Job Information
Blanchard Valley Regional Health Center PFS Facility Billing Supervisor (FT Salaried) in Findlay, Ohio
PURPOSE OF THIS POSITION The PFS Facility Billing Supervisor is responsible for overseeing the claims management and insurance follow-up processes. This Supervisor works closely with the PFS Billing Manager to manage the overall direction, coordination, education and evaluation of staff members. This role also supervises staff to ensure quality performance of goals and promotes awareness of organizational and departmental policy and procedure in accordance with federal, state, and local guidelines. JOB DUTIES/RESPONSIBILITIES * Duty 1: Plans and coordinates various administrative support functions and daily workflows associated with billing and insurance follow-up; accepts and passes down directions received from the department Managers/Director and/or Hospital Administrators. * Duty 2: Establishes staff schedules along with payroll activities, assigns necessary daily duties, provides guidance, education & instruction and ensures staff maintain appropriate workloads to achieve overall organizational goals. * Duty 3: Ensures staff are actively and appropriately communicating with payers regarding delayed claims to promote timely reimbursement. Works with staff to resolve and follow up on challenging, problematic, and unresponsive accounts as necessary; escalates critical or ongoing issues to manager in an organized fashion for monitoring. * Duty 4: Acquires and maintains knowledge in departmental functions and can provide end user support in day-to-day operations and job functions as necessary. * Duty 5: Reviews and monitors outstanding AR to identify trends that qualify for improvement initiatives; communicates with payers to resolve issues and foster working relationships. * Duty 6: Maintains knowledge of industry data and regulatory changes; ensures staff are appropriately educated about and compliant with payer guidelines, state and federal regulations, and industry updates. Works with manager to develop, review and revise policies and procedures to maintain the efficacy of the department. * Duty 7: Assists with pulling data, updating metrics, productivity tracking and KPI monitoring. Establishes departmental objectives and works with staff to set individual goals; monitors staff performance, performance reviews and compiles productivity reports for manager. * Duty 8: Organizes and leads staff huddles and general meetings for managing daily tasks, issues and improvements. Communicates any operational changes and/or improvement initiatives to follow-up staff; provides education and training as needed. * Duty 9: Fosters collaborative departmental environment that encourages teamwork, communication, and performance with reward and recognition. * Duty 10: Meets regularly with PFS leadership and leadership from other departments to review performance, align strategies, identify best practices, and improve overall insurance collections that benefits the organizational initiatives. * Duty 11: Creation, participation and/or implementation of projects as assigned by manager or director. Maintains leadership of those projects until finalization occurs. Presents, implements, and educates changes as an end result of those projects. * Duty 12: Oversees recruiting, hiring, and training practices; monitors and measures performance of staff. Solicits feedback from end users to assist with planning future training, coordination of upgrades, and prioritizing the need for system enhancements. Supports associate engagement efforts. * Duty 13: Assures confidentiality of patient information. Adhere to all aspects of Patient Financial Services including but not limited to HIPAA related privacy, security, transaction, and code set regulations. Must have the ability to remain compliant in all aspects of payer guidelines and regulations that create a compliant claim form and collections of outstanApply here: https://www.aplitrak.com/?adid=YmJnZW5lcmljLjYzNjkxLjEwNTA4QGJsYW5