Accounts Receivable Collections, Supervisor - Patient Accounting - Full Time 8 Hour Days (Exempt) (Non-Union)

University of Southern California•Los Angeles, CA

7d•Onsite

About The Position

The Accounts Receivable Collections Supervisor is primarily responsible for supervising the day-to-day activities of the office. This role has primary responsibility for all facets of Governmental AR collections and management, including claim generation, edits/exceptions review/correction, RTP status, initial payment, payment validation, appeal/denials, appropriate and timely follow-up, credit balance resolution, and required submissions to the MAC. The position requires continual education on all transmittals, LCDs, NDCs, and any and all regulatory requirements to ensure compliance. The supervisor will oversee all collections-related functions, including billing, rejections, follow-up, disputes, and ongoing analysis to ensure best-in-class performance and outcomes. This role involves continually mining data to identify payer issues and trends, escalating as necessary in support of long-term revenue cycle initiatives, and engaging with payers on inventory and aging, including monthly or as-needed payer relation discussion meetings for AR resolution. The supervisor must stay current with contracts and be knowledgeable of all state and federal regulations impacting AR. They will develop and implement ongoing training programs to address departmental needs, monitor staff productivity and quality outcomes, and continually develop and oversee the management of workflow activities and the formulation of policies and procedures for departmental needs while establishing goals. This role manages assigned staff, recommends organizational structure, reporting relationships, and staffing needs based on goals. They make hiring, promotional, and salary decisions in accordance with university policy, provide performance appraisals for staff, and determine the need for disciplinary action. The supervisor communicates unit priorities, assigns and schedules work based on work volume and deadlines, monitors performance, provides feedback, and provides input for performance appraisals. They recommend new hires and salary increases or promotions, counsel or discipline as needed, and assist in budget development by gathering, analyzing, and reporting data, providing projections and recommendations as requested. The supervisor performs other duties as assigned.

Requirements

High school or equivalent
5 years Prior management in Governmental Hospital A/R billing, AR follow up OR 5 years Prior management in Revenue Cycle or Pre-Arrival.
Must possess strong knowledge of hospital registration, insurance billing, and overall AR management.
Strong written and verbal communication skills.
Ability to supervise, organize and multi-task and achieve results through others.
Strong interpersonal skills.
Requires contract knowledge and interpersonal skills.
Must interface with departments of patient concerns and/or charging matters.
Fire Life Safety Training (LA City) - If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

Nice To Haves

Bachelor's degree
Advanced education in related field or equivalent in years of services with the scope of AR management.

Responsibilities

Supervise the day-to-day activities of the office.
Oversee all facets of Governmental AR collections and management, including claim generation, edits/exceptions review/correction, RTP status, initial payment, payment validation, appeal/denials, appropriate and timely follow-up, credit balance resolution, and required submissions to the MAC.
Ensure continual education on all transmittals, LCDs, NDCs, and any and all regulatory requirements to ensure compliance.
Oversee all collections related functions, including billing, rejections, follow-up, disputes and ongoing analysis to ensure best in class performance and outcomes.
Continually data mine to identify payer issues, trends and escalate as necessary and in support of long term revenue cycle initiatives.
Engage with payers on inventory and aging, including monthly or as needed payer relation discussion meetings for AR resolution.
Stay current with contracts and knowledgeable of all state and federal regulations that impact AR.
Develop, implement ongoing training programs to address the needs of the department and monitor established productivity and quality outcomes of staff.
Continually develop and oversee the management of workflow activities and the formulation of policies and procedures for departmental needs while establishing goals.
Manage staff assigned.
Recommend organizational structure, reporting relationships and staffing needs based on goals.
Make hiring, promotional and salary decisions in accordance with university policy.
Provide performance appraisals for staff and determine need for disciplinary action.
Supervise the work of staff.
Communicate unit priorities.
Assign and schedule work based on assessment of work volume and deadlines.
Monitor performance and provide feedback.
Provide input for performance appraisals.
Recommend new hires and salary increases or promotions.
Counsel or discipline as needed.
Assist in budget development by gathering, analyzing and reporting data.
Provide projections and recommendations, as requested.
Perform other duties as assigned.