LOCATION: Seneca County (NY)
A multi-institutional non-profit health system that provides a full range of acute and long term care health services to residents of the Finger Lakes region in Upstate New York is seeking an experienced Patient Financial Services (PFS) Supervisor to join their team and provide direct supervision of the Patient Financial Services Team Lead(s) and Patient Financial Services staff. Under the direction of the Patient Financial Services Director, the Supervisor to organize and supervise the operations of the Patient Financial Services Team to ensure quality and expeditious billing and account resolution. The Supervisor will assist in developing plans and ensuring compliance with all revenue cycle initiatives.
Essential Job Functions:
- Communicate with staff on a regular basis providing ongoing education and mentoring. Maintain positive relationships and communication with payers to ensure compliance, improve claim resolution and potential reimbursement. Maintain open communication with internal departments on issue resolution.
- Effectively work with Team Lead(s) and Reps to ensure adherence to payer-specific billing and collection regulations. Seeks understanding of payer regulations via peers, payer reps, bulletins, payer handouts, websites, and remittances. Analyzes and resolves work problems and assists workers in solving problems. Demonstrates integrity in the billing/collection process in adherence with corporate compliance to eliminate risk. Assists with the Corporate Compliance work plan, including the reporting of any issues and ensuring timely repayments, if applicable. Ensures written policies and procedures are adhered to.
- Completes assigned billing accurately and according to established procedures. Reviews claim processing problems and identifies actions necessary to avoid future claims processing delays. Monitors claims in biller-claim queues and reviews claims for accuracy. Performs required follow-up on assigned accounts according to established procedures and consistent with approved hospital collection policies. Assumes responsibility for designated area of accounts receivable as evidenced by timely and efficient follow-up of assigned accounts. Meets A/R goals and other related metrics. Monitors and reports on monthly denials to include ways to minimize denial risk. Collaborates with the Patient Access Manager in process improvements affecting Patient Financial Services.
- Monitors, documents, and reports productivity of team personnel on daily basis. Performs quality checks to ensure volumes of accounts are completed and the appropriate action taken. Reviews reports based on aging and value of claims on a biweekly to monthly basis. Intervenes to resolve accounts as indicated.
- With the assistance of the PFS Team Lead, coordinates all phases of training for new employees on billing process, systems, or enhancements to existing systems.
- Performs other duties as assigned.
QUALIFICATIONS:
- Must have 3+ years of experience within the Patient Financial Services healthcare revenue cycle, including hospital billing regulations, third party billing regulations
- Prior healthcare experience is required
- Knowledge of CPT and ICD-10 coding
- Must have 1+ years of leadership or supervisory experience
- Minimum of Associate’s degree or technical school training
Enjoy an excellent compensation and PTO package, including a work to life balance. The Finger Lakes region offers great outdoor activities for both urban and rural lovers and easy hour drive from both Syracuse and Rochester. Enjoy beautiful state parks, hiking trails, lakes, and natural wonders. Both established and new wineries surround the region with a short drive to waterfall attractions and the beautiful Ontario Lake.
The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements that may be inherent in the position.
For consideration, please send us your CV/resume in MS Word format only. If there is a viable match, one of our consultants will contact you within 24-48 hours.
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