Supervisor Insurance Llano Hospital
Scott and White Healthcare - Llano, TX

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Responsibilities

Job Summary:
Supervises the department that is responsible for the creation of claims, reimbursement follow-up, denials, customer service, cash flow, and receivables as assigned.
  • ASSURES BILLING AND COLLECTION PROCEDURES ARE TIMELY AND COMPLIANT WITH REGULATORY AUTHORITY.
  • Maintains in-depth knowledge of all billing and collection regulations and makes recommendations for policy and procedure changes.
  • Resolves escalated billing, reimbursement, and customer service issues in accordance with established policies and procedures.
  • Monitors results of quality assurance reviews and sets goals for improvement and training requirements.
  • No compliance reporting issues are identified.
  • EVALUATES CORRESPONDENCE, DENIALS, REIMBURSEMENT AND CUSTOMER REACTION TO IDENTIFY NEED FOR PROCESS CHANGES.
  • Reviews trend analysis of charge and billing issues, reimbursement, denials, and customer responses and initiates process corrections.
  • Coordinates with appropriate vendors and payer representatives to clarify and resolve billing and reimbursement issues.
  • Interprets customer feedback into enhanced customer service.
  • SUPERVISES FOLLOW-UP OF CLAIMS AND ACCOUNTS.
  • Monitors target files, worklists and phone calls to assure policies and procedures are followed and adjust directions accordingly.
  • Coordinates with various Scott & White departments to identify issues and improve data capture and data sharing.
  • A/R days are within targeted levels.
  • MONITORS ACCOUNT PAYMENT, ADJUSTMENT AND REIMBURSEMENT ISSUES.
  • Notifies management of any changes in reimbursement and after thorough research makes recommendations to rectify the issues.
  • Reviews worklists and reports to insure timely and appropriate application of payments and adjustments.
  • Monitors credit adjustment transaction reports and assures employees comply with departmental procedure.
  • Provides reports to manager.
  • PROJECTS ARE COMPLETED AS ASSIGNED BY THE MANAGER.
  • Participates in the development, installation, and training of all new system software applicable to the department.
  • Specific assignments are finished on time and are thorough and complete.
  • Escalates to the manager any system issues beyond the scope of their peers.
  • ATTRACTS AND RETAINS QUALIFIED STAFF.
  • Hires and insures appropriate training of qualified staff.
  • Consistently follows department specific policies and procedures such as time and attendance, security, food, appearance, etc..
  • Maintains open communication with staff and provides detailed and thorough policies and procedures.
  • Mentors and empowers staff to make them successful.
  • PERFORMS OTHER POSITION APPROPRIATE DUTIES AS REQUIRED IN A COMPETENT, PROFESSIONAL AND COURTEOUS MANNER.
REQUIRED SKILLS, KNOWLEDGE AND ABILITY
  • Three to five years experience in health care related field required. Three to five years previous supervisory leadership experience preferred.
  • Knowledge of Healthcare Accounts Receivable management required.
Qualifications
Experience: 3+ Years
Degree: H. S. Graduate/GED Equivalent
Other Information
Department: LlnHos Admit-Reg
Standard Hours Per Week: 40
Job ID # 292987
Shift: 1

Scott & White - 18 months ago - save job - block
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