Supervisor, Patient Accounts - Hospital Services

Job description

Work Shift Day Scheduled Weekly Hours 40 Summary This position supports Mercy's philosophy of patient centered care by providing supervision over the patient accounts activities of Mercy Medical Center and clinics while promoting fiscal responsibility, compliance and quality improvement. Job Description Job Duties/Essential Functions Leadership Competencies Leading Formulates a future course that reflects departmental needs and is aligned with Mercy's vision. Translates the course into team goals and objectives, sets priorities, and directs the efforts of staff towards accomplishing them. Recognizes and acts on opportunities for growth and improvement to advance Mercy's goals. Inspires staff enthusiasm for and generates commitment to departmental and organizational goals. Standards and Accountability Holds team and self responsible for maintaining the highest possible performance standards and meeting agreed upon commitments. Sets and maintains high standards for service to patients, physicians, colleagues, and other Mercy departments. Incorporates needs and concerns of diverse constituencies into decision making. Planning and Decision Making Analyzes problems systematically and logically and is resourceful when developing and implementing solutions. Applies key financial concepts and analysis to decision making. Understands drivers of financial performance and takes these into account when developing strategies and making decisions. Develops and implements work plans with actionable components and measurable outcomes. Proactively monitors key performance indicators and makes real-time adjustments to ensure that progress stays on track. Regularly reassesses priorities and competing demands and adjusts allocation of own and staff time and resources to increase efficiency and effectiveness. Communication Articulates logical and well-founded arguments that support conclusions. Matches communication style to the message and audience. Actively solicits opinions from others. Routinely provides others with the information they need to do their jobs. Routinely shares suggestions, advice, and insights on progress toward goals. Provides performance feedback that is constructive and actionable, and that highlights successes as well as areas for growth based on objective metrics. Developing People Selects and attracts outstanding staff from diverse backgrounds. Identifies and fills gaps in team skills and knowledge. Defines development objectives for self and staff that support performance goals and progress toward future skill development. Assists staff in developing their own careers by encouraging them to articulate their career goals, offering challenging growth opportunities, and providing necessary coaching and training. Managing Relationships Builds and maintains long-term relationships with others based on mutual respect and trust. Fosters cooperation and collaborative decision-making among staff with diverse backgrounds and interests. When conflict arises, works effectively towards solutions and compromises that take the needs of all parties into account. Provides regular updates on goal progress and works with own manager to minimize risks and resolve problems. Job Duties Identifies future needs, new technologies and products for applicability to the department and makes recommendations as appropriate. Recommends the integration/utilization of existing systems in conjunction with Technology Services. Monitors and coordinates with Manager staffing levels, schedules, employee relations, employee discipline, and performance evaluations. Inputs and monitors Time Tracking administration of employee's time and attendance, staff scheduling, education, and labor productivity. Implements and coordinates with Manager to evaluate programs for operational effectiveness, and makes required changes for continuous improvement. Provides input to preliminary Capital, FTE and operating budgets for MMC business services departments by due date. Plans, coordinates and implants staff training and quality programs. Creates a culture of interdisciplinary and interdepartmental cooperation and communication by motivating staff to continuously improve performance. Utilizes productivity measures and adjusts processes to optimize effectiveness and efficiency within the A/R management process. Provides for mechanisms to measure, analyze and manage variation in the performance of defined processes. Conducts regular staff meetings to communicate departmental/enterprise issues. Develops and maintains accurate job descriptions and performance standards for all job classifications. Maintains required personnel records. Delegates and monitors responsibilities at the staff levels. Reconciles month end reports and monthly statistical data. Provides leadership and assistance with special management projects. Follows Mercy's safety guidelines, carries out job- specific safety duties and responsibilities, and promptly reports any unsafe conditions, situations, incidents and injuries. Department Specific Duties Supervisor-Insurance and Billing Supervises the patient accounts staff in their daily functions to enable billing and statements to go out to third party insurance companies and patients in a timely manner in accordance with specific payor requirements. Monitors billing holds and coordinates needed information with other departments. Ensures accurate and timely billing to outside vendors. Oversees that the organization gets fully reimbursed for services provided to our patients. Responds compassionately with those patients that cannot understand insurance rules and regulations. Educates self and staff to stay current on reimbursement and billing issues. Acquires and maintains thorough knowledge of federal and state legislative action affecting reimbursements. Established and implements controls to ensure appropriate submission, billing, and payment cycles in accordance to all government standards. Supervises the revenue cycle processes by reporting the status and aging of outstanding claims. Manages the insurance credit balance process and refunds. Coordinates the credentialing process for providers and locations. Supervisor-Coding & Compliance Maintains a working knowledge of CPT, HCPCS, and ICD-9 coding principles, governmental regulations, protocols and third party requirements pertaining to billing and documentation. Maintains timely charge posting in compliance with established procedures. Reports all non-compliance to management in order to retain consistent workflow. Orients new providers and staff to the organization's coding, documentation, and quality improvement policies. Identifies and corrects coding errors, tracks and trends errors by clinic providing performance feedback. Supervisor-Financial Advocates Supervises staff in completing tasks related to statement processing, and management of past due accounts into collection. Gathers, analyzes and communicates issues to management and recommends solutions to maximize collections. Provides leadership and training to the financial advocates collecting on accounts for professional services. Monitors guarantor, client, and workman's compensation accounts and reporting the status and aging of outstanding balances. Supervises the guarantor credit balance process and refunds. Supervisor-Payment Posting Supervises the cash application for the revenue cycle and reporting of all daily transactions. Performs and coordinates tasks relating to daily journals, bank deposit, and general ledger reconciliation, ERA and EFT management, collection account administration, and refund generation from the practice management system. Knowledge, Skills and Abilities Proficient in Microsoft Office products. Proficient in operation of computer, calculator, filing systems, copy/fax machines and telephone system. Excellent interpersonal skills. Excellent written and verbal communications skills. Excellent public relations and human relations-exemplifies The Mercy Touch Excellent organizational, problem solving, decision and time management skills. Critical thinking and attention to detail. Exhibits good judgment, setting goals and meeting deadlines. Handles confidential information with discretion and diplomacy. Commitment to life-long learning, e.g., willingness to learn/upgrade skills related to duties. Flexibility and dependability, works well with a wide variety of individuals and leadership styles. Ability to work with minimal to no supervision. Professional Experience Minimum 2 years experience relevant to position required. Experience as a team lead or previous supervisory experience preferred. Epic experience is required Education Required: High school diploma or equivalent. Preferred: Some college or business school. Supervisor-Coding & Compliance Coding Certification-RHIT, RHIA, CCS-P or CPC preferred. Physical Requirements Sedentary: Exert up to 10 lbs. of force occasionally and/or a minute amount frequently Pay Rate Type Hourly Mercy is an independent, community-based organization supporting the Cedar Rapids area for over 120 years. Mercy is an equal-opportunity employer. We value diversity, equity, and inclusion and therefore evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status, and other legally protected characteristics.