Supv- Patient Financial Svcs
Northern Light Health
Northern Light Home Care and Hospice
Department: Patient Financial Services
Position is located: Cianchette Professional Blding
Work Type: Full Time
Hours Per Week: 40.00
Work Schedule: 8:00 AM to 5:00 PM
Summary:
The Supervisor of Patient Financial Services is responsible for the day-to-day operations of the Patient Financial Services (billing) Department and ensures exceptional customer service, maximizes staff productivity, and ensures that appropriate billing processes are followed. The incumbent utilizes critical thinking and problem-solving skills to investigate open claims pending payment. The Supervisor will oversee and coordinate claim investigation, appeals, and denials as necessary. The incumbent will provide KPI reporting and AR analysis. Further, the Supervisor will create and maintain initial and ongoing training plans for staff to ensure compliance with payer policies, CMS conditions of payment and participation, and related billing processes, laws, and rules. The supervisor is responsible for hiring, training, development, evaluating, and managing performance of employees. Performance reflects the mission and values of Home Care and Hospice.
Responsibilities:
• Oversees all patient account services staff, including hiring, developing, evaluating, training, and managing performance in accordance with the values of Northern Light Health • Oversees billing processes to ensure accuracy and efficiency • Maintains billing and reimbursement resources including but not limited to online payer portals, inventory of staff duties and responsibilities, and processes used for each payer, workflow, and department function. • Maintains a high level of knowledge pertaining to billing and reimbursement regulations, and stays informed of changes and updates • Develops and provides education for billing staff to maintain knowledge of applicable billing and reimbursement regulations and processes • Collaborates with other members of the leadership team to ensure billing and reimbursement staff are appropriately performing tasks and functions to meet patient and organizational needs • Investigates any balance discrepancy between the collections journal and the cash receipts • Oversees completion of daily and end of month billing procedures accurately and in a timely manner • Serves as a resource to the patient account services staff to ensure that required information is on claims prior to processing; staff follow up on outstanding Plans of Care and Certificates of Terminal Illness; status of unpaid claims is checked; discrepancies are reported to payers; problems with denials or claims on suspend are researched; payments are posted to correct patient and payer; all patient-related billing information is created and filed into the appropriate billing record and in appropriate order • Coordinates staff scheduling and departmental coverage including review of paid time off requests. • Completes and administers employee performance appraisals in a timely manner and conducts performance evaluations conferences that are constructive and informative, encouraging employee communication and participation • Maintains the organizations electronic billing software and trains staff in utilization of the same • Other duties as assigned
Other Information:
Competencies and Skills
+ 5+ years of relative work experience required.
+ Behaves with Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct. Leads by example and tells the truth. Does what they say they will, when and how they say they will, or communicates an alternate plan.
+ Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of diversity, inclusion, empowerment and cooperation.
+ Demonstrates Adaptability: Learns quickly when facing a new problem or unfamiliar task; is flexible in their approach with changing priorities and ambiguity. Manages change effectively and does not give up during adversity. Capable of changing one's behavioral style and/or views in order to attain a goal. Absorbs new information readily and puts it into practice effectively.
+ Develops Self and Others:Takes responsibility for engaging in professional self-development activities and programs. Strives to gain insight into their own values, strengths and weaknesses, interests and ambitions and takes action in order to enhance competencies and skills when possible. As a leader, encourages and guides employees towards growth opportunities to enhance performance and help them reach goals. Reviews and analyzes employees' strengths and weaknesses to distinguish their talents and development needs, and to ensure they are enhanced appropriately.
+ Effectively Communicates: Listens, speaks and writes appropriately, using clear language. Communication methods are fitting to the message(s), audience, and situation and follow-ups are regular and timely. Shows that important (non-) verbal information is absorbed and understood and asks further questions to clarify when necessary. Expresses ideas and views clearly to others and has ability to adjust use of language to the audiences' level.
+ Exercises Sound Judgment & Decision Making: Understands and processes complex information, which allows for appropriate and accountable conclusions. Does not react too quickly or slowly. Balances facts, goals, and potential approaches taking the appropriate criteria into account. Makes active decisions and commits oneself by communicating confidently and respectfully.
+ Fosters Accountability: Creates and participates in a work environment where people hold themselves and others accountable for processes, results and behaviors. Takes appropriate ownership not only of successes but also mistakes and works to correct them in a timely manner. Demonstrates understanding that we all work as a team and the quality and timeliness of work impacts everyone involved.
+ Influences and Inspires: Builds enthusiasm and commitment among others to move in a desired direction and models it personally. Creates a compelling vision of success that motivates workplace initiative and energizes others to follow. Provides direction and guidance to encourage cooperation between team members in order to attain an objective. Has the ability to appropriately influence others' actions and decisions with and without express authority.
+ Word processing, spreadsheets, data entry, database experience and other computer related skills.
+ Practices Compassion: Exhibits genuine care for people and is available and ready to help; displays a deep awareness of and strong willingness to relieve the suffering of others.
+ Resolves Conflict: Promptly acts to find alternatives/solutions when team members disagree. Addresses issues in a direct, honest, and appropriate manner. Handles conflicting interests diplomatically and helps to solve them. Transforms difficult situations into teachable moments using respect and accountability .
+ Seeks Process Improvement & Applies System Thinking: Possesses and gains insight into situations, problems and processes. Understands the interconnection between organizational elements. Deconstructs problems and systematically investigates the various components. Considers the impact of actions on the entire process/system. Detects problems and opportunities, recognizes important information, and links various data to trace potential causes and relevant details.
Education
+ Required High School Diploma/General Educational Development (GED)2 years of related experience in lieu of degree
Working Conditions
+ Work with computers, typing, reading or writing.
+ Prolonged periods of sitting.
+ Lifting, moving and loading less than 20 pounds.
Position Supv- Patient Financial SvcsLocation Req ID null
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