Supervisor, Revenue Cycle​/Patient Accounts, Back

Job Summary

In addition to the responsibilities listed below, this position may also be responsible for exercising judgment to process and resolve rejections and denials from insurance payers to ensure service costs are charged and pooling denied claim and underpayment information, and resolving or escalating complex workflow or build issues; overseeing and coaching the researching, coping, and mailing member-financial records to the respective requestor (e.g., court, attorney, copy services) while recommending process improvements;

initiating quality reviews and education and coaching of staff for the verification and validation of insurance coverage discovery, coordination of benefits, applying insurance to a patient account; coaching of staff of patient account to ensure appropriate coverage; resolving coverage-related errors or disputes; partnering with vendors to ensure the coverage for underinsured and self-pay patients is completed in a timely manner;

initiating quality reviews and education of the team is efficiently executing third party, workers compensation, and secondary coverage payments are received; using thorough knowledge of business practices to coach the team to negotiate payment plans to set terms of pay agreement, explaining what is owed, offering discounts, ensure quality and productivity standards are being met, and resolve escalations; using thorough knowledge of business practices to coach the team to providing customer service while explaining the application process, providing direction to the team to processing applications and disposition, follow policy regulations and provide MFA status, provide quality assurance and ensuring quality standards are being met;

assuring alignment with government guidelines and internal policies; resolve escalations; provides coaching and ensuring the team efficiently collects cost-share at time of service or post-service collections based on system deposit, schedule, and payment collections; monitoring closure of cash drawers when needed; ensuring adherence and enforcing to SOX regulations; issuing a wide range of complex demands for payment of services provided;

maintaining the workflow and coaching the team to manage a portfolio (e.g., negotiate, agree, monitor payment plans) to determine if agreements should be sustained or cancelled; ensuring the process completion of the enrollment of providers in Medicare, Medicaid, and workers compensation; ensuring teams quality of performance affecting payment posting and provides coaching for remediation; scheduling the work of others, setting work priorities, ensuring adherence and enforcing SOX regulations and removes barriers to completing task;

reporting and escalating payment posting issues; coordinating the team to ensure the processing of credit cards and refunds by the staff are completed according to statutory timelines; assisting with research on simple and complex refund inquiries; approval of refund authority within FDA; coordinating CMS requests; identifying opportunities for root-cause prevention; reviewing the completion of processing bankruptcy, deceased, court decrees, and triage ROI requests in partnership with other groups;

coordinating quality reviews, recommending improvements, and partnering across teams to elevate barriers and resolve issues.

• Recommends developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; provides team members with feedback; and mentors and coaches to drive performance improvement. Pursues professional growth; provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations. Implements, adapts, and stays up to date with organizational change, challenges, feedback, best practices and processes.
  
  Fosters open dialogue, supports, mentors, engages, and motivates team members on collaboration. Delegates tasks and decisions as appropriate; provides appropriate support, guidance and scope.
• Supervises and coordinates daily activities of designated work team or unit by monitoring the execution and completion of tactical action items and work assignments; ensures all policies and procedures are followed. Aligns team efforts and standards, and measures progress in achieving results; determines and carries out processes and methodologies; resolves escalated issues as appropriate. Develops work plans to meet business priorities and deadlines;
  
  coordinates, obtains and distributes resources. Removes obstacles that impact performance; identifies and recommends improvement opportunities; influences teams to execute in alignment with operational objectives.
• Ensures the teams work is in compliance by: reviewing the teams work and delivering training to ensure they adhere to federal and state laws, and applicable compliance standards, and delivering monthly quality reports to leadership, and escalating…