Supervisor - Professional Billing Services
Date: Mar 31, 2021
Location: Indianapolis, US, 46202
Organization: HHC
Division:Eskenazi Health
Sub-Division: Hospital
Req ID: 8313
Schedule: Full Time
Shift: Days
Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 327-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus as well as at 10 Eskenazi Health Center sites located throughout Indianapolis.
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 valuesAssigns and monitors workflow as directed by management to ensure timely and accurate submission of claims for paymentResponsible for the supervision and work assignments for Professional BillingWorks with management to develop and maintain employee training assessments, departmental manuals/departmental handbook, policy and procedure workflows; works with management providing input on probationary and annual employee evaluations of all assigned personnelResponsible for the training and instruction of new team members and current team members as new policies or requirements ariseWorks with management to enforce all assigned team disciplinary actions as needed in accordance with labor contracts and hospital and/or departmental policy/proceduresCoordinates the daily operations for all professional billing and reimbursement to ensure appropriate cash flow is maintained, and that patient satisfaction with administrative functions at Eskenazi Health, Eskenazi Medical Group and Eskenazi Health Centers are consistently positive; works closely with other areas within Eskenazi Health, Eskenazi Medical Group and Eskenazi Health Centers to ensure compliant and optimal collection of professional services revenueCoordinates and monitors activities relative to patients' accounts and services required/rendered to ensure that billing documents and reports are complete and accurate, and are in compliance with Eskenazi Health's Privacy and Security policies and practicesEnsures timely billing and/or follow-up/monitoring of all accounts to ensure timeframes are maintained according to Eskenazi Health policy, federal statute, state statute, and claim filing timelines for other third party payersContributes to completion of various financial forecasts, including daily dashboard monitoring, month-end reporting, including but not limited to, Claim inventory, Accounts Receivables inventory and aging reporting and the performance statistics for all assigned personnelReviews and approves adjustment and/or contractual write-offs for assigned personnel up to approved levelEnsures that productivity and quality standards are met, meeting with staff biweekly; maintains a file for all assigned personnel to ensure successful billing and/or collection of assigned accountsTroubleshoots issues and anticipates potential problems, involving management for resolutionParticipates in and makes recommendations during the interview/hiring process of new employeesKeeps up to date on account billing/collection rules and regulations; and contracts terms and conditions with regard to timely filings; service pre-certifications, and authorizations; informs Manager of issues, concerns or problems impeding account collection efforts and assists in resolvingAssists Management with any overall strategic plans, goals or objectives for the departmentHandles difficult or problem patient account cases and takes calls from the customer services lines when neededResponds to emails and voicemails daily, serving as a resource to other departments concerning patient billing and claimsResponsible for any assigned special projectCooperates with other departments to resolve problems and expedite billing/collection processesInsures completion of annual competencies for all staffResponsible for ensuring all compliance, HIPAA and other regulatory agencies (as designated by Eskenazi Health) annual in-services are completed and employees are tested as requiredAttends meetings and in-service offerings
Job Requirements
- Associate's or Bachelor's degree in business-related field preferred5 years of experience in patient accounts receivables, billing, credit and collections or a combination of these with supervisory experienceDental, vision, DME and/or FQHC billing a plusEpic experience a plusCPC certification preferredPrevious management or supervisory experience preferred, with demonstrated critical thinking, analytical and problem-solving abilityRequires basic knowledge of ICD-10 CD, medical terminology, CPT and HCPCS Codes, diagnostic and therapeutic tests, medical record documentation retrieval, and reimbursement methodologiesExtensive knowledge of CCI, medical policy and billing requirements for governmental and commercial payorsKnowledge of reimbursement procedures, provider coverage, complex State/Federal regulations/policies, compliance and HIPAA guidelines; Eskenazi Health's procedures/policies; basic accounting/bookkeeping principles methods; Epic, MedAssets, Claim Remiedi editing systemsRequires excellent communication skills (written, oral & presentation), interpersonal skills, a high level of organization and the ability to mentor othersHigh level of professionalism and ethical behavior; detail-oriented with numeric aptitudeExtensive knowledge of reimbursement guidelines and principles for all major third party and governmental payers - Medicare, Medicaid, Blue Cross, Commercial and Special Payers, HMO's, Workman's Compensation and No Fault coverageAbility to motivate staff in achieving departmental goals while maintaining positive internal and external customer relationshipsAbility to work independently and exercise professional judgment to meet daily operational demandsAbility to work effectively under pressure and accept responsibility for decisionsExperience working in Microsoft Office suite applications including Excel, Word, and Power PointProfessional, team-oriented, solution-driven approach to problem solving for all types of issues
Knowledge, Skills & Abilities
TBD
Accredited by The Joint Commission and named one of the nation’s 150 best places to work by Becker’s Hospital Review for four consecutive years and Forbes list of best places to work for women, and Forbes list of America’s best midsize employers’ Eskenazi Health’s programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city’s primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the only verified adult burn center in Indiana, the first community mental health center in Indiana and the Eskenazi Health Center Primary Care – Center of Excellence in Women’s Health, just to name a few.
Nearest Major Market: Indianapolis