PFS Supervisor | Patient Financial Services, Full-Time

We are looking for a PFS Supervisor to join our collaborative team at Memorial Health!

What You'll Do:

Supervise the effective and efficient operation of the PFS and Professional Billing Staff to include: Oversight of claims processing, ensuring daily submission deadlines. Assists with creating and maintaining payor edits by providing payor criteria and testing edits while ensuring billing and coding compliance. Educate staff of payor billing requirements and the necessary documents/reports to be submitted with claims to avoid/minimize denials. Addresses issues with insurance companies affecting prompt reimbursement and inappropriate denials. Responsible for onboarding Billing Representatives with respect to billing software, guidelines, policies, and workflows. Provides ongoing training and education as appropriate. Performs functions related to billing and is able to step in when necessary to meet the needs of the department. Reviews Medicare Secondary Payor (MSP) clams prior to submission. Accounts Receivable Management: Creates Weekly Accounts Receivable (AR) report for each billing area and distributes to staff, monitoring outstanding accounts receivables and ensuring departmental standard and established goals. Monitors queue volumes to ensure timely processing of denied claims. Ensure Appeals are processed timely, assisting staff as needed Monitors AR volume ensuring staff are collecting balances within 40 days or less (excluding Worker’s Compensation claims). Evaluates and educates staff falling below the departmental standard. Assists Manager and Coordinator with management of staff. Continually evaluates current processes to identify opportunities for performance improvement and cost containment. Ensures manual and training materials are updated as needed. Acts as a liaison between the billing staff and hospital staff assisting with billing issues as appropriate. Coaches, counsels, and evaluates staff performance providing valuable feedback for yearly employee evaluations. Provides an environment conducive to productivity and employee retention. Supports hospital policies and provides clear guidelines and accountability. Assist Director as appropriate with occasional special projects. Receives input from staff members and addresses employee concerns. Reporting: Stays abreast of billing/coding updates and regulations presenting regular updates to staff. Reviews various reports weekly, distributing the information to the proper department. Reviews Medicare Secondary Payor Questionnaire Report (MSPQ) to ensure completion prior to billing. Maintains claim appeal log. Reviews and approves charge and adjustments requests. Models Excellence in Customer Service: Demonstrates willingness and ability to go above and beyond to answer patient inquiries regarding charges, billing statements, insurance verification and explanation of benefits. Respectful and courteous during interactions with patients, families, payors or co-workers. Critical Thinking: Actively looks for and creates opportunities to improve the department, staff and personal development. Utilizes hospital and departmental policies and procedures. Education: Acts as a resource for new employees and precepts as needed. All interactions are conducted in a professional manner. Demonstrates a positive attitude. Provides excellent customer service, facilitates quality care delivery and fosters an atmosphere of understanding cultural diversity. Communicates dissatisfaction with issues to Director; actively contributes to the solution of problems and refrain from promoting dissatisfaction among co-workers. Must be a team player; cooperate with co-workers to resolve conflict through one on one negotiation or with the assistance of the Director or their designee. Maintains confidentiality at all times to protect patient’s privacy and maintains HIPAA privacy and security regulations. Documentation: Documents accurately (painting a complete picture providing directions to other health care providers); refrains from using unapproved abbreviations in written or computer documentation. Documentation is completed on a daily basis. Understands the importance of accurate completion of documentation and Hospital accreditation requirements and how it impacts hospital payment and certification programs Interpersonal. HIPAA privacy regulations and related procedures. CMS updates on patient rights.

Requirements
Associate’s Degree preferred but not required, high school diploma and minimum of (2) year’s experience with healthcare billing or related healthcare field required. Minimum of (2) year’s experience holding a Team Lead or Supervisory position. Established knowledge and experience with insurance billing; preferably with Medicare and/or other federal/state regulatory payers. Ability to comprehend and perform verbal and written instructions and procedures with the ability to respond effectively to time sensitive requests. Candidate must have an understanding of billing office functions and be proficient in Word and Excel.

Shift
1st

Hours
80 hours per pay (Every two weeks)

Why Join Us:

Location:

• Approx. 25 minutes away from Dublin, OH
• Approx. 30 minutes away from Hillard, OH
• Approx. 30 minutes away from Delaware, OH
• Approx. 30 minutes away from Powell, OH

We look forward to seeing your application!

It is our commitment to inclusivity and diversity and our ongoing determination to provide a welcoming and inclusive environment for all staff and guests of the Hospital, regardless of age, color, disability, gender, gender expression or gender identity, genetic information, national origin, race, religion, sexual orientation, or veteran status. For any questions or needed accommodations, please contact Memorial Health Human Resources at 937.578.2701.

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