What are the responsibilities and job description for the Supervisor, Claims Follow-up position at ECU Health?
ECU Health
About ECU Health Medical Center
ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides acute and intermediate care, rehabilitation and outpatient health services to a 29-county region that is home to more than 1.4 million people.
Position Summary
The Supervisor will work closely with the Manager/Director to manage hospital and physician follow-up/collections of outstanding claims, employee productivity and ongoing improvement tracks all efforts and outcomes related to key revenue cycle indicators. These key indicators include but are not limited to, AR days, and follow-up productivity. This position will supervise personnel development, implementing and maintaining policies. Responsible for mentoring/coaching as well as all aspects of performance management of staff. Ensures claims are adjudicated timely and accurately.
Responsible for the collection of hospital and physician accounts for our Government/Non-Government payers. Supervises the daily activities of the team, ensuring timely follow-up actions occur and are in compliance with the rules, regulations and contractual obligations of our Managed Care and third-party payers. Monitors work queues and schedules audits to ensure the timeliness and accuracy of collection activities and adjust work queues based on volume and priority. Supervises account receivables (A/R) to ensure timely follow-up occurs and appropriate collection efforts are made regarding Managed Care carriers, and other payor sources.
Monitors reports to identify additional process improvement opportunities. Assigns work based on staffing levels and workload to optimize productivity and meet department standards. Communicates with clinical and non-clinical staff, physicians and leadership to manage department operations.
Minimum Requirements
Required Education/Course(s)/Training:
High School Diploma, equivalent or higher
5 years of experience in professional and hospital revenue cycle account receivable management including government payers is required.
2 years in a lead or supervisory role within professional and hospital centralized healthcare environment.
Preferred Education
Associate degree in healthcare administration or related field of study
Required Certification/Registration: None
Performance Expectations
Successful achievement of the following:
Must be able to work independently and efficiently with little supervision.
Must have a strong desire to teach / transfer knowledge to team members.
Ability to recognize, evaluate, solve problems, and correct errors.
Must demonstrate ability to work in fast-paced environment.
Demonstrates leadership and group cohesive skills that promote teamwork and group achievement.
Show proficiency in building and maintaining strong internal relationships while motivating and inspiring team members through effective consultative skills.
Ability to identify and implement process improvements to optimize revenue cycle performance.
General Statement
It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
About ECU Health Medical Center
ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides acute and intermediate care, rehabilitation and outpatient health services to a 29-county region that is home to more than 1.4 million people.
Position Summary
The Supervisor will work closely with the Manager/Director to manage hospital and physician follow-up/collections of outstanding claims, employee productivity and ongoing improvement tracks all efforts and outcomes related to key revenue cycle indicators. These key indicators include but are not limited to, AR days, and follow-up productivity. This position will supervise personnel development, implementing and maintaining policies. Responsible for mentoring/coaching as well as all aspects of performance management of staff. Ensures claims are adjudicated timely and accurately.
Responsible for the collection of hospital and physician accounts for our Government/Non-Government payers. Supervises the daily activities of the team, ensuring timely follow-up actions occur and are in compliance with the rules, regulations and contractual obligations of our Managed Care and third-party payers. Monitors work queues and schedules audits to ensure the timeliness and accuracy of collection activities and adjust work queues based on volume and priority. Supervises account receivables (A/R) to ensure timely follow-up occurs and appropriate collection efforts are made regarding Managed Care carriers, and other payor sources.
Monitors reports to identify additional process improvement opportunities. Assigns work based on staffing levels and workload to optimize productivity and meet department standards. Communicates with clinical and non-clinical staff, physicians and leadership to manage department operations.
Minimum Requirements
Required Education/Course(s)/Training:
High School Diploma, equivalent or higher
5 years of experience in professional and hospital revenue cycle account receivable management including government payers is required.
2 years in a lead or supervisory role within professional and hospital centralized healthcare environment.
Preferred Education
Associate degree in healthcare administration or related field of study
Required Certification/Registration: None
Performance Expectations
Successful achievement of the following:
Must be able to work independently and efficiently with little supervision.
Must have a strong desire to teach / transfer knowledge to team members.
Ability to recognize, evaluate, solve problems, and correct errors.
Must demonstrate ability to work in fast-paced environment.
Demonstrates leadership and group cohesive skills that promote teamwork and group achievement.
Show proficiency in building and maintaining strong internal relationships while motivating and inspiring team members through effective consultative skills.
Ability to identify and implement process improvements to optimize revenue cycle performance.
General Statement
It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
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