PFS Supervisor

3 weeks ago

Lathrop, United States Medix Full time
Overview
  • Supervises, assigns, coordinates, and evaluates the work of clerical staff performing complex billing and/or collection processes; monitors work flow and implements changes to maximize billing productivity; assists with establishing standards for work performance; ensures claims are billed timely and correctly to maximize reimbursements and increase cash flow.
  • Confers with insurance representatives, internal and external agency staff and others on billing matters and answers questions that involve researching and abstracting technical data and detailed explanation of regulations, policies or procedures; refers matters that may require policy decisions to management.
  • Confers with other departmental sections to assure timely and accurate flow of information necessary to patient account billing; reviews documents and system data for charge errors; participates on task forces and committees as assigned.
  • Researches accounts; resolves or handles more difficult and complex billing problems, appeals, and complaints; troubleshoots system issues and recommends improvements.
  • Trains staff in complex billing and collection procedures, policies and practices; orients new employees to billing and collections; researches and answers questions and applies billing and collection rules, regulations, and guidelines; updates staff to changes in policies, standards and regulations; disseminates information affecting other departments quickly and accurately.
  • Prepares and audits claims, statements and reports from a variety of sources; performs technical clerical accounting work; monitors accounts and prepares reports.
3-5 Must Have Skills/Qualifications
  • Revenue Cycle experience with acute care/hospital billing or physician billing
  • Well versed in facility billing
  • Contract knowledge
  • Excel experience (use on a daily basis) - basic literacy, pivot tables and summarizing data
Schedule/Shift
  • M-F 7-330P but needs to be flexible to work 8-430 sometimes