Lead Collection Spec, SMH
Provide supervisory and technical support to an Ambulatory Patient Accounts team. Oversees daily billing activities and maintains control over billing and follow-up procedures for the team. Ensure that all billing and payments are processed per payer regulations and contracts. Prepare and maintain daily, weekly and monthly quality indicators for the team members, identifying goals and areas that require attention and follow-up. Serve as a liaison between the department and ISD to ensure billing processes, programs and system generated reports are maintained. Assist the Outpatient Manager with planning and problem solving, goals and objectives for this area. Assist the Outpatient Manager by serving as a liaison between the department and other hospital departments in areas of customer service and satisfaction. Recognize and support the Strong commitment to service excellence.
Provide overall supervisory and technical support and direction to the billing team. Provide and train staff to understand and adhere to contract language by payer for appropriate reimbursement to the hospital, and to ensure the accuracy of account reconciliation. In addition, the Operations Supervisor monitors compliance with timely filing requirements and takes corrective action if the guidelines are not followed.
With support of the Outpatient Manager, administers and coordinates hospital and departmental procedures relative to charges, billing, reimbursement and accounting functions
Maintain knowledge of all current third-party coverage, federal and state billing, reimbursement and compliance regulations and procedures
Serve as a focal point for answering questions and solving problems for difficult and unusual accounts, assist in problem identification and resolution
Review, compile, approve, and submit patient refunds and complete balance transfers
Review mid dollar 500.00-999.99 report for approval for write-offs
Ensure that requests for information from patients and external contracting agencies are responded to timely
Work assigned reports and work queues that target particular areas of the aged AR. Independently balance your workflow between collecting and adjustment.
Along with the Outpatient Manager develop goals, objectives and operating policies and procedures for the billing team. Develop cross training programs within the specific billing area for outpatient billing. Add policies and procedures to the Patient Accounts shared drive.
Ensure a positive working environment through suggestions on team building to promote heightened team morale.
Provide training, coaching and reinforce billing and customer service skills to team members to ensure exceptional service
Empower team members by providing the appropriate level of decision making
Recognize and reward team members for their contribution to the department
Seek feedback from other departments to improve processes and level of service within the department
Communicate with other SMH departments re: problem visits. (CIV, PSR’s)
Complete additional supervisory activities:
Complete performance evaluations for designated staff
Screen, review, interview and make recommendations for new hires
Handle time reporting requirements in accordance with state and federal regulations.
Address personnel disciplinary issues
Act as authority in the absence of the Outpatient Manager, exercising tact and good judgment.
Attend meetings and seminars in the absence of the Outpatient Manager when appropriate
Provide coverage for other teams when their Operational Supervisors are absent.
Soft coding as necessary
Work with Compliance to streamline processes and automate coding
Coding of CCI Edits
Coding of PBB accounts
Coding of genetic accounts
Other duties as assigned
Attend continuing education seminars offered by local payers, as well as by Medicaid and Medicare
Represent the department on various internal and external committees
Complete the mandatory leadership classes offered by the Hospital
Attend other internal training classes as needed (Microsoft Excel training)
Bachelor’s or Associate’s Degree in Business, Health Care Administration preferred
Related discipline and 3-5 years of relevant health care experience or an equivalent combination with 1 year of demonstrated leadership experience required.
Working knowledge of Microsoft Word and Excel and a general knowledge of researching information via using the web required.
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How To Apply
All applicants must apply online.
EOE Minorities/Females/Protected Veterans/Disabled
Location: Strong Memorial Hospital
Full/Part Time: Full-Time
Opening: Full Time 40 hours Grade 010 Clin Labs Billing