops productive relationships with payer representatives to secure timely payment of claims. Forwards bill to third party payers, and/or enters billing information into computerized billing system. Interprets data and reports to determine work priorities and resource allocation across multiple billing and collection tasks. Investigates and resolves insurance claim rejections. Meets the Performance ETM Production quota set at 90% of the established quota. Performs other duties as assigned. Assumes other duties and responsibilities that are appropriate to the position and area. Participates in educational/professional development activities. Exemplifies Guest and Staff Relations standards in all activities in areas of service, resource utilization, high quality outcomes and effective communication. Provides guidance and instruction to fellow team members when necessary. Provides information regarding work progress, actions and issues in a timely and effective manner. Recommends improvements. Recommends timely invoice adjustments. Reviews and monitors work quantity and quality, recommends the allocation of resources, helping to ensure departmental goals are met or exceeded. * Job Summary * Under general supervision, performs accounts receivable follow-up/collection procedures to obtain timelyreimbursement from third party carriers and other payment sources on moderately complicated invoices in aDirect Contract assignment and/or with an invoice balance Performs collection activity for assigned divisions,third party carriers and individual providers. Maintains contacts with third party carriers and communicatebilling/reimbursement changes to management in a timely manner. Assists in evaluation of A/R andparticipate in development of collection strategies to decrease outstanding A/R. Leads and is a resource forInsurance Analyst I. * Minimum Qualifications * Education/Training * High School Diploma or equivalent. Bachelors or Associate degree preferred. Considerationwill be given to an appropriate combination of education/training and experience. * * Experience * 4 years of progressively responsible experience in hospital/physician patient accounts orequivalent experience. Experience and proficiency using an automated billing system, GE IDX and ETMexperience preferred. * * License/Certification/Registration * No special certification, registration or licensure is required. * * Knowledge, Skills & Abilities * Effective negotiating skills, to include ability to resolve complex billing and collection situations withindividual patients or third party payers. Proactive problem solving skills. Ability to interpret data and relatedinformation, and discern trends and tendencies, as well as determine appropriate course of action. Ability towork as part of team, set goals, prioritizes work and assist in the coordination and execution of work. Ability toassist in the following areas: lead, monitor daily activities, evaluate, train and motivate performance of teammembers. Effective oral and written communication skills. Knowledge of ETM, basic operation of hardwareand work processing and spreadsheet packages, preferably Microsoft. Knowledge of relevant billing andcollection laws and regulations, hospital protocols. Knowledge of third party claims and diagnostic coding, toinclude ICD 9/10 and CPT coding. * Primary Duties and Responsibilities * Actively and continuously improves work processes for self. Uses continuous improvement tools and methods to improve individual, team and cross-departmental performance. Bases improvements on customer requirements, data, root-cause analysis and outcomes. * Assists in creation/implementation of in service training materials and presentation for team development. * Assists in the planning of work for self and Insurance Analyst I, including setting goals, prioritizing work and coordinating the execution of work. Assists supervisor in planning, coordinating and direction of daily work activities of clerical, billing and collection staff. Assists supervision in collection activities and functions. * Assists with determining organization processes that maximize cash receipts. * Bills patient accounts and assures accuracy by reviewing and verifying patient charges, coordinating benefit level, type of coverage, and/or approval for coverage. * Collects insurance accounts by contacting insurance carriers and other third party payers to verify receipt of billing and other information needed to process claims, secure approximate date of payment, negotiate with claims personnel for prompt payment and resolve discrepancies in billings within appropriate time frames. * Communicates effectively with staff at all levels of organization, both inter and intra-departmentally. * Contacts and participates in meetings with internal and external customers to resolve difficulty payment or process issues. * 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. * Demonstrates proven successful organizational and analytical skills that ensure consistent completion of daily quota driven processing. * Develops productive relationships with payer representatives to secure timely payment of claims. * Forwards bill to third party payers, and/or enters billing information into computerized billing system. * Interprets data and reports to determine work priorities and resource allocation across multiple billing and collection tasks. * Investigates and resolves insurance claim rejections. * Meets the Performance ETM Production quota set at 90% of the established quota. * Performs other duties as assigned. Assumes other duties and responsibilities that are appropriate to the position and area. Participates in educational/professional development activities. Exemplifies Guest and Staff Relations standards in all activities in areas of service, resource utilization, high quality outcomes and effective communication. * Provides guidance and instruction to fellow team members when necessary. * Provides information regarding work progress, actions and issues in a timely and effective manner. Recommends improvements. * Recommends timely invoice adjustments. * Reviews and monitors work quantity and quality, recommends the allocation of resources, helping to ensure departmental goals are met or exceeded. Medstar Research Institute Baltimore MD

Supervisor, Patient Accounts Receivable

Kennedy Krieger Institute