Patient Financial Services Supervisor in Glendale, Colorado at National Jewish Health

Position Summary: This position provides supervision to staff who are responsible for the financial resolution of insurance and client receivables, insurance billing, and third party collection of balances with the goal of maximizing cash collections and minimizing accounts receivable (A/R) days while delivering excellent customer service. Provides staff technical and procedural direction as well as training. Essential Duties:

Manages and develops an effective staff: providing effective communication, leadership, guidance and resources. Determines staff qualifications and competency: recruits, interviews, selects, hires, trains, orients, mentors, evaluates, coaches, counsels, disciplines, and rewards. Establishes and monitors staff safety and regulatory compliance.

Monitors, organizes, and delegates insurance billing and insurance collection workload, according to availability of staff and established performance standards. Reports key factors of productivity and/or issues, both internal and external, which may impact performance. Proposes and implements procedural and systematic changes for enhancing departmental productivity.

Monitors all third party payer billing and collection regulations and compliance guidelines. Works to apply any updates/changes to the patient accounting software and the billing application software in order to comply with applicable and current billing/collection regulations. Assists PFS Manager to implement procedures applicable to changes in billing/collection legislation and guidelines.

Has a thorough understanding of CPT, HCPCS & ICD-10 codes, HCFA and UB04 claim forms, DRG, insurance benefits including authorizations/referrals.

Works closely with the Patient Accounting Applications Analyst to identify and resolve system issues, and testing new releases or fixes within the patient accounting software and the billing application software.

Works closely with other PFS Supervisors, Account Representatives, and Billers to identify claims rejections, denials, and timeliness of account resolution. Reviews and revises insurance billing procedures to ensure prompt and accurate third party processing.

Maintains close supervision of the collection processes for the most difficult accounts.

Communicates with self-pay vendor; including, but not limited to, patient complaints, bad debt turnover process, adjustment approval, account reconciliation, quality control monitoring through audit sampling to measure performance and compliance and managing and facilitating the hospital’s response to vendor’s requests for information.

Other Duties:

Performs as back up to staff absences and vacancies, as necessary. Requires an understanding of reporting staff’s duties.

Attends and participates in various inter-departmental meetings, as directed.

Ensures customer satisfaction through effective problem solving. Promotes and maintains open communication with all patients regardless of age. Acts on the patient’s behalf in receiving prompt, efficient and courteous service.

Provides feedback to other departments to help ensure a high level of training to access staff in order to prevent account edits, billing edits and claims denials. Promotes and maintains open communication with internal and external customers through effective problem solving.

Competencies:

Accountability: Accepts full responsibility for self and contribution as a team member; displays honesty and truthfulness; confronts problems quickly; displays a strong commitment to organizational success and inspires others to commit to goals; demonstrates a commitment to National Jewish Health.

Adaptability: Maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusting effectively to work within new work structures, processes, requirements, or cultures.

Attention to Detail: Accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time. Setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence rather than having standards imposed.

Building a Successful Team: Using appropriate methods and a flexible interpersonal style to help build a cohesive team, aligns vision with shared values, manages change and encourages innovation.

Coaching and Teaching Others: Providing timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem.

Decision Making: Identifying and understanding issues, problems, and opportunities; comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints, and probable consequences.

Drive for Results: Setting high goals for personal and group accomplishment; using measurement methods to monitor progress toward goals; tenaciously working to meet or exceed goals while deriving satisfaction from that achievement and continuous improvement.

Impact and Influence: Using appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifying one’s own behavior to accommodate tasks, situations, and individuals involved. Taking advantage of opportunities to make a difference and have an impact. When used well, the intended outcome of this competency is the creation of goodwill, trust, and respect while motivating people to want to follow you even when they don’t have to.

Initiative: Taking prompt action to accomplish objectives; taking action to achieve goals beyond what is required; being proactive.

Managing Conflict: Dealing effectively with others in an antagonistic situation; using appropriate interpersonal styles and methods to reduce tension or conflict between two or more people. Addresses conflicts by focusing on the issues at hand to develop effective solutions when disputes or disagreements occur; helps others resolve conflicts by providing impartial mediation when needed.

Supervisory or Managerial Responsibility: Supervises 1-12 employees. Travel: Minimal local travel may be required. Core Values:

Be available to work as scheduled and report to work on time.

Be willing to accept supervision and work well with others.

Be well groomed, appropriately for your role and wear ID Badge visibly.

Be in compliance with all departmental and institutional policies, the Employee Handbook, Code of Conduct and completes NetLearning by due date annually.

Fosters an inclusive workplace where diversity and individual differences are valued and leveraged to achieve the vision and mission of the institution.

Adheres to safe working practices and at all times follows all institutional and departmental safety policies and procedures.

Wears appropriate PPE as outlined by the infection control policies and procedures.

Demonstrates compliance with all state, federal and all other regulatory agency requirements.

Minimum Qualifications

Education: Bachelor’s degree in related field required. Healthcare or Business Administration, preferred

Work Experience: A minimum of three (3) years of recent and related experience in third party collections, third-party governmental billing and reimbursement in a healthcare environment is required. Three (3) years supervising third party payer billing/ collections preferred.

Special Training, Certification or Licensure: None

Salary Range: $53,000 - $65,000

Benefits

At National Jewish Health, we recognize that our outstanding faculty and staff are the essence of our organization. For every aspect of health care, our employees are our greatest asset.

With that in mind, we have designed a valuable, comprehensive benefits package to meet the needs of our employees and their families.

• Medical Plans, Dental Plans and Vision Insurance
• Retirement Plan
• FSA and HSA
• Short and Long Term Disability
• Life Insurance and AD&D
• Voluntary Benefits, like Accident Insurance, Critical Care and Hospital Indemnity
• Paid Time Off Accruals
• Wellness Program
• Legal Plan