Patient Services Supervisor - Hospital Billing and Follow Up

About the role

The Patient Services Supervisor - Hospital Billing and Follow Up is responsible for supervising and managing A/R follow-up staff, ensuring timely and effective insurance and patient account collections, monitoring staff productivity, quality, and adherence to departmental goals, providing training, coaching, and performance evaluations for team members, assigning workloads and prioritizing accounts based on aging and payer guidelines, ensuring timely follow-up on unpaid claims with insurance companies, government agencies, and patients, reviewing and resolving complex billing issues, denials, and underpayments, supervising and analyzing denial trends and implementing corrective actions, coordinating with coding, billing, and clinical departments to resolve claim issues and ensure accurate documentation and resubmission of denied claims, preparing and reviewing A/R performance, aging, and productivity reports; tracking key performance indicators, such as Days in A/R, denial rate, and cash collection, ensuring timely management of provider enrollment for Medicare and Medi-Cal payers.

Responsibilities

• Supervise and manage A/R follow-up staff.
• Ensure timely and effective insurance and patient account collections.
• Maintain staff productivity, quality, and adherence to departmental goals.
• Provide training, coaching, and performance evaluations for team members.
• Assign workloads and prioritize accounts based on aging and payer guidelines.
• Ensure timely follow-up on unpaid claims with insurance companies, government agencies, and patients.
• Review and resolve complex billing issues, denials, and underpayments.
• Supervise and analyze denial trends and implement corrective actions.
• Coordinate with coding, billing, and clinical departments to resolve claim issues and ensure accurate documentation and resubmission of denied claims.
• Prepare and review A/R performance, aging, and productivity reports; track key performance indicators, such as Days in A/R, denial rate, and cash collection.
• Ensure timely management of provider enrollment for Medicare and Medi-Cal payers.

Requirements

The ideal candidate will have at least four years of experience in hospital billing and follow up functions; be able to plan, organize, prioritize and supervise the work of hospital follow up effectively; supervise staff conducting patient billing and follow up activities; work independently with minimal supervision using initiative and sound independent judgment within established guidelines; read, interpret and apply rules, policies and procedures; maintain accurate records and files; organize work, set priorities and meet critical deadlines; communicate effectively and establish and maintain effective positive working relationships with those contacted in the course of work; and demonstrate experience working with diverse client groups and staff.

Qualifications

• Knowledge of supervisory principles and practices, including work planning, scheduling, review and evaluation and employee training and corrective action.
• Policies, procedures and medical terminology related to the organizational area to which assigned.
• Applicable laws, ordinances, rules and regulations.
• Business office management practices and procedures, including records management and the operation of standard office equipment.
• Business arithmetic, including percentages and decimals.
• Correct English usage, including spelling, grammar and punctuation.
• Business data processing principles and the use of word processing or computing equipment.

Skills

• Plan, assign, supervise, review and evaluate the work of others.
• Train others in work procedures.
• Analyze and resolve office administrative problems.
• Read, interpret and apply rules, policies and procedures.
• Organize, research and maintain patient and general files.
• Compose routine correspondence independently or from brief instructions.
• Use initiative and sound independent judgment within established guidelines.
• Establish and maintain effective working relationships with those contacted in the course of the work.
• Organize and prioritize work, meet critical deadlines and follow up on assignments with a minimum of supervision.
• Operate standard office equipment, including a word processor, computer terminal and centralized telephone equipment.

Benefits

N/A

Pay

N/A

Schedule

N/A