Supervisor, Patient Accounts

White Plains Hospital Job Description

Title: Supervisor, Patient Accounts            Job Code: 100073

Department/Location: Patient Accounts FLSA Status: Exempt

Reports to: Manager, Patient Accounts

Position Summary

The supervisor of patient accounts provides assistance with overseeing, coordinating, and managing the daily operations related to the billing and collection of third-party accounts. Compiles and analyzes statistical data to measure and explain staff performance, accounts receivables, and progress towards financial targets. Identifies trends and recommends process improvements to enhance workflows, expand staff training and skills, advance productivity, and meet department goals. Provides technical guidance and assistance to the Revenue Cycle staff on complex billing, payment, and/ or follow-up activities

Essential Functions and Responsibilities Include the Following:

1. Understands and adheres to the WPH Performance Standards, Policies and Behaviors

2. Ensures accounts are billed and followed accurately, timely, and in a compliant manner

3. Resolves routine questions and problems posed by support staff, referring more complex issues to the Manager

4. Assist in updating policies and procedures as necessary. Develops and implements processes, procedures, and controls to identify and address discrepancies associated with third party payments received

5. Compiles and organizes statistical data related to staff productivity and quality weekly. Identifies and communicates both positive and negative trends to the management team

6. Manage and participate in performance discussions as requested by the Manager

7. Assist with developing and conducting training for respective applications and staff

8. Maintain training materials, job aides, competencies, and training records for all staff to manage individual

performance

9. Keeps abreast of all billing and reimbursement regulations and standards to ensure compliance with any published or anticipated changes issued by governmental agencies and/or third-party payers

10. Share knowledge with staff through verbal and prepared written communication. Ensures CHS managed care contracts terms and conditions are adhered to by support staff and contracted parties.

11. Actively leads and participates in payer meetings to communicate and resolve billing and reimbursement issues

12. Assists Manager in preparing materials in advance

13. Monitors the performance of outside agencies including reconciling inventories and invoices

14. Troubleshoots and acts as a point of escalation for issues arising internally and externally as a result of a vendor

partnership

15. Recruits and trains new personnel. Assists Manager with evaluations and counseling when needed

16. Prepare departmental and ad-hoc reports as requested

17. Participate in special projects as requested by the Manager

18. Keeps the Manager and Director informed as to the status of the department

19. Develops and submits departmental goals and objectives as required by the Division Administrator

20. Attends and participates in educational programs or activities to maintain your current level of knowledge or expertise to manage department

21. Supervises and controls the billing for all third-party agencies

22. Reviews, completes, and prepares the Medicare Credit Balance Report on a quarterly basis

23. Reviews pre-collection report and assists with preparation of accounts for the transfer of bad debt to outside collection agencies

24. Review trial balance reports as needed for monitoring staff performance, and/or adjustments

25. Adheres to compliance with all financial assistance policies and regulations regarding financial assistance.

26. Performs all other related duties as assigned

27. HBI certification certificate required prior to end of probationary period

Education & Experience Requirements

ï‚· High School Graduate or GED required. Graduate of an accredited College with an Associate Degree in

Business, Healthcare Administration or Accounting preferred

ï‚· Minimum of three years of previous experience in patient accounts

ï‚· Knowledge of hospital billing and reimbursement of insurance as well as third-party billing

ï‚· Ability to use basic office equipment and knowledge of CTR computer terminals

ï‚· Medical terminology helpful but not mandatory

Core Competencies

ï‚· Ability to cooperate with others

ï‚· Must be able to speak, write, understand and communicate in the English language

ï‚· Effectively communicate with internal and external customers

ï‚· Integrity to handle the confidential aspects of work

ï‚· Retains composure under stress

Physical/Mental Demands/Requirements & Work Environment

ï‚· May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed on the hospital’s SDS (Safety Data Sheet) database and may be accessed through the hospital’s Intranet site (Employee Tools/SDS Access). A copy of the SDS database can also be found at the hospital switchboard, saved on a disc.

ï‚· Must be able to remain in a stationary position 50% of the time

ï‚· The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc

ï‚· The person in this position frequently communicates with insurance plan patients who have questions, must be able to exchange accurate information in these situations.

ï‚· Must be able to greet patients arriving

Primary Population Served

Check the appropriate box(s) below:

☐Neonatal (birth – 28 days) ☐Patients with exceptional communication

needs

☐Infant (29 days – less than 1 year) ☐Patients with developmental delays

☐Pediatric (1 – 12 years) ☐Patients at end of life

☐Adolescent (13 – 17 years) ☐Patients under isolation precautions

☐Adult (18 – 64 years) ☐Patients with cultural needs

☐Geriatric (> 65 years) ☒All populations

☐Bariatric Patients with weight related comorbidities.

☐ Non-patient care population

The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by WPH.

$69,257.57-$103,897.17