Ridgeview ยท 1 day ago
Supervisor Patient Financial Services
Ridgeview is a healthcare organization, and they are seeking a Supervisor for Patient Financial Services. This role is responsible for overseeing the billing process and managing the Patient Account Representatives, ensuring compliance and quality in billing activities.
FitnessHealth CareNon Profit
Responsibilities
Provides direct supervision of the Patient Account Representatives in Patient Financial Services. Supports the department director/manager through development of programs, goals and objectives consistent with those of the organizations overall strategic plan and initiatives
Supervises staff resources by overseeing the recruiting, selecting, hiring and orienting qualified individuals. Evaluates staff performance in an accurate, consistent, objective and timely manner. Assists in the development of core position hiring strategies and ensures opportunities for professional development. Contributes a cohesive billing, customer service, and other support functions of Patient Financial Services department committed to providing distributive, clinical and service quality to all customers
Serves as a resource to staff by answering questions, assisting with problems, and providing training as necessary
Implements quality and performance improvement measures for the business office
Carries out functions with an awareness of operating expenses and key indicators within the budget for Billing, Customer service, and other support functions in Patient Financial Services. Supports department director/manager in quality improvement efforts and service delivery that contributes to the overall success and financial viability of Patient Financial Services
Reviews and monitors applicable processes, policies and procedures. As assigned, ensures compliance with local, state and federal regulatory agency standards
Reviews and resolves issues related to claim generations, clean claim ratios, rejected, denied billings. Determines the accuracy of charge capture, missing charges, late charges, covered and non-covered charges. Ensures timely submission and acceptance of claims to all payers
Proactively identifies and acts upon improvement projects and opportunities through observation, data analysis, engagement with partners, review of external impact factors and best practices, as well as ongoing communication with leadership and staff
Elevates issues with payers and reports improvement as appropriate
Carries out functions to assist department director/manager with vendor management to include: access, invoicing, and customer service
Other duties as assigned
Qualification
Required
High School graduate or equivalent
1-2 years Hospital and/or Clinic billing experience with emphasis on accurate and timely billing, insurance claims management, patient account management, and compliance and regulation knowledge
Professional presence and effective interpersonal skills
Demonstrated ability to supervise and coach a team
Excellent communication and influencing skills and ability to build strong working relationships at all levels
Ensures excellent service with a high degree of urgency to internal and external customers
Demonstrated computer aptitude in computer programs including, but not limited to mastery of the Microsoft Suite as well as familiarity with HR-specific platforms for timekeeping and scheduling, and HME-specific programs
Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above
Knowledge of insurance functions
Capable of making independent decisions with the use of good critical thinking and problem solving skills
Preferred
Familiar with medical terminology
Company
Ridgeview
Ridgeview is an independent, nonprofit, regional health care system serving the southwest metro region of the Twin Cities.