Supervisor, Business Management (Outpatient) Cardiology Administration, Full-time, Day Shift

About Us

Adventist Health Portland, located in a bustling cosmopolitan area surrounded by nature, has been one of the region's leading healthcare providers since the 1800s. In partnership with OHSU, we comprise a 302-bed hospital, 11 medical offices, home care services, comprehensive cancer care, and a vast scope of award-winning services throughout East Portland and surrounding areas. Adventist Health is a faith-based, nonprofit, integrated health system serving over 100 communities on the West Coast and Hawaii with more than 440 sites of care, including 27 acute care facilities.

About the Role

Maintains responsibility for oversight of timely and accurate pre-registration, insurance verification, precertifications, and authorizations for the department. Supervises business office personnel, including direct supervision of day-to-day secretarial, scheduling, and patient financial services functions. Manages accounts receivable and payable, cash management, and month-end close on practice management systems. Supervises and directs the activities of various levels of assigned personnel using both professional and supervisory discretion and independent judgment.

Responsibilities

• Audits staff monthly to ensure best collections practices and appropriate follow-up.
• Oversees and ensures timely claim submission and monitoring, and assists with delinquent accounts.
• Reviews monthly supply usage and reports on spending/trends.
• Understands and oversees managed care contracts and assists contracted companies with updated changes in terms.
• Assists with Joint Venture meetings and business, as needed.
• Receives and answers inquiries from patients, insurance companies, and other parties regarding charges, policies, and procedures.
• Completes carrier requests for additional information according to payer guidelines.
• Refers all private pay and underinsured patients to the Financial Counselor.
• Assists with the coordination of submission of claims and follow-up for timely payment.
• Provides appropriate reports to management.
• Maintains responsibility for adherence to budget for specific projects and participates in the preparation of the department budget.
• Oversees and coordinates day-to-day agency functions of medical records, computer processing, billing, collections, and documentation processing with delegation of appropriate duties.
• Provides assistance with the patient registration process during periods of peak volume and cross-trains to other related areas, providing staffing backup.
• Analyzes patient's account activity and determines/processes transactions.
• Maintains responsibility for management of Quality Assurance data and reports, including staff/patient surveys, benchmarking, and reporting.
• Assists with marketing and business development, as needed.
• Reconciles statements including banking, ensures checks and balances per policies and procedures, and ensures payment and adjustment posting is accurate.
• Approves all adjustments requested and coordinates with contracted services.
• Exercises independent judgment in recruiting, training, coaching, supervising, and directing assigned staff.
• Coaches and counsels as needed to improve performance and asks for management or human resources assistance for unusual situations.
• Ensures documentation of all staff encounters is completed and completes periodic evaluations of personnel supervised.
• Trains and educates staff, as needed.
• Performs other job-related duties as assigned.

Requirements

• Bachelor’s Degree or equivalent combination of education/related experience: Required
• Master's Degree: Preferred
• Five years' technical experience: Preferred
• Experience in a healthcare setting: Preferred

Pay

The estimated base pay for this position is $73,717 to $110,575. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions.

Schedule

• Full-time regular
• Day Shift
• 8-hour shifts