PFS Supervisor

Job DescriptionJob Description

Job Posting: PFS Supervisor

Location: Maui, HI
Type: Contract to Hire

Pay: $36hr max pay

Position Overview:

We are seeking a PFS Supervisor to oversee operations within our Patient Financial Services department. This role requires a unique skill set, involving management of denial resolutions, collections oversight, and compliance with healthcare regulations. The ideal candidate will be a leader with strong analytical skills and a commitment to long-term service.

Key Responsibilities:

1. Denial Resolution Leadership:

   • Supervise and guide the denial management team to effectively manage and resolve claim denials.

   • Ensure compliance with healthcare contracts to minimize revenue loss.

2. Contract Expertise:

   • Provide guidance on interpreting healthcare contract terms related to payments and denials.

3. Payment Issue Resolution:

   • Investigate root causes of payment issues and implement corrective actions.

4. SOX Compliance:

   • Ensure all denial management activities comply with Sarbanes-Oxley Act (SOX) requirements.

5. Audit Collaboration:

   • Work closely with external auditors, providing necessary documentation related to denial processes.

6. Remittance Management:

   • Proactively manage remittance issues and ensure timely payment postings.

7. Data Analysis:

   • Analyze denial trends and payment discrepancies to identify areas for improvement.

8. Team Leadership:

   • Supervise a team of billers and collectors, providing direction and support.

9. Billing Management:

   • Oversee billing operations for long-term care and hospital physician billing.

10. Collections Oversight:

    • Manage the collections process and minimize bad debt accrual.

11. Process Improvement:

    • Evaluate and enhance billing and collections processes for efficiency.

Qualifications:

• Required Education: High School Diploma with 3 years of relevant experience

• Preferred Education: Bachelor's degree

• Experience: 1+ years in a supervisory role related to customer relations and 3 years in a revenue cycle role

• Systems Knowledge: Proficiency in MS Office; knowledge of Epic preferred

• Shift: 7 AM - 4:30 PM (flexible)

Pay Details: $30.00 to $36.00 per hour

Search managed by: Joanna Calderon

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance

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