- Lifespan Corporation
The Supervisor PFS reports to the PFS Project Manager. Under general supervision of Project Manager assures consistent and accurate deployment of electronic and manual payment posting as well as electronic and manual billing. Ensures integrity and utilization of Patient Financial Services Payment & Billing Systems in accordance with established operating parameters and audit standards. Coordinates the daily work flow quality of work and coaching of the electronic and manual payment posting staff.
Provides direction in day-to-day operations implements approved follow up procedures ensuring all Lifespan payment posting activities are carried out in timely and effective manner. Ensures all procedures are in compliance with applicable Federal and State regulations. Initiates requests for system updates as appropriate.
Participates with director in recruitment interview and selection activities of support staff. Orients new staff assigns work and establishes priorities. Establishes annual performance objectives for staff conducts periodic performance reviews and recommends pay actions. As appropriate recommends corrective action to director up to and including termination
Plans for and supervises effective utilization of resources (people financial material and equipment). Monitors budget variance reports researching and reconciling variances as appropriate and reporting on same to director. Ensures appropriate staff coverage to meet anticipated needs as a result of planned and unplanned absences.
Assists staff in prioritizing work activities. Functions as key resource to staff in resolving complex issues. Assigns work ensuring equitable distribution of same by maintaining related productivity reports and monitoring daily correspondence. Serves as expert resource for questions that have to be escalated because of complexity or customer complaints and concerns.
Develops and communicates standards and expectations for staff performance. Monitors quality of work performed by staff ensuring services are provided according to established procedures and carried out in prompt and courteous manner to meet/exceed customer service standards. Ensures staff is apprised of changes in policy and procedures that relate to area of responsibility ensuring adherence to same. Maintains issues logs for individual payers as appropriate.
Monitors performance of payment posting staff clarifying performance standards reinforcing desired performance and providing concurrent and periodic performance evaluations for staff. Collaborates with director regarding corrective actions necessary to address performance issues. Ensures staff is regularly apprised of changes that affect department.
Develops and maintains process documentation. Provides/coordinates initial training of new staff in activities related to systems utilized by department. Identifies training needs through observation of staff work output customer feedback and develops action plan. Obtains approval by director implements and assesses effectiveness accordingly.
Initiates vendor contact and authorizes programming changes to all payment and billing modules based on payer regulations management requirements and new payers. Assures quality by testing resulting changes to validate accuracy.
Resolves database software related problems within software that is comprised of several different modules designed to work in concert with one another. Recommend changes and participate in the evaluation of new technology for Patient Financial Services.
Consults with outside vendors and Information Services members to design build and manage changes to databases and electronic payer and billing programs.
Exercises judgment and assumes responsibility for all payment and billing applications decisions consequences and results having an impact on system wide accounts receivable processing of revenue productivity and quality of service within the functional area.
Authorizes and assists outside vendor in changes to programming specifications payment and billing system applications. Applies working knowledge of applicable Federal and State compliance mandated requirements related to submission of electronic data.
Uses various software applications such as spreadsheets relational databases and graphics packages to assemble manipulate and/or format semi-complex data and reports whenever necessary.
Supports multi application functions including collection and routing of medical insurance claims information between Lifespan and payers for all affiliates.
Lifespan Clearing House Communications - Posts/Retrieves confirmation reports directly from payers and for all affiliates. Manages in-coming payments from remote sites. Interfaces with Lifespan/Payers information Systems staff as necessary.
Acts as liaison between in house billing staff SSI staff insurance follow-up and customer service staff.
As a member of assigned project teams design and implement as needed modify and enhance Lifespan's automated payment and billing systems. Participate in training of payment posting and billing staffs on various systems.
Under direction of PFS Project Manager participates in special projects for workflow enhancements for entire department as needed.
Performs other duties assigned.
High school graduate with knowledge of medical business office practices human resource management/training proficient in medical systems and additional training or experience in healthcare billing/coding.
Associate?s degree in accounting business office practices or computer science preferred.
Five to ten years senior level or supervisory experience in patient accounting at a multi-facility healthcare system environment.
Experience and knowledge in the use of software applications databases and spreadsheets.
Knowledge of third party payment issues as well as effective communication organizational human resource and leadership skills.
Must be familiar with 835 file formats.
Knowledge of Access Database management Epic and Emdeon.
Desired: Epic HB and PB payment
Direct supervision for up to 10 full-time equivalent personnel
Work is performed in a typical office setting requiring extensive sitting.
Position requires ability to speak see and hear within normal range.
Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Lifespan is a VEVRAA Federal Contractor.
Location: Corporate Headquarters USA:RI:Providence
Work Type: Full Time
Shift: Shift 1
Union: Non-Union* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.
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