Accounts Receivable PFS Supervisor

Location: Kent Campus Hospital

Status:Full Time 80 Hours

Shift: Days

SALARY RANGE: 53,185.60 - 82,908.80YEARLY

General Summary:

Ensures accurate, timely and compliant billing, insurance collections and denial resolution for a team of at least ten subordinates for all governmental payers. The team supervised will be responsible for collecting the Medical Center’s annual gross revenue. Performs diversified information systems duties, including coordination of updates to the EMR, claims scrubber.

Responsibilities:

1. Manage daily billing activities. Resolve billing issues timely with clearinghouse; holds clearinghouse responsible for timely resolution of issues. Communicates and escalates claim file transfer issues to management immediately. Implements bridge routines as appropriate to facilitate clean claim/compliant submissions.
2. Maintain the dollar value of failed claims in the Claims system to less than 1 day of A/R; reduce detailed report of system unbilled/hold accounts
3. Monitor failed claims in the EMR and ensure timely resolution. Assist PFS Analyst in developing database communication tool to facilitate monitor reporting.
4. Maintain A/R greater than 90 days within HFMA’s benchmark; produce and maintain monthly A/R analysis stratifying the A/R by total number of billed accounts, accounts in workstation, accounts in Denials and Appeals queues.
5. Review A/R analysis and all high dollar accounts with balances greater than $25,000; document the review in the account notes.
6. Monitor denied losses for PFS. Identify challenges/barriers to timely filing and implement change needed to minimize timely filing denials.
7. Monitor performance by outside contractor with within Bayhealth’s performance expectations.
8. Reviews quality assurance review results with staff providing as necessary education/training to address opportunities for improvement. Contributes to development of education materials for new hire and annual training competencies. Perform quality assurance in absence of department trainer.
9. Complete monthly rounding on direct reports; maintain individual rounding logs and stop light reports to facilitate communication.
10. Maintains any ARCR certifications in good standing.
11. All other duties as assigned within the scope and range of job responsibilities.

Required Education, Credential(s) and Experience:

• Education: Associate Degree
  ; Related field
  ; Equivalent years of patient accounting experience with a HS Diploma. (2 years experience equals one year of college)
  
• Credential(s): None Required
  ;
  
• Experience: Required: Three years of hospital A/R with at least one year of direct supervisory experience. In lieu of direct supervisory experience, must have 5 years of patient accounting experience at Bayhealth. Preferred: Five years of hospital accounts receivable experience (Gov’t payer focus) with three years of supervisory experience.

Preferred Education, Credential(s) and Experience:

• Education: Bachelor Degree
  Business Administration
  
  
• Credential(s): Certified Revenue Cycle Specialist
  Certified Revenue Cycle Representative
  
  
  
• Experience:

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Salary : $25,000