PFS Operations Supervisor
Wishard Health Services - Indianapolis, IN

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JOB SUMMARY:

The Patient Financial Services (PFS) Operations Supervisor is responsible for the following functions:
  • Responsible for the leadership, supervision, and work assignments of all assigned personnel
  • Assigns and reviews work to personnel assigned to appropriate area
  • Participates and makes recommendations during the interview/hiring process of new employee
  • Responsible for enforcing and handling all assigned employee disciplinary actions as needed in accordance with labor contracts and hospital and/or department policy/procedures, maintains/handles time entry, attendance/payroll records, personnel schedules and annual employee evaluations
  • Coordinates the daily operations for all hospital billing and reimbursement to ensure appropriate cash flow in maintained, patient satisfaction with administrative functions at Wishard are consistently positive; works closely with other areas within Wishard to ensure optimal general and collection of hospital services revenues
  • Coordinates and monitors activities relative to patients’ accounts and services required/rendered to ensure that billing documents, reports are complete and accurate, and are in compliance with Wishard Privacy and Security policies and practices
  • Ensures timely billing and/or follow-up/monitoring of all accounts to ensure timeframes are maintained according to Wishard Policy, federal statute, state statute, and claim filing timelines for other 3 rd party payers
  • Contributes to completion of various financial forecasts, including cost center labor and non-labor expenses, month-end reporting, and receivables performance
  • Prepares daily, weekly, monthly and yearly departmental reports and communicates data to assigned staff and or management
  • Keeps up to date on account billing/collection rules and regulations; contracts terms and conditions with regards to timely filings; service pre-certifications; authorizations; informs Manager of issues, concerns or problems impeding account collection efforts and assists in resolving
  • Responsible for reviewing/approving staff adjustment and/or contractual write-offs
  • Troubleshoots current, and anticipates potential problems involving management for resolution
  • Implements and monitors operating policy and procedure pertinent to areas of responsibility
  • Assists Patient Financial Services Manager with any overall strategic plan, goals or objectives for the department
  • Communicates with patients, Medicare, Medicaid and other insurance companies to resolve patient billing, claims and any other services as needed
  • Handles difficult or problem patient account cases and takes calls from the Customer Services lines when needed
  • Answers emails and voicemails daily
  • Maintains inventory of supplies and re-orders as required for the department
  • Computes and compiles statistical data for daily Star failed claims, Star account notes activity, RWS inventory, XCLAIM inventory and days outstanding AR
  • Serves in absence of Training Supervisor
  • Attends meetings and in-service offerings
REQUIREMENTS:
  • Associate's degree in business-related field preferred
  • Minimum of 5 years of experience in patient accounts receivables, billing, credit and collections or a combination of the aforementioned with supervisor experience

Eskenazi Health - 17 months ago - save job
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Eskenazi Health is one of America’s five largest safety net health systems with nearly 1 million outpatient visits each year. Eskenazi...