PFS Hospital Billing Supervisor

FLSA Status

Job Role Summary

Essential Functions and Responsibilities

• Proactively contributes to Eskenazi Health's mission: Advocate, Care, Teach and Serve with special emphasis on the vulnerable population of Marion County. Models Eskenazi Health values of Professionalism, Respect, Innovation, Development and Excellence.
• Accomplishes leadership objectives by selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining staff; communicating job expectations; planning, monitoring, appraising job performance; adhering to policies and procedures and implementing corrective actions
• Supervises daily tasks of the hospital billing and follow-up team
• On-boards new hires, developing and maintaining an itinerary of training and mentoring interactions to ensure new hire has received in-depth training of payor and departmental policies before the end of the 90 day probation period
• Completes performance reviews annually for staff that reflect monthly one on ones with team members to provide them with ongoing education, performance feedback including individual and team metrics related to quality and productivity, and mentoring their development and achievement of individual goals
• Communicates effectively and appropriately with internal and external customers
• Prepares and presents organizational and Revenue Cycle updates for team members as part of monthly staff meetings that promote ongoing education and development of employees for whom this leader is responsible
• Prepares for and conducts employee face to face reviews in partnership with the Associate Director
• Completes HR/Payroll functions for employees. Ensures staff receive appropriate and timely feedback regarding their time and attendance records
• Manages and oversees the daily operations of the billing department. Monitors receivables performance metrics and provides regular reporting of operational achievements and concerns resulting in changes in performance metrics related to Patient Financial Services operations
• Fulfills operational leadership needs by identifying process improvement opportunities, developing and deploying plans to achieve improvement, and preparing presentations of improvement projects and measured outcomes
• Collaborates with PFS, IT, and claims administration staff to validate and improve procedures and systems used for the preparation and submission of claims to ensure compliance with payor requirements and effective capture of appropriate reimbursement of hospital services
• Guides employee actions by researching, developing, writing, and updating billing policies, procedures, methods, and guidelines
• Updates job knowledge by participating in educational opportunities; reading professional publications.

Job Requirements

• Minimum of 3 years of previous medical billing
• Previous supervisory experience entailing responsibility for 8 or more employees highly desirable
• Previous experience with billing Medicare, Medicaid, and Insurance
• Physician, Hospital, DME experience is a plus
• Medical terminology knowledge preferred
• Medical billing and coding certification a plus

Knowledge, Skills & Abilities

• Ability to act professionally, be team oriented, and take solution-driven approaches to problem solving for all types of issues
• High level of professionalism and ethical behavior
• Experience and knowledge in using Microsoft Office products such as Word and Excel
• Knowledge of reimbursement methodologies, payor coverages, State/Federal programs providing healthcare benefits and payments for Eskenazi Health services
• Knowledge of assigned payer(s) billing requirements and regulations
• Ability to learn software quickly and interpret instruction manuals
• Must be capable of completing tasks within given time frames and be productive and goal oriented
• Proficient use of Excel, Word, and PowerPoint in completing data analysis, preparing letters, procedures, and presentations.
• Excellent written and oral communication skills
• Ability to work independently and within a team with instructions and to deal with problems effectively in collaboration with peers and staff
• Ability to quickly learn and use payer and hospital patient accounting systems
• Possess knowledge of Health Care Procedure Codes and Uniform Billing standards
• Ability to multi-task in a fast paced environment