Oversees the output and quality of all back-end business functions and collaborates with the Manager of Patient Financial Services to identify strategies for performance improvement. This position manages and monitors the performance of all billing staff members, motivating them to work quickly and with precision. This individual will also work interdependently with other department's staff, create reports regularly. The Supervisor is ultimately responsible for much of JSMC's financial health as the staff he/she supervises and their associated functions play a large role in reimbursement, cash flow, and whether a patient will return for service to restart the revenue cycle process.
Provides a positive and professional representation of the organization
Promotes culture of safety for patients and employees through proper identification, reporting, documentation, and prevention.
Maintains hospital standards for a clean and quiet patient environment to maintain a positive patient care experience.
Maintains competency and knowledge of current standards of practice, trends, and developments in related scope of job role or practice.
Adheres to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations.
Participates in ongoing quality improvement activities.
Maintains compliance with organization’s policies, as well as established practices, protocols, and procedures of the position, department, and applicable professional standards.
Complies with organizational and regulatory policies for handling confidential patient information.
Demonstrates excellent customer service through his/her attitude and actions, consistent with the standards contained in the Vision, Mission, and Values of the organization.
Adheres to professional standards, hospital policies and procedures, federal, state, and local requirements, and TJC standards and/or standards from other accrediting bodies.
Supervises billing personnel in the completion of all essential functions including billing, collections, accounts receivable, medical records, etc. Maintain absenteeism Approve PTB requests
Update payroll functions as needed (correct times or add-time as needed)
Submit employee evaluations
Responsible for monitoring all account receivable and escalating trends and issues to PFS Management
Monitor adjustments made by staff and approve adjustments timely within the Supervisor threshold Administer employee communications and disciplinary actions when needed
Order supplies
Monitors quality and productivity levels for both individual staff members and the team as a whole; Identifies and re-trains underperforming staff members as needed
Measures and compares key performance indicators; helps plan initiatives to increase performance as needed
Ensures timely billing and proactively investigates and addresses potential billing process inefficiencies
Screens potential job candidates and leads the orientation and training process for newly hired staff
Analyzes data and prepares reports on collections performance, governmental and commercial payer reimbursement, etc. as required and/or requested
Stays informed on current payer contracts, regulation changes, and other sources of impact; and immediately informs staff of any shifts through emails, meetings, or personal interactions
Serves as a resource for staff/patient questions related to business office functions
Troubleshoots and resolves any technological or process issues encountered throughout daily activities
Regularly reports to Manager on any areas for improvement identified within business office procedures and enacts any upper-level recommendations quickly
Work closely with Revenue Cycle Specialist – Estimates and Patient Access Management team for accuracy of information and education of registrars on billing issues.
Works with other departments as needed to resolve charging, late charge, coding concerns etc.
Upholds JSMC’s customer service policies by interacting with patients, relatives, and organizational staff in professional manner
Adheres to organization’s mission, policies, and procedures; and both local and national regulations
Other duties as assigned
Required Skills
CPAT or equivalent desired.
Demonstrates understanding of all business functions and practices of JSMC's revenue cycle (including experience with billing, collections and credit balance/refunds)
Familiarity with business and medical terminology, billing codes and coding systems (ICD10, HCPCS, CPT)
Strong organizational and multi-tasking skills to apply toward high -priority assignments in order to meet established deadlines
Detail-oriented
Excellent interpersonal communication skills, especially in potentially sensitive/difficult situations
Ability to work as part of a team and independently
Required Experience
High school graduate required; Bachelor’s degree preferred; business and computer classes preferred.
5 years business office experience required; medical registration experience preferred
CPAT or equivalent desired.
Demonstrates understanding of all business functions and practices of JSMC's revenue cycle (including experience with billing, collections and credit balance/refunds)
Familiarity with business and medical terminology, billing codes and coding systems (ICD10, HCPCS, CPT)
Strong organizational and multi-tasking skills to apply toward high -priority assignments in order to meet established deadlines
Detail-oriented
Excellent interpersonal communication skills, especially in potentially sensitive/difficult situations
Ability to work as part of a team and independently