Government Supervisor
Patient Business Services - Modesto, CA

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Job Title: Government Supervisor

Date: January, 2013

Reports To: Government Manager

Location: Modesto, CA

Department: Government - A/R Follow-up


The Government Supervisor manages the assigned staff to ensure the efficient, smooth and effective day-to-day operations of the A/R Follow-up Department’s activities. Adheres to budget and enforces established policies and procedures. The Supervisor ensures the timely and accurate billing and collection of ambulance transports.



Manage own time and work assignments effectively.

Seek advice/feedback regarding priorities.

Respond to day-to-day changes in priorities, workloads and assignments and take action to decrease accounts receivable and increase cash collections.

Coordinate assigned staff’s daily activities including making work assignments, ensuring that work is completed.

Monitor employee performance, (e.g., enforcement of standard operating procedures, measuring, monitoring and providing feedback regarding productivity and quality).

Recommend overtime and forecast staffing, based on the workload of department.

Develop subordinate staff proficiency by providing individual and team training.

Mentor employees, conduct performance evaluations, counsel and provide disciplinary actions to assigned personnel. Establish criteria and timelines for performance improvement.

Hire, promote, and terminate employees per Company policy.

Address and resolve employee relations issues with the assistance of the Manager and Human Resources.

Perform payroll functions to ensure timecards are prepared accurately and timely.

Comply with all employment laws and support affirmative action/equal opportunity and diversity goals.


Work with AMR Operations and facilities regarding obtaining clean PCS’s and prior authorizations.

Manage supervisor write off queues.

Work with Billing Administrators and staff to ensure that they have access to necessary Account Receivable Billing System tools.

Review and authorize adjustments/write offs in a timely manner.

Interact with government payors to resolve issues.

Ensure daily error reports of government payors are downloaded, reviewed and processed.

Ensure transmission listings and “Acknowledgement” reports are printed, reviewed and processed.

Responsible for obtaining daily/weekly Checkwrite status from government payors.

Ensure collection agency reports are retrieved and processed at a minimum monthly.

Ensure batches are processed daily to allow completion of billing cycle.

Ensure generated reports are worked upon availability.

Perform periodic review of staff production in addition to the Q/A audits.

Perform other duties as assigned.


Communicate a willingness to help others succeed.

Demonstrate and promote a spirit of teamwork and cooperation.

Convey and inspire a sense of competence and commitment.

Use initiative to learn new skills, enhance personal knowledge and improve communications.

Demonstrate the ability and encourage others to work well with team members.

Mentor peers and staff to meet production and quality standards.

Assist other teams and departments in improving inter- and intra-departmental functions.

Convey a sense of “can do “, “team spirit” and “inspirational” behavior.

Seek opportunities to improve the work environment.

Convey an attitude of intolerance for unprofessional behavior.

Set example of friendly, helpful “firm-but-fair” management and leadership for subordinates.

Develop and sustain excellent working relationships with AMR professionals, (e.g., Operations, Business Development, Sales and Finance), as well as with the Company’s clients, payors, consultants, banks and financial intermediaries and government agencies.


Medical care/medical transportation (patient care issues, how patients are transported by ambulance, required documentation, common issues which arise during transport and/or billing).

Rules/regulations of Medicare/Medicaid and other government payors as well as commercial insurers and specialty contracts to ensure accurate and timely billing and payment of claims.

Medical and insurance industry terminology.

Terminology on a PCR, Hospital Face Sheet, and/or a CAD Sheet.

Strong working knowledge of Transaction Screen

Process of signature and paperwork compliance.

Distinction between ALS/BLS/SCT/Gurney/Wheelchair/CCT levels of service.

ICD-9 coding/condition codes and procedure codes.

Internal compliance guidelines.

Appeal levels and the re-determination process.

HIPAA, Sarbanes-Oxley and other critical governmental regulations.

Management principles.

EMSC/AMR business models.


Recommend enhancements for workflow improvement.

Maintain fluency with (working knowledge of) various tools:
  • Billing systems (e.g., AM2000/Jaguar, AMBPAC).
  • Spreadsheet, word processing/presentation tools, (e.g., Word, Excel, Power Point, Visio)
  • Companywide financial and operational databases (e.g., OutlookSoft).
  • Bank lockbox and reporting systems.
  • Payors’ A/P systems.
  • Time-keeping, Payroll, Human Resource Information System tools (e.g., Kronos, Oracle)

Communicate effectively, (both orally and in writing) in English.

Convey thoughts in a well-organized, concise manner. Use appropriate grammar and punctuation in written documents.

Perform in a consistently-organized manner with strong attention to detail.


Handle supervisory duties and the duties of subordinate staff, as necessary.

Provide employees with feedback that is accurate, objective, timely, constructive and diplomatic.

Provide instructions in a clear and concise manner, in oral and written form.

Prepare and/or analyze data on reports and other sources and identify pertinent information.

Use good judgment and arrive at logical conclusions.

Inspire and motivate team performance to meet or exceed established standards for productivity and quality.

Effectively and properly evaluate workload, prioritize and distribute work assignments to staff, based on business need.

Perform duties and handle large volumes of work, while working under pressure within tight time constraints, in an environment of changing and competing priorities.

Understand, distill and communicate issues, challenges and solutions across departmental and divisional boundaries.

Write and speak clearly, distinctly and concisely.

Learn and understand the challenges and work processes of other functional areas.

Minimum Requirements:


A High School diploma or GED required; Associates Degree in Business, Accounting, or Healthcare related field, preferred. Three (3) years experience in medical billing, required. One (1) year supervisory experience, preferred.

Physical Requirements:


Light lifting (paper files, office equipment)

Working Environment:


Extended day


Office environment (cubicles, enclosed offices)

Equipment Used:


Paper shredding equipment, projection equipment, general collating equipment


Copy machine, scanners, fax machine


Personal computer, telephone

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