Supervisor Patient Accounts - MyMichigan Health

Summary:

Responsible for day to day operations, management of the patient accounting staff for all continuing care service lines, insurance coordinator, and accounting clerk. Responsible for assuring compliance with all insurance regulations, guidelines, rules, and reimbursement. Directs patient accounting staff to align department performance with the direction of the health system. Plan and implement reimbursement strategies to maximize revenue. Responsible for updating, maintaining, and developing pertinent policies and procedures. Maintains and coordinates necessary testing within all software to ensure compliance with changes in the medical industry.

Responsibilities:

(40%)* Supervision and Evaluation: Responsible for the day to day operations of the patient accounting activities to assure timely invoicing for goods and services provided to patients Completes performance appraisals for assigned staff Conducts performance improvement plans, counseling and/or disciplinary meetings with staff as needed Supervises all staff to ensure excellent customer service in accordance with MyMichigan Health standards Recommends staff for promotions, retention, special assignments or termination Coordinate scheduling throughout the department to ensure phones will always be answered and patient messages will be returned in a timely manner Directs staff in performance of their duties

 

(30%)* Regulatory: Know and adhere to billing regulations and guidelines for all payers Develop and maintain policies and procedures Responsible for contracting and credentialing with all insurance payers Work collectively with other departments and affiliates to ensure compliance Involvement with industry associations to develop relationships and drive understanding of changes in regulatory and competitive landscape

 

(30%)* Revenue Cycle: Develop, implement, and maintain procedures for collection of revenue in all home care, hospice, infusion, private duty and home medical equipment service lines Align procedures to ensure revenue cycle targets for days in A/R and avoidable write-offs are met Coordinate relationships between intake staff and billing to maximize revenue collection and ensure a seamless patient experience Assist staff in setting goals and priorities to ensure that all aspects of patient accounting (from insurance verification/authorization, to billing insurance payers and patients, and cash posting) are completed in a timely manner

 

OTHER DUTIES AND RESPONSIBILITIES:

Initiate and facilitate problem solving with other departments.

 

Take required actions to assure the collection of the receivables.

 

Know and adhere to the billing provisions of Medicare, Medicaid and other payers.

 

Maintains productive relationships with vendors, insurance payers, and referral sources.

 

Interprets and implements personnel policies. Participates in evaluating agency programs.

 

Serves as liaison between staff and administrative personnel.

 

Participates in agency budgeting and fiscal management.

 

Participates in agency strategic planning and goal achievement.

 

MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows.

 

An employee may be required to participate in further learning opportunities offered by MyMichigan Health.

 

Other duties as assigned.

Certifications and Licensures:

FINGERPRIN: Fingerprinting

Required Education:

High school diploma or GED is required

Other Information:

EXPERIENCE, TRAINING AND SKILLS:

Three to five years billing experience in a medical setting.

 

Knowledge of HCFA, UB04, and all payer rules and regulations.

 

Ability to recognize needs and concerns of people and maintain constructive interpersonal relationships.

 

Excellent communication skills, both verbally and in writing.

 

Proficiency in Excel, Word, and Outlook, analytical skills and human relations/interviewing skills.

 

Computer experience with minimum of one year spreadsheet experience required

 

Ability to work independently and in a team setting Demonstrate problem solving and organizational skills

 

Ability to troubleshoot and resolve a variety of computer-related problems.

 

Experience in home health or home medical equipment billing preferred.

 

Experience in a supervisory capacity in a business office setting with experience in interviewing, evaluating, counseling, and disciplining of employees is preferred.