Supervisor - Clinic & Hospital Collections - Full Time Hybrid for AZ Residents Only

Kingman Regional Medical Center•Kingman, AZ

2d•Hybrid

About The Position

This position is responsible for supervising the activities of Physician Services Support and Patient Financial Services in all areas of collections. The role involves performing Quality Control in all areas of the insurance collection process to help protect the organization’s financial interest, ensuring errors are corrected and account resolution is sought. The supervisor will maintain positive interaction with staff and departments to advise and assist with requirements. All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision of providing the region’s best clinical care and patient service through an environment that fosters respect for others and pride in performance.

Requirements

High school diploma or equivalent
Three years’ experience in insurance billing including electronic transmission of claims
Understanding of government payers reimbursement
One year lead or supervisory experience

Nice To Haves

College level education
Clinic or hospital business setting experience

Responsibilities

Regularly directs the work of two or more full time employees.
Interviews and selects personnel, recommends promotion, corrective action, and termination of employees as needed.
Handle employee complaints and grievances.
Supervises the activities of Physician Services Support and Patient Financial Services in all areas of collections.
Performs Quality Control in all areas of the insurance collection process to help protect the organization’s financial interest.
Ensures errors are corrected and account resolution is sought.
Maintains positive interaction with the staff and departments to advise and assist with the requirements.
Effectively delegates and assigns duties, responsibilities, special assignments; plans to meet the needs of the department’s customers; communicates effectively with other departments and services; participates in the Hospital’s committees and meetings as requested or needed; assesses current volumes, and projects/plans for future service needs; establishes operational goals and objectives; evaluates achievements at least annually.
Randomly audits collections and remits using sampling techniques to ensure accuracy; coaches employees for improvement where necessary based on predetermined parameters; ensures that requirements are obtained as required and that insurance authorizations are effective during the admissions process; deals with insurance company provider representatives when issues effecting cash flow arise.
Assists with the development and implementation of policies and procedures for the department; assists with preparing policies and procedures for approval; evaluates the team’s performance according to current industry principles in order to maintain and improve the level of care and results of the patient; oversees and supervises all aspects of collections; establishes, maintains and reviews quality control; responsible for adding necessary and appropriate new services for overall good practices; assists with managing departmental safety and sanitation standards; ensures safe and sanitary conditions; provides supervision of the team’s preventative maintenance program and works with the appropriate personnel to ensure that equipment is safe, operable and meets regulatory standards; maintains knowledge of and compliance with regulating/accrediting agency requirements; works “front line” duties when necessary; maintains departmental records for all area of responsibility; performs any other duties as assigned by the CBO Collection Manager or other superiors.
Plans, organizes, coordinates, and controls the systems by which patients billing information is developed, processed and maintained; ensures that the design of these systems provides for timely, courteous and accurate behavior of staff providing these services at all times; monitors and evaluates the quality of the collection teams and assists with making improvements where they are needed.
Develops and revises job descriptions for teams’ positions as needed; interviews, selects and hires new or replacement staff to fill approved positions; deals effectively, courteously and professionally with reporting staff, peers and superiors, as well as with patients and visitors; effectively utilizes positive reinforcement to motivate staff and instill confidence; effectively utilizes employee improvement and corrective action methods when necessary; schedules work hours and assignments for employees of assigned teams to meet the needs of the department’s customers; administers hospital and department policies and procedures; assists with the employee appraisals and personnel action requests within 30 days of due date.
Provides opportunities for self and staff development through orientation in-services, education, and needed training; maintains professional qualifications and remains abreast of current developments and trends in collections and reimbursement processes; holds regular staff meetings to provide communication, direction, and education.
Provides/coordinates community and education programs as needed; responds to physician requests, monitors the effectiveness of the team’s services, and maintains a rapport with the Medical Staff members and their office personnel.