The Patient Financial Services Supervisor ensures maximum cash flow and protects AAMC from losses by development of process and sound application of technology within the revenue cycle functions of claims submission. Interacts with industry-wide peers, state, federal and local regulatory agencies to ensure compliance with reimbursement requirements and statutes. There is a strong compliance emphasis and need for appropriate interpretation of Medicare, Blue Cross and federal technical billing regulation. Acts as a leader in recruitment, retention and enrichment of Patient Financial Services staff.
Essential Job Duties:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
Actively adheres to regulatory and governmental agency requirements regarding billing and reimbursement. Implements and remains current on regulatory updates and changes in a proactive manner.
Supervises Billing Coordinators & Blue Cross team. Facilitates workflow issues. Conducts follow-up of accounts receivable. Coordinates staff selection, orientation and coaching.
Manages accounts receivable and billing trends. Oversees billing operation including control of unbilled and unprinted receivables and ensures that all billing meets third party payor's clean claims requirements and billing statutes.
Prepares control/checkpoint reports to assure the claims process is reconciled and issues /errors are identified & resolved expeditiously. Analyzes and reports data to various internal and external counterparts to demonstrate accounts receivable and compliance impact.
Supervises staff performing Medicare, Medicaid & Blue Cross billing. Recommends and performs routine audits.
High school diploma or equivalent required.
AA or BS in Finance or equivalent in industry-wide experience is preferred.
Numerical skills and previous hospital billing/accounts receivable systems supervisory experience required.
Excellent verbal and written communication skills.
Five years' experience in hospital automated billing setting.
Direct experience Medicare & Blue Cross is a requirement.
Demonstrated ability to maintain high level performance in these areas.
Minimum of five years' supervisory experience, preferably in healthcare business office setting.
Preferred CRCE certification
Working Conditions, Equipment, Physical Demands:
There is a reasonable expectation that employees in this position will not be exposed to blood-borne pathogens.
Physical Demands -
Light work. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work.
The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.
The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.