Patient Financial Services Supervisor

sjgov•Stockton, CA

About The Position

Introduction 0425 Patient Financial Supervisor by Employment Services Team TYPICAL DUTIES Supervises, assigns, coordinates, and evaluates the work of clerical staff performing complex billing and/or collection processes; monitors work flow and implements changes to maximize billing productivity; assists with establishing standards for work performance; ensures claims are billed timely and correctly to maximize reimbursements and increase cash flow. Confers with insurance representatives, internal and external agency staff and others on billing matters and answers questions that involve researching and abstracting technical data and detailed explanation of regulations, policies or procedures; refers matters that may require policy decisions to management. Confers with other departmental sections to assure timely and accurate flow of information necessary to patient account billing; reviews documents and system data for charge errors; participates on task forces and committees as assigned. Researches accounts; resolves or handles more difficult and complex billing problems, appeals, and complaints; troubleshoots system issues and recommends improvements. Trains staff in complex billing and collection procedures, policies and practices; orients new employees to billing and collections; researches and answers questions and applies billing and collection rules, regulations, and guidelines; updates staff to changes in policies, standards and regulations; disseminates information affecting other departments quickly and accurately. Prepares and audits claims, statements and reports from a variety of sources; performs technical clerical accounting work; monitors accounts and prepares reports. KNOWLEDGE Medical terminology, coding, procedure and diagnosis codes; completion of UB04 and CMS 1500 claims forms, government, managed care and third party payer billing, electronic claim submission systems and hospital patient accounting systems; accounts receivable methods and procedures; claim attachment specifications; regulatory and legal guidelines; appeals processes; principles of planning and organizing work; methods of researching, gathering, organizing and reporting data; personal computer systems and general office computer software; public relations techniques; advanced filing and record keeping systems; complex correspondence and report formats; arithmetical operations related to advanced clerical/technical/financial processes; basic principles of training and supervision; advanced cash handling procedures. ABILITY Research, interpret and apply complex laws/regulations relating to submission of hospital claims; evaluate and establish priorities; gather, organize, input and maintain account data; provide/obtain detailed information to/from others, even in difficult situations; develop, create and deliver educational projects to clerical and professional staff; utilize advanced office procedures and equipment; follow complex oral and written procedures and directions; establish and maintain effective working relationships with others; communicate effectively with others; write clearly and legibly; perform advanced arithmetical operations; supervise others. PHYSICAL/MENTAL REQUIREMENTS Mobility-Frequent operation of a data entry device, repetitive motion, sitting for long periods, walking; occasional standing, pushing, pulling, bending, squatting, climbing; Lifting-Frequently 5 pounds or less; occasionally 5 to 30 pounds; Visual-Constant good overall vision and reading/close-up work; frequent color perception and use of eye/hand coordination; occasional use of depth perception and peripheral vision; Hearing/Talking-Frequent hearing of normal speech, hearing/talking on the telephone, talking in person; Emotional/Psychological-Frequent decision making, concentration, and public contact; Special Requirements-Some assignments may require working weekends, nights, and/or occasional overtime; Environmental-Occasional exposure to varied weather conditions. San Joaquin County complies with the Americans with Disabilities Act (ADA) and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions. Equal Opportunity Employer San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age, ancestry, color, creed, marital status, medical condition, national origin, physical or mental disability, political affiliation or belief, pregnancy, race, religion, sex, or sexual orientation. For more information go to Equal Employment Opportunity Division (sjgov.org) . Accommodations for those covered by the Americans with Disabilities Act (ADA): San Joaquin County complies with the Americans with Disabilities Act and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions.

Requirements

Medical terminology, coding, procedure and diagnosis codes
Completion of UB04 and CMS 1500 claims forms, government, managed care and third party payer billing, electronic claim submission systems and hospital patient accounting systems
Accounts receivable methods and procedures
Claim attachment specifications
Regulatory and legal guidelines
Appeals processes
Principles of planning and organizing work
Methods of researching, gathering, organizing and reporting data
Personal computer systems and general office computer software
Public relations techniques
Advanced filing and record keeping systems
Complex correspondence and report formats
Arithmetical operations related to advanced clerical/technical/financial processes
Basic principles of training and supervision
Advanced cash handling procedures
Research, interpret and apply complex laws/regulations relating to submission of hospital claims
Evaluate and establish priorities
Gather, organize, input and maintain account data
Provide/obtain detailed information to/from others, even in difficult situations
Develop, create and deliver educational projects to clerical and professional staff
Utilize advanced office procedures and equipment
Follow complex oral and written procedures and directions
Establish and maintain effective working relationships with others
Communicate effectively with others
Write clearly and legibly
Perform advanced arithmetical operations
Supervise others

Responsibilities

Supervises, assigns, coordinates, and evaluates the work of clerical staff performing complex billing and/or collection processes
Monitors work flow and implements changes to maximize billing productivity
Assists with establishing standards for work performance
Ensures claims are billed timely and correctly to maximize reimbursements and increase cash flow
Confers with insurance representatives, internal and external agency staff and others on billing matters and answers questions that involve researching and abstracting technical data and detailed explanation of regulations, policies or procedures
Refers matters that may require policy decisions to management
Confers with other departmental sections to assure timely and accurate flow of information necessary to patient account billing
Reviews documents and system data for charge errors
Participates on task forces and committees as assigned
Researches accounts
Resolves or handles more difficult and complex billing problems, appeals, and complaints
Troubleshoots system issues and recommends improvements
Trains staff in complex billing and collection procedures, policies and practices
Orients new employees to billing and collections
Researches and answers questions and applies billing and collection rules, regulations, and guidelines
Updates staff to changes in policies, standards and regulations
Disseminates information affecting other departments quickly and accurately
Prepares and audits claims, statements and reports from a variety of sources
Performs technical clerical accounting work
Monitors accounts and prepares reports

Benefits

Employees hired into this classification are members of a bargaining unit which is represented by SEIU Local 1021 .
Health Insurance : San Joaquin County provides employees with a choice of three health plans: a Kaiser Plan, a Select Plan, and a Premier Plan. Employees pay a portion of the cost of the premium. Dependent coverage is also available.
Dental Insurance : The County provides employees with a choice of two dental plans: Delta Dental and United Health Care-Select Managed Care Direct Compensation Plan. There is no cost for employee only coverage in either plan; dependent coverage is available at the employee’s expense.
Vision Insurance : The County provides vision coverage through Vision Service Plan (VSP). There is no cost for employee only coverage; dependent coverage is available at the employee’s expense.
For more detailed information on the County’s benefits program, visit our website at www.sjgov.org under Human Resources/Employee Benefits.
Life Insurance : The County provides eligible employees with life insurance coverage as follows: 1 but less than 3 years of continuous service: $1,000 3 but less than 5 years of continuous service: $3,000 5 but less than 10 years of continuous service: $5,000 10 years of continuous service or more: $10,000 Employee may purchase additional term life insurance at the group rate.
125 Flexible Benefits Plan : This is a voluntary program that allows employees to use pre-tax dollars to pay for health-related expenses that are not paid by a medical, dental or vision plan (Health Flexible Spending Account $2550 annual limit with a $500 carry over); and dependent care costs (Dependent Care Assistance Plan $5000 annual limit).
Retirement Plan : Employees of the County are covered by the County Retirement Law of 1937. Please visit the San Joaquin County Employees’ Retirement Association (SJCERA) at www.sjcera.org for more information. NOTE: If you are receiving a retirement allowance from another California county covered by the County Employees’ Retirement Act of 1937 or from any governmental agency covered by the California Public Employees’ Retirement System (PERS), you are advised to contact the Retirement Officer of the Retirement Plan from which you retired to determine what effect employment in San Joaquin County would have on your retirement allowance.
Deferred Compensation : The County maintains a deferred compensation plan under Section 457 of the IRS code. You may annually contribute $22,500 or 100% of your includible compensation, whichever is less. Individuals age 50 or older may contribute to their plan, up to $30,000. The Roth IRA (after tax) is also now available.
Vacation : Maximum earned vacation is 10 days each year up to 3 years; 15 days after 3 years; 20 days after 10 years; and 23 days after 20 years.
Holidays : Effective July 1, 2017, all civil service status employees earn 14 paid holidays each year. Please see the appopriate MOU for details regarding holidays, accruals, use, and cashability of accrued time.
Sick Leave : 12 working days of sick leave annually with unlimited accumulation.
Sick leave incentive : An employee is eligible to receive eight hours administrative leave if the leave balance equals at least one- half of the cumulative amount that the employee is eligible to accrue. The employee must also be on payroll during the entire calendar year.
Bereavement Leave : 3 days of paid leave for the death of qualifying family member, 2 additional days of accrued leave for death of employee’s spouse, domestic partner, parent or child.
Merit Salary Increase : New employees will receive the starting salary, which is the first step of the salary range. After employees serve 52 weeks (2080 hours) on each step of the range, they are eligible for a merit increase to the next step.
Job Sharing : Employees may agree to job-share a position, subject to approval by a Department Head and the Director of Human Resources.
Educational Reimbursement Program : Eligible employees may be reimbursed for career-related course work up to a maximum of $850 per fiscal year. Eligible employees enrolled in an approved four (4) year College or University academic program may be reimbursed up to $800 per semester for a maximum of $1600 per fiscal year.
Parking Supplemental Downtown Stockton: The County contributes up to $20 per pay period for employees who pay for parking and are assigned to work in the Downtown Core Area.
School Activities : Employees may take up to 40 hours per year, but not more than eight (8) hours per month, to participate in their children’s school activities.