This position is responsible for supervising the claims and AR resolution of the EMHS Patient Account Services in a Centralized Business Office environment. This position is responsible for the claims and AR resolution processes in accordance with regulatory and contractual obligations. This position works directly with management to ensure the people, processes, and technology are in agreement with the functionality for an optimum revenue cycle workflow. In addition, this position is accountable that all responsibilities are in accordance with policies, procedures, and applicable laws; including metrics related to productivity and quality. This position works closely with management in the revenue cycle within EMHS to provide appropriate claims and AR resolution oversight and feedback that ensures EMHS's continued success in revenue cycle management.
Education and Experience
•Associate's degree and at least three (3) years of supervisory experience required OR in lieu of degree,at least 3 years of working experience in a healthcare revenue cycle business management role.Required Minimum Knowledge, Skills and Abilities
•Detailed knowledge of claims and AR resolution operations in a healthcare setting; multiple hospitals/physician practices preferred.
•Knowledge of medical terminology, Current Procedural Terminology (CPT), and International Classification of Disease (ICD) preferred.
•Must possess strong supervisory and problem solving skills.
•Working knowledge of all areas of the revenue cycle.
•Excellent professional communication skills; both oral and written.
•Ability to analyze financial and operating information to facilitate decision making.
•Proficient with Microsoft business applications.
•Experience with EMHS patient accounting software is preferred.
•Demonstrated ability to lead teams, complete time sensitive projects and work both independently and collaboratively.
•Flexible and able to lead change within department.
•In collaboration with the Manager, maintain high quality employees by way of recruiting, selecting, orienting, hiring, and regularly assessing quality of work.
•Supervise designated business office personnel.
•Provide employee performance feedback to the Manager and assist in the completion of the employee's evaluation.
•Under the direction of the Manager, all employees with an identified performance opportunity are promptly counseled and communicated to timely.
•Mentor direct reports while developing a succession plan.
•Ensure employees are adequately trained, supported, and coached for the development of the department and the individual's professional growth.Service
•Work closely by way of problem solving with peers and other revenue cycle departments to address payer issues or changes that directly impact the accounts receivable.Quality
•Ensure departmental procedures and performance standards are in place and adhered to consistently.
•Advises the Manager of issues which may require attention, and makes recommendations to changes needed.
•Assess staffing needs on a regular basis to ensure workflows are at the highest quality efficient levels.Finance
•Supervision of all daily operations of the claims and AR resolution team.
•Supervise and monitor on a daily, weekly, monthly, quarterly, and yearly basis the key performance indicators to identify trends and recommend solutions.
•Assist in the development of team goals and objectives that adhere to the department and EMHS's financial performance objectives.
•Provide key and relevant information to the Manager for the fiscal month summary of changes in the accounts receivable.Growth
•Maintains personal knowledge base of current managed care trends, reimbursement methodologies, and other important payer payment factors.
•Maintain the knowledge of payer policies; attend local, regional, or national conferences/seminars to remain current.
•Certified Revenue Cycle Professional certificate within two years of employment.Community
•Demonstrate departmental desire to provide community benefits by way of charitable events or contribution outside the four walls of the department.
Passion: We demonstrate a passion for caring for others and the pursuit of service excellence in all that we do.
Integrity: We commit to the highest standards of behavior and doing the correct thing for the right reasons.
Partnership: Working together in collaboration and teamwork is more powerful than working alone.
Accountability: We take a responsible and disciplined approach to achieving our priorities and responding to an ever changing environment.
Innovation: We are capable of extraordinary creativity and are willing to explore new ideas to achieve our healthcare mission.
Respect: We respect the dignity, worth and rights of others.Safety Requirements
•Assist in maintaining a work environment free from recognized hazards that create a risk or injury to employees, patients, or visitors
•All accidents and incidents are reported by employees within 24 hours and supervisor to submit properly investigated report timely
•Ergonomic evaluations are completed as needed
•When appropriate, assist and support with the return of all workers with work related injuries and illness to gainful employment Physical Demands
•Sedentary: Exerting up to 10 lbs. occasionally, sitting most of the time, and only brief periods of standing and walking.
•Requires the ability to travel to member organizations as needed
Equal Opportunity Employment
We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status.