Supervisor Patient Accounts - FT - Days - Billing and Collection @ MV

El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen.

Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for.

FTE

Scheduled Bi-Weekly Hours

Work Shift

Job Description

The Supervisor Patient Accounts is a frontline supervisory role responsible for ensuring the timely and accurate collection of cash and resolving outstanding accounts receivable. Assists the Manager with monitoring the day- to-day billing, follow up, cash posting and customer service operational activities. Assists with hiring, training, coaching, corrective actions and review performance of staff. Ensure compliance with Department and Hospital policies and procedures, as well as state and federal regulations. Will assist as needed with Patient Experience on patient complaints.

The Supervisor assists the coordinators to ensure all billing documents are submitted timely, accurately and within hospital and government guidelines. Supervises HMO/PPO Billing, HMO/PPO Follow-up, Medicare Billing/Follow up, Customer Service staff, Cash Posting, and Refunds for Patient Accounts. Assists with clearing Epic Claim Edit, Follow Up, Account and Credit Work Queues. Monitors and reports on WQ volume, trends and any issues that will have a negative impact on accounts receivable. Reports on trends and issues to leadership. Supervisor Patient Accounts will manage special projects including process and performance improvement efforts. Serves as an escalation point for staff in need of guidance to resolve claim payment/insurance payer issues.

Understands the role and meets the objectives of the Revenue Cycle, creates a positive environment, which fosters staff engagement and teamwork. Develop and coaches staff members to accomplish team and individual goals and objectives.

Job Description

Billing

• Supervises staff assigned to correct billing edits and evaluate work effort for compliance and maximum reimbursement.

• Supervises and manages the day-to-day activities of the Hospital Billing (HB) billing team, ensuring efficient and accurate billing practices.

• Collaborates with clinical, coding, and insurance verification teams to ensure accurate billing and resolve issues affecting billing operations.

• Analyzes billing data to identify trends or issues and develop strategies for improvement in the billing process.

• Maintains up-to-date knowledge of billing regulations, understanding the complexities of healthcare regulations, coding guidelines, payer policies, and the need for accurate and efficient billing operations.

Cash Posting

• Supervises all cash posting activities performed byPayment Posting team.

• Collects, interprets, and communicates cash collection data.

• Develops, implements, and maintains quality assurance processes and procedures to ensure the accurate and timely posting of payments and credits, including insurance payments, patient payments, adjustments, and denials.

• Addresses and resolves any escalated discrepancies, errors, or issues related to cash posting and credit processes promptly and effectively.

• Maintains accurate records, documentation, and audit trails of cash posting and credit activities. Generates reports, analyze data, and identify trends to support decision-making and process improvement initiatives.

• Works closely with various levels of management on any cash reconciliation issues as needed.

• Supports the cash posting component of the El Camino Health Alliance IPA.

Denials and Underpayments

• Responsible for direct supervision of the denial and underpayment areas including monitoring productivity, quality, and recovery.

• Monitors and manages resolution of denied and underpaid claims to ensure timely and accurate processing of appeals.

• Establishes and enforces workflows, policies, and procedures for denial management.

• Identifies patterns in claims denials and develops strategies to reduce recurring issues and maximize claims resolution.

• Additional responsibilities include, but are not limited to, training, review of escalated accounts, and assisting in maintaining the integrity of all reports related to denials and underpayments.

• Oversees the claims process regarding follow-up and resolution of denials by identifying, analyzing, and reducing claims denials through effective process development and management of the appeal process.

Qualifications

• High School Diploma or Equivalent with some college preferred.

• Four (4) years acute care hospital experience in billing, Cash posting and/or account follow-up.

• Prior supervisory and/or Coordinator experience preferred.

License/Certification/Registration Requirements- N/A

Ages of Patients Served

This position does not generally require contact with patients but may communicate with patients of all age categories.

Salary Range:

The Physical Requirements and Working Conditions of this job are available. El Camino Health will provide reasonable accommodations to qualified individuals with a disability if that will allow them to perform the essential functions of a job unless doing so creates an undue hardship for the hospital, or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation.

An Equal Opportunity Employer:
El Camino Health seeks and values a diverse workforce. The organization is an equal opportunity employer and makes employment decisions on the basis of qualifications and competencies. El Camino Health prohibits discrimination in employment based on race, ancestry, national origin, color, sex, sexual orientation, gender identity, religion, disability, marital status, age, medical condition or any other status protected by law. In addition to state and federal law, El Camino Health also follows all applicable fair and equitable employment policies from the County of Santa Clara.