JFK Johnson Rehabilitation Institute · 1 day ago
SUPERVISOR, PATIENT ACCOUNTING SPECIALTY CLAIMS AND ACCOUNTS RECEIVABLE
Hackensack, NJ
Part-time
Hybrid
Mid, Senior Level
$83K/yr - $83K/yr
4+ years expHackensack Meridian Health (HMH) is dedicated to transforming healthcare and supporting its community. The Supervisor of Patient Accounting Specialty Claims & Accounts Receivable is responsible for overseeing billing operations and third-party account follow-up, ensuring compliance with regulations and enhancing revenue cycle performance.
Hospital & Health Care
Responsibilities
Monitor daily pre-billing, billing and follow up operations across HMH network, providing leadership and guidance to analysts and team members
Daily monitoring of Epic Dashboards (DNBs, Candidate for Billing (CFB)), Workbench reports and Slicer/Dicer reports to track aged receivables and support account resolution strategies in accordance with department objectives. Ensure goals and objectives are achieved
Assist in the creation of productivity benchmarks and monitor individual and team productivity to ensure operational efficiency and identify opportunities for improvement
Monitor claims submission processes via the clearinghouse to third-party payers, ensuring compliance with internal policies and federal and state regulations. Verifies acceptance of claim file transmission through payer gateways and ensures accurate and timely posting to EPIC
Ensures timely release of claims from EPIC, investigates delays, and escalates unresolved issues to senior leadership as appropriate
Act as the primary point of contact for facility and finance leaders regarding all PFS-related inquiries, escalations, and performance metrics
Schedule, prepare for, and lead regular revenue cycle performance meetings with key stakeholders
Partner with PFS and facility departments including but not limited to (e.g., patient access, health information management, case management, CDM team) to develop and implement action plans to address performance gaps and reduce denials
Build and maintain strong, collaborative relationships with PFS staff, department managers, clinical leaders, and the finance team
Identify opportunities for process improvement at the front-end (registration, insurance verification), mid-cycle (charge capture, coding), and back-end (billing, collections) to prevent revenue leakage
Track the progress and impact of implemented solutions to ensure sustained improvement
Effectively communicate performance trends, challenges, and successes to department leadership
Serves as system administrator for billing applications and claims scrubbers, coordinating training and implementation of upgrades and enhancements
Assists with claim testing, Identifies claims/scenarios that are appropriate for testing a new system, new software, an enhancement, or an upgrade to an existing system as necessary; responsible for providing feedback and approvals to Information Technology (IT) based on test results
Assist IT and billing vendors to address system issues affecting claim submission and file posting
Engages in IT meetings to support automation initiatives and process improvements
Oversees specialty billing vendors, including but not limited to those handling out-of-state Medicaid, Charity Care, Medicaid, Worker's Compensation, and No Fault claims
Monitor EPIC Billing and Follow up work queues and Dashboards, ensuring timely follow-up and resolution of outstanding items
Track payer activity for partial payment and non-payment trends; Facilitate meetings with provider representatives to resolve payer related discrepancies and improve payment timeliness
Monitors follow-up reports and conducts analytical reviews to identify areas requiring focused collection efforts
Provides training and support to team analysts, specialist and representative guiding root cause analysis and preparing presentations for Patient Financial Services leadership with actionable data and insights
Coordinates, facilitates and or participates in Revenue Operations meetings and Facility Committees, offering insights and recommendations to improve billing and follow up accuracy to reduce denials
Monitor vendor productivity; aging reports, escalates unresolved issues, performs adjustments and coverage updates on self-pay transfers, and reconciles vendor reports for accuracy
Resolves payer disputes and rejections across all payer plans including but not limited to (e.g.,HMO, Blue Cross, Government, Commercial and Managed Care), ensuring timely and accurate billing and follow-up
Responds to payer requests for additional information, medical records, audits problem accounts, and resolves complex payment issues
Manages performance evaluations for team members; time keeping, and onboarding activities
Maintains current knowledge of applicable payer policies, procedures, and regulatory requirements
Tracks payer activity for partial and non-payment trends; Facilitate meetings with Provider Representatives to resolve discrepancies and improve payment timeliness
Responsible for timely scanning of financial documents, refund requests, EOBs and the related equipment and maintenance needs for Patient Financial Services
Coordinates educational programs for team members in partnership with HMH training and department leadership team
Performs other duties and special projects as assigned to support departmental and organizational goals
Adheres to HMH organizational competencies and standards of behavior
Qualification
Required
Bachelor's degree; or equivalent relevant experience at 4 years or more
Minimum of 4 years' experience in healthcare billing or health insurance claims environment. Familiar with medical billing practices, concepts, and procedures
Excellent analytical and critical thinking skills with attention to detail
Ability to work in a fast paced business office; must be able to coordinate multiple projects with multiple deadlines or changing priorities
Prior experience with an electronic billing system/claims editor
Proficient with computer applications and spreadsheets
Must be highly organized and possess excellent time management skills
Strong written and verbal communication skills
Excellent written and verbal communication skills
Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms
Preferred
Proficiency with Epic Hospital Billing, claims, and Assurance Reimbursement management
Prior experience in a Patient Financial Services Department for a University Medical Center/hospital
Experience with supervision and delegating tasks
Extensive understanding of inpatient and outpatient hospital billing practices
Experience with understanding and applying logic to claim rejections, edits, and errors
Experience with EPIC and Assurance a plus, Real Time Eligibility tools, payer portals
Benefits
Health
Dental
Vision
Paid leave
Tuition reimbursement
Retirement benefits
Company
JFK Johnson Rehabilitation Institute
Offering New Jersey’s most comprehensive rehabilitation services, JFK Johnson Rehabilitation Institute is a 94-bed facility located in Edison, NJ, serving residents of the tristate area for more than 40 years.
10001+ employees
Funding
Current Stage
Late StageCompany data provided by crunchbase