Patient Accounting Supervisor

3 days ago

San Francisco CA United States chinesehospital-sf.org Full time
About This Role Department Reports to Type

Full Time

Requisition #

12592

Position Summary

The Patient Accounting Supervisor, in coordination with the Patient Financial Services Manager/Director, shall be responsible for overseeing the Scheduling, Pre-registration, Registration and Billing processes within Chinese Hospital. This includes partnering with the 3rd party billing vendor, Utilization Management and Health Information Management for any billing related issues identified. This position will be responsible for correcting all pre-billing edits that are not identified as HIM or clinical in nature. Additionally, the revenue cycle supervisor will be responsible for evaluating any billing and follow up done by outside vendors working on behalf of Chinese Hospital. The ideal candidate will possess exceptional skills in motivation, training, leadership and problem solving.

Essential Duties and Responsibilities
  1. Provide training and mentoring to the billing and registration team to ensure understanding of all aspects of Hospital and Clinic billing.
  2. Assist upper management to make appropriate process changes so that claims are clean and denials for avoidable areas such as authorizations are kept to an absolute minimum.
  3. Supervise staff assigned to correct billing edits and evaluate work effort for compliance and maximum reimbursement.
  4. Coordinate with Utilization Management on the current workflow as it relates to patient stays and reimbursements, and the active avoidance of denials for medically unnecessary care.
  5. Ensure timely authorization process, including accurate documentation.
  6. Provide a positive and excellent service by identifying patient needs and fulfilling expectations.
  7. Manage completion of work assignments based on priority and due dates.
  8. Ensure compliance with all government regulatory guidelines.
  9. Organize work to achieve maximum efficiency in the entire revenue cycle process.
  10. Identify and communicate any billing issues to the Hospital management team.
  11. Orient, train, evaluate, and monitor billing staff, using positive reinforcement and recognition.
  12. Ensure that staff members adhere to all established policies and procedures.
  13. Make every effort to collect outstanding patient account balances, run end of day reports, ensure accurate accounting of collected funds, and deposit funds.
  14. Report status of billing front end and billing data acquisition to management as requested.
  15. Maintain productivity and quality standards as set by management.
  16. Assist team members in achieving individual Key Performance Indicators and department goals.
  17. Ensure that all external correspondence from the data entry and edit teams, whether verbal or written, is clear, concise and professional.
  18. Manage departmental FTEs including performance reviews, paid time off, etc.
  19. Other duties as assigned.
Preferred Skills
  1. Demonstrates excellent verbal and written skills and advanced knowledge of Hospital systems as they relate to financial clearance and insurance verification.
  2. Possess strong analytic skills and be able to evaluate and analyze data-using it to drive process improvement and impact positive change and outcomes.
  3. Demonstrated leadership skills and ability to provide education and support to staff.
  4. High content knowledge of medical terminology.
  5. Explain consent for treatment, financial liability, and HIPAA to patients.
  6. Counsel patients on financial liability using available financial counseling tools to achieve maximum reimbursement for patient services.
  7. Monitor status of each process, including number of accessions in edit, hold and deleted status for productivity and backlog reasons.
  8. Understand, and be able to explain to team members, the billing data entry and billing data acquisition.
  9. Apply knowledge of organizational revenue cycle to achieve key performance indicators.
  10. Use knowledge of coaching approaches, tools, and techniques to improve individual performance and foster development.
  11. Report problems and errors to management in an effective and efficient manner.
  12. Support team members by training, sharing job knowledge, and informing them of workflow processes and changes.
  13. Identify, analyze, and effectively solve problems.
  14. Identify and recommend process changes that will improve overall performance and efficiency of the registration process.
Qualifications

Required
• Three or more years Hospital billing.
• Two years Gerner Community works or Millennium.
• Two or more years supervisory experience.
• Previous experience working in a high-paced production environment.
• Two or more years Microsoft Office experience specifically to include Excel.
• Ability to work a variety of shifts as needed.
• Bilingual in Chinese and English (written and spoken language).
Preferred
• High School Diploma or GED.

Physical Requirements

While performing the duties of this job, staff is regularly required to sit, stand, walk, talk, and/or listen. He/she uses his/her hands to do computer work, write reports, do equipment set-up/cleaning/storage, clerical support, etc. He/she will be using the phone frequently. Good vision is needed to be able to read schedules, enter accurate data, etc. He/she must have good general health and demonstrate emotional stability so as to carry out the above-enumerated duties.

  • Able to lift up to 30 pounds.
  • Stand, walk, and move 50% of the day.
  • Use proper body mechanics when handling equipment.
Compliance Requirements

Complies with Chinese Hospital Compliance Handbook including Code of Ethics and all statutes, regulations, guidelines applicable to federal and state programs. Responsibilities include following the guidelines and reporting suspected violations of any statute, regulations, agreements or guidelines applicable to all healthcare programs.

Base Pay Scale

Starting at $38.61 – $44.36 per hour. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

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