Access Specialist Supervisor

Southeast Health•Dothan, AL

About The Position

The Access Specialist Supervisor monitors the revenue cycle, including scheduling, physician orders, registration, charge entry, claims management, payment recovery, and follow-up. The role works with the Compliance Coordinator to keep assigned clinics and staff informed about payer-regulation and fee-schedule changes, implements and trains staff on billing software, and works with Medical Staff Services to keep provider numbers and contracts current. The supervisor monitors month-end processes and accounts-receivable balancing, identifying accounts that need attention or guidance. As a subject matter expert for revenue-cycle matters in designated departments, the supervisor oversees staff performance, workflow, productivity, work queues, and service levels. The role supports hiring and staffing, employee orientation and training, performance feedback, competency verification, and staff development, and determines disciplinary and termination actions. It also helps develop strategic plans and programs for the Revenue Cycle team. The supervisor oversees accounts-receivable activity, claims processing, denial management, third-party payment compliance, and timely billing and follow-up. The role resolves billing work-queue errors, identifies error patterns, and supports workflow improvements. It also oversees patient access activities, including collection of patient information and self-pay balances, billing-information verification, required documentation, MyChart enrollment communication, and coordination with providers and other departments to support patients and families.

Requirements

High school diploma.
Working knowledge of CPT and ICD-10 coding systems.
Working knowledge of computers.
Knowledge of HIPAA regulations.
Excellent written, verbal, and interpersonal skills.
Ability to interact with customers in hospital and clinic environments.
Demonstrated leadership skills.
Basic keyboarding and typing skills.
Basic computer skills.
Calculator skills.

Nice To Haves

Five years of revenue-cycle experience preferred.
Bachelor’s degree preferred.
Coding certification preferred.

Responsibilities

Represent the Hospital Access Office as a subject matter expert for revenue-cycle matters related to designated departments.
Supervise staff, monitor employee performance, provide feedback, address problems, orient and train employees, verify competency, and identify staff-development opportunities.
Assist the department manager with human resources matters, staffing needs, interviewing, and hiring.
Work with the department manager to develop Revenue Cycle team strategic plans and programs and establish team goals and objectives.
Determine disciplinary and termination actions.
Monitor workflow and productivity, manage work-queue performance for department staff and third-party vendors, and conduct employee productivity audits.
Serve as a liaison to department and practice contacts to ensure Professional Billing service levels and key performance indicators are met and to address obstacles.
Improve operations, turnaround times, and work processes while supporting coordinated customer service.
Contact providers or clinic staff to clarify information when necessary.
Ensure the department responds to patient financial-service needs and resolves patient complaints.
Monitor accounts-receivable balances and activity, and ensure claims are processed promptly using appropriate adjudication procedures.
Work with clearinghouses and third-party entities when necessary.
Monitor timeliness and effectiveness of department activities, outstanding patient accounts, accounts receivable, and bad debt against agreed limits and targets.
Resolve billing-related error reports and work queues, identify and report error patterns, and help design and implement workflow changes to reduce billing errors.
Ensure required patient data is obtained through interviews with patients or family members.
Provide billing information for verification and authorization to support accurate, timely billing.
Ensure required documents are explained, provided to patients upon request, and appropriately signed for treatment, billing, and follow-up.
Oversee collection of self-pay balances at the time of service.
Oversee communication of MyChart information to patients and encourage enrollment.
Collaborate with other departments to support smooth patient and family transitions and service.
Contact providers or clinical staff to clarify orders or information as necessary.
Coordinate with Order Tracking and in-house insurance verification to complete pre-services.
Manage claims denials and monitor third-party payments for compliance with contractual agreements, pursuing payments as appropriate.
Ensure timely billing and follow-up of balances related to third-party payors, including government, managed-care, commercial, and special payors.