SUPV PATIENT ACCOUNTING

Covenant Health is the region’s top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area’s largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times.

About the Role

The Supervisor Patient Accounting-KBOS has full knowledge of all positions within the Business Office. This position assists the Department Manager with maintaining productivity and meeting the department’s goals. Resolves complex issues that cannot be resolved by the staff. Supervises the staff on a daily basis and is responsible for monitoring staff workload. Assists the Manager in selection, orientation, training, evaluation, and discipline of employees. Assists other departments as needed and meets other requests of the Director and Vice-President of Financial Services.

Responsibilities

• Demonstrates the ability to handle varying tasks as well as understanding and interpreting procedures relative to the revenue process.
• Adheres to established policies and procedures, objectives, process improvement initiatives, safety, environmental, and infection control standards.
• Demonstrates knowledge of State and Federal regulations, HCFA guidelines, HIPAA, Medicare/Medicaid guidelines, and other Third Party Payor requirements assuring departmental compliance.
• Recognizes situations that necessitate supervision and guidance, seeks appropriate resources.
• Identifies and reviews problem accounts to determine reason(s) for and resolution of problems, soliciting input when required from outside resources, and delegates to staff for follow-up.
• Supervises the accuracy and timeliness of staff and department responsibilities to ensure optimum cash flow.
• Assists in selection, evaluation, and discipline of employees.
• Maintains performance records and attendance records.
• Trains new personnel in areas of responsibilities and provides in-service education for existing personnel on new policies and procedures as developed.
• Assists with applicable training manuals.
• Distributes HCFA memos to staff and provides training for new or revised rules ensuring compliance with HCFA, Tenncare/Medicaid, or other State or Federal regulations.
• Resolves complex collection issues that cannot be resolved by the staff, referring to the Manager if necessary.
• Searches for innovative ways to identify opportunities for improving the revenue process.
• Professionally deals with patient/public, co-workers, physicians, facilities, agencies, and other facility personnel using verbal, nonverbal, and written communication skills.
• Performs other duties as assigned to the satisfaction of the Manager, Director, and/or Vice-President of Financial Services.
• Communicates effectively with patients/public, co-workers, physicians, facilities, agencies, and other facility personnel using verbal, nonverbal, and written communication skills.
• Consults and works collaboratively with co-workers, department Manager, and other hospital personnel, effectively performing tasks of positions.
• Promotes good public relations for the department and the facilities adhering to desired behaviors.
• Assists with Reimbursement Unit to resolve payment, denial, and contractual issues.
• Assists co-workers, other departments, Manager, Director, and Vice-President of Financial Services on activities and projects, as needed.
• Provides assistance to new employees.
• Displays a willingness to generate a positive, harmonious relationship with all co-workers and the public as a whole.
• Maintains lines of communications with other department managers in an ongoing effort to improve the overall quality of customer service.
• Holds monthly meetings with staff and coordinates discussion regarding work performance (e.g., departmental goals).
• Participates freely in interdepartmental quality improvement activities whenever called upon to do so.
• Demonstrates initiative in increasing skills and attends training programs as available.
• Demonstrates promptness in reporting for and completing work ensuring follow-through on assigned tasks.
• Recommends to the manager and/or Director new policies and updates to existing policies intended to increase efficiency and promote data integrity.
• Follows protocols as established by the department.
• Demonstrates appropriate utilization of resources, such as equipment and supplies, below the operating budget.
• Uses innovative approaches for optimal staffing and expense reductions.

Requirements

• Three to five (3-5) years of experience in healthcare preferred.
• Computer experience required.
• Experience in problem-solving, analytical reviews, budgeting, and forecasting preferred.
• Knowledge of third-party payors and collection software required.
• Must possess a general knowledge of claims submission process for all major carriers and intermediaries.
• Knowledge of third-party reimbursement with working knowledge of Network/Managed Care issues.
• Thorough understanding of collection and payer regulations.
• Expected to perform adequately within the position after working at least three to six (3-6) months on the job.

Qualifications

None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill, and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing an Associate’s degree in a directly-related field from an accredited college or university.