Patient Accounts Supervisor - Home Health and Hospice

Mercyhealth Wisconsin and Illinois

About The Position

Patient Accounts Supervisor - Home Health and Hospice ESSENTIAL DUTIES AND RESPONSIBILITIES In-depth knowledge of all applications used by Patient Account Specialists such as Epic, Brightree and other programs. Responsible for maintaining budgeted staffing levels, interviewing and hiring applicants. Supervises partners and ensures workload is distributed equitably within the work group. Conducts performance reviews for partners and establishes individual goals. Tracks and measures volume of work assigned to the work group, setting goals and monitoring trends. Changes in data and trends are brought to the attention of the manager/director. Coordinates functions within defined work group, works cooperatively with other work group supervisors to ensure smooth and timely processing of third-party claims. Designs, revises, develops, and implements policies and procedures in their respective work group and for the department to ensure process flows are consistently followed in Patient Accounts. Coordinates with various third-party payors to maintain and enhance appropriate claims processing procedures and ensures managed care contract terms are operationalized in the process. Responsible for reviewing and analyzing new government billing regulations/guidelines, new managed care contracts, and industry publications to advise manager/director, partners, and other department heads of potential issues that could impact billing, reimbursement, and compliance. Ensures that the department follows and adheres to all policies and guidelines regarding the handling of cash and checks, and the posting of payments and adjustments according to Finance. Acts as a resource to system partners and management, outside vendors, and customers concerning billing and collection policies. Ability to gather data, write, and present findings and recommendations of issues as they arise. Aides in the development of in-services to departments and partners outside Mercyhealth at Home on billing collections, Community Care, loan, and payment policies. Communicates effectively with leadership to stay updated on departmental needs, trends in received documentation, and claim rejections. Monitors and communicates to leadership any changes in reimbursement and legislative regulations impacting billing. Supervises and guides the patients accounts team, providing training on collection techniques, billing standards, and compliance. CULTURE OF EXCELLENCE BEHAVIOR EXPECTATIONS To perform the job successfully, an individual should demonstrate the following behavior expectations: Quality - Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals. Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions. Partnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports, and encourages positive change while giving value to individuals. Cost - Conserves organization resources; Understands fiscal responsibility; Works within approved budget; Develops and implements cost saving measures; contributes to profits and revenue.

Requirements

High school diploma or general education degree (GED)
Minimum of three years prior billing experience with one year experience in specific field of Home Health, Hospice, or Home Medical Equipment as appropriate
Passing the Driver’s License Check and/or Credit Check (for those positions requiring).
Passing the WI Caregiver Background Check and/or IL Health Care Workers Background Check.
Must be able to follow written/oral instructions.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Ability to write routine reports and correspondence.
Ability to speak effectively before groups of customers or employees of organization.
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
Ability to apply concepts of basic algebra and geometry.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
Ability to deal with problems involving several concrete variables in standardized situations.
To perform this job successfully, an individual should have knowledge of DME, Hospital or Physician Billing System software; Spreadsheet software and Word Processing software.
While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear.
The employee is occasionally required to stand; walk and reach with hands and arms.
The employee must occasionally lift and/or move up to 10 pounds.
Specific vision abilities required by this job include close vision.

Nice To Haves

Previous supervisory experience helpful.

Responsibilities

In-depth knowledge of all applications used by Patient Account Specialists such as Epic, Brightree and other programs.
Responsible for maintaining budgeted staffing levels, interviewing and hiring applicants.
Supervises partners and ensures workload is distributed equitably within the work group.
Conducts performance reviews for partners and establishes individual goals.
Tracks and measures volume of work assigned to the work group, setting goals and monitoring trends.
Changes in data and trends are brought to the attention of the manager/director.
Coordinates functions within defined work group, works cooperatively with other work group supervisors to ensure smooth and timely processing of third-party claims.
Designs, revises, develops, and implements policies and procedures in their respective work group and for the department to ensure process flows are consistently followed in Patient Accounts.
Coordinates with various third-party payors to maintain and enhance appropriate claims processing procedures and ensures managed care contract terms are operationalized in the process.
Responsible for reviewing and analyzing new government billing regulations/guidelines, new managed care contracts, and industry publications to advise manager/director, partners, and other department heads of potential issues that could impact billing, reimbursement, and compliance.
Ensures that the department follows and adheres to all policies and guidelines regarding the handling of cash and checks, and the posting of payments and adjustments according to Finance.
Acts as a resource to system partners and management, outside vendors, and customers concerning billing and collection policies.
Ability to gather data, write, and present findings and recommendations of issues as they arise.
Aides in the development of in-services to departments and partners outside Mercyhealth at Home on billing collections, Community Care, loan, and payment policies.
Communicates effectively with leadership to stay updated on departmental needs, trends in received documentation, and claim rejections.
Monitors and communicates to leadership any changes in reimbursement and legislative regulations impacting billing.
Supervises and guides the patients accounts team, providing training on collection techniques, billing standards, and compliance.
Responsibilities include participation in interviewing, hiring, and training employees; planning, assigning, and directing work; performance reviews; rewarding and disciplining employees; addressing complaints and resolving problems; employee adherence to annual education and certification requirements.
Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.

Benefits

Mercyhealth offers competitive pay and a comprehensive benefits package including:
Medical, Dental, Vision Life & Disability Insurance
FSA/HSA Options
Generous, accruing paid time off
Paid Parental and caregiver leave
Career advancement and educational opportunities
Tuition and certification reimbursement
Certification Reimbursement
Well-being Programs
Employee Discounts
On-Demand Pay
Financial Education
Annual recognition/awards events
Partner appreciation days
Family entertainment/attractions discount
Community service/improvement opportunities