PFS Supervisor

Brown University Health • Providence, RI

75d • $57,340 - $94,602

About The Position

Under general direction of the PFS Manager, the Supervisor of Patient Financial Services assists in the day-to-day activities of Patient Financial Services claims administration. Organizes, directs and controls follow up activities for Brown University Health and affiliates for inpatient, outpatient and Hospital billed physician claims for all insurance payers. Assists in identifying opportunities and implementing change within department guidelines, federal and state regulatory requirements resulting in the improvement of the accounts receivable, cash flow and denial reduction. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect and Excellence, as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate In addition, our leaders will demonstrate an aptitude for: Ensure Accountability and Build Effective Teams Drive Vision and Purpose and Optimize Work Processes By applying core and leadership competencies, leaders help Brown University Health achieve its strategic goals.

Requirements

• 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.
• 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.

Nice To Haves

• Associate's degree in accounting, business office practices, or computer science preferred.
• Desired: Epic HB and PB payment.

Responsibilities

• Interviews, directs and evaluates support staff, provides guidance and counsel.
• Orients new staff, assigns work and establishes priorities.
• Establishes annual performance objectives for staff, conducts periodic performance reviews and recommends pay actions.
• Develops and communicates standards and expectations for staff performance.
• Provides direction in day-to-day operations, implements approved follow up procedures, monitoring the quality of work performed by staff, ensuring services are provided in accordance with 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.
• As appropriate, recommends corrective action to Director, up to and including termination.
• Ensures all procedures are compliant with applicable Federal and State regulations.
• Initiates requests for system updates as appropriate to comply with such regulation and payer requirements.
• Functions as key resource to staff in resolving complex issues.
• Assigns work, ensuring equitable distribution of same by maintaining related productivity reports and monitoring assigned work queues.
• Serves as expert resource for questions that need to be escalated because of complexity, payer issue or customer complaints and concerns.
• Develops and maintains process documentation and tip sheets.
• 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 Manager or Director, implements and assesses effectiveness accordingly.
• Maintains issues logs for individual payers as appropriate.
• Meets with internal/external representatives (e.g. third party payers and Brown University Health departments) to discuss and resolve claim and denial issues, changes in process and the like.
• Monitors payer contracts within area of responsibility to identify, communicate and resolve claims adjudication issues.
• Within level of authority extended by management, authorizes adjustments in accordance with department policy.
• Provides support to Manager in compiling documentation needed to respond to internal and external audits.
• Assists Manager in compiling and developing reports of various statistics needed for follow up activities.
• Analyzes and monitors receivable data to report status, trends and variances.
• Monitor revenue cycle for potential opportunities, risks, delays and initiates action to resolve.
• Regularly conducts individual and group meetings for department.
• Documents payroll for subordinate staff.
• Maintains vacation schedules and authorizes time off for staff.
• Adjusts coverage for vacation time and breaks as workflows fluctuate.
• Attends/conducts meetings in the Manager's absence.

Benefits

• Equal Opportunity employer.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Hospitals
• Education Level: High school or GED