Overview:
Catholic Health is one of Long Islands finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island.
At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes to every patient, every time.
We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace!
Job Details:
Under the direction of the Manager of the Revenue Realization Center, the supervisor provides assistance with overseeing, coordinating, and managing the daily operations related to the billing and collection of third party and patient accounts. Compiles and analyzes statistical data to measure and explain staff performance, accounts receivables, and progress towards financial targets. Identifies trends and recommends process improvements to enhance workflows, expand staff training and skills, and advance productivity, and meet department goals. Provides technical guidance and assistance to the RRC staff on complex billing, payment, and/ or follow up activities.
PERFORMANCE RESPONSIBILITIES
- Coordinates the daily activities of the A/R operation ensuring that aging accounts are reviewed and resolved, collector work files are completed on a daily basis and appropriate actions are taken by support staff to ensure timely and correct claim payments.
- Investigates and coordinates resolution resolves in a timely manner all credits and unapplied cash balances.
- Reviews, documents, and communicates all processes related to insurance and patient billing, follow up, credits denials, and appeals. Monitors staff adherence to department processes and addresses issues through training and counseling. Ensures accounts are billed and followed accurately, timely, and in a compliant manner.
- Resolves routine questions and problems posed by support staff, referring more complex issues to the Manager.
- Assist in updating policies and procedures as necessary. Develops and implements processes, procedures and controls to identify and address discrepancies associated with third party payments received.
- Compiles and organizes statistical data related to staff productivity and quality weekly. Identifies and communicates both positive and negative trends to the Manager and participates in performance discussions as requested by the Manager.
- Assists with developing and conducting training for respective applications and staff. Maintains training materials, job aides, competencies, and training records for all staff to manage individual performance.
- Conducts staff quality reviews.
- Keeps abreast of all billing and reimbursement regulations and standards to ensure compliance with any published or anticipated changes issued by governmental agencies and/or third party payers. Shares knowledge with staff through verbal and prepared written communication. Ensures CHS managed care contracts terms and conditions are adhered to by support staff and contracted parties.
- Actively leads and participates in payer meetings to communicate and resolve billing and reimbursement issues. Assists Manager in preparing materials in advance.
- Monitors the performance of outside agencies including reconciling inventories and invoices. Troubleshoots and acts as a point of escalation for issues arising internally and externally as a result of a vendor partnership.
- Recruits and trains new personnel. Assists Manager with evaluations and counseling when needed.
- Responsible for accurate timekeeping and attendance process.
- Prepare reports as requested.
- Participates in special projects as requested by the Manager.
- Keeps the Director informed as to the status of the department.
- Performs related duties as assigned and unrelated duties as requested.
- Adheres to all organizational policies and procedures.
POSITION REQUIREMENTS AND QUALIFICATIONS:
Education: High School diploma or equivalent required. Bachelors Degree preferred.
Licensure/Certification:
Certification through the Healthcare Financial Management Association preferred (e.g., CHFP, CRCR) preferred but not required.
Skills:
- Must possess an in-depth knowledge of third party governmental billing regulations and statutes/laws governing the management of human resources and strong employee relations skills.
- Must be able to effectively supervise and coordinate the billing, follow-up, cash posting, customer service and regulatory compliance functions of the Hospital RRC.
- Must be able to interpret third party coverage and institution's charges (rates) to patient, payers and vendors.
- Must be able to perform a variety of duties, ranging from direct involvement in various procedures to coordination of activities of many subordinates.
- Must have excellent computer, time management, organizational, data processing, and analytical skills with proficiency in Excel and Microsoft Office Suite as well as A/R systems and associated applications required
- Must have highly developed analytical and problem-solving skills. Must possess high ability to organize, develop, and write user manuals and other required documents
Experience:
Three to five years of healthcare Accounts Receivable experience of which one to
two years must have been devoted to hospital follow up or billing responsibilities.
Posted Salary Range:
USD $65,000.00 - USD $95,000.00 /Yr.
:
This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidates qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits.
At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.
