Work Schedule/Days: Day/Monday : Friday Employment Type: Full:Time
Location: Support I
Requisition : 56908
JOB SUMMARY 13;
Performs all collection and follow:up activities for assigned team. Provides overall daily monitoring and management of area of oversight including claims billing and collection activities. Proactively identifies payor trends in relations to zero payment, payment variance, billing, and denials. Works closely and partners with Information Systems and Technology, Revenue Cycle Analytics, Patient Access, Coding, Health Information Systems, Reimbursement, Finance, Managed Care, and other departments as related to claims billing and follow:up collection activities. May be asked to lead projects as requested by Manger, Patient Accounting. Works closely with Manager, Patient Accounting to monitor quality measures related to billing compliance and collection activities. Reviews work queue assignments and volumes to ensure effective collection efforts and maximized cash recovery. Monitors and performs timekeeping functions for department staff. Manages performance and development of department staff.
EDUCATION 13;
:Associates degree or 7 years of supervisory experience in healthcare billing and collections
CERTIFICATION SUMMARY 13;
:No professional certifications required
EXPERIENCE* 13;
:5 years of progressive experience in third:party, managed care, Medicare, Medicaid, CHAMPUS, and Blue Cross collections, UB04/1500 billing procedures, cash applications, balancing and reconciliation processes, and overall business office operations
PREFERRED QUALIFICATIONS* 13;
:Bachelors degree
:2 years of experience in a supervisory role
:Knowledge of computer hardware and software and its functions within the billing and patient accounting workflow
:Knowledge of key Childrens Healthcare of Atlanta patient accounting applications, e.g., EPIC Resolute, Dentrix, Clearinghouse, or comparable
KNOWLEDGE SKILLS and ABILITIES* 13;
:Must possess and demonstrate strong communication, organizational, and interpersonal skills
:Proven aptitude for problem:solving and critical thinking
:Ability to multitask and work both independently and within teams while working effectively with attention to detail
JOB RESPONSIBILITIES* 13;
:Supervises staff in Billing or Patient Accounting departments and monitors activity, ensuring high:quality claims processing and account resolution.
:Conducts routine account audits for all Collectors to identify trends in collection efforts and provides findings to Manager, Patient Accounting or department director.
:Monitors staff productivity and quality and recommends action steps to improve performance.
:Ensures compliance with facility and departmental policy and procedures.
:Maintains working knowledge of applicable systems and department policies.
:Supports Manager, Patient Accounting in communicating team initiatives while tracking team progress towards agreed goals.
:Reviews escalated accounts timely for claim errors or payor issues and provides guidance to staff to increase capability while minimizing delays in account adjudication.
:Monitors and recommends development of staff education program and manages orientation, competency assessment, and education for Patient Accounting staff.
:Supports Manager, Patient Accounting in executing and achieving Revenue Cycle goals and initiatives.
:Provides day:to:day supervision of staff, including problem:solving, scheduling, and productivity monitoring.
:Supports Manager, Patient Accounting in implementing new departmental projects and goals.
:Monitors and maintains Clearinghouse and Epic Resolute systems, including work queues and reports to ensure proper functionality.
:Monitors Epic work queues for Patient Accounting department and recommends solutions to address workflow challenges and staff performance gaps.
:Completes timekeeping while monitoring staff attendance in a timely fashion for p