Summary
Located in Franklin, Tennessee, Williamson Health is one of the South’s most exceptional health care systems with a 203 bed hospital (Williamson Medical Center), over 40 providers at our Williamson Health Medical Group locations, the Bone & Joint Institute and the Monroe Carell Junior Children’s Hospital Vanderbilt at Williamson Medical Center. Williamson Health offers comprehensive in-patient and out-patient services. We have more than 825 providers representing over 70 medical specialties and sub-specialties.
Williamson Health is a system where your talents will be valued and your skillset expanded. We are rooted in our promise to world-class, compassionate care for the residents of Williamson County and surrounding communities, taking exceptional pride in serving our community. We’re committed to empowering our employees to work in innovative ways and reserve time and space for curiosity, laughter and creativity. We value and support the diversity and cultural differences among one another and are committed to upholding an inclusive environment that appreciates the uniqueness of all individuals. Our values are at the heart of everything we do: respect for every individual, the health and total well-being of all people, human compassion and integrity. These shape who we are as an organization and are essential for delivering the highest level of culturally competent care and treatment of every patient, family member, visitor, physician and employee.
Williamson Health is pleased to offer a comprehensive benefits program, that offers you choice and flexibility, so you can take charge of your physical, financial, and emotional well-being.
o Medical, Dental, Vision
o PTO
o Retirement Matching
o Tuition reimbursement
o Discount programs
o FSA (Flexible Spending Accounts)
o Identity Theft Protection
o Legal Aid
Williamson Health is an equal-opportunity employer and a drug-free workplace.
POSITION SUMMARY
The Patient Financial Services Supervisor is responsible for collections supervises business office to ensure effective and efficient collections. This position is responsible for overseeing the day-to-day operations for collections, ensuring all team members are hitting established productivity and quality goals. This person will also work with other departments and leadership to identify root cause issues delaying insurance payments and help to resolve those issues to increase cash flow.
The Patient Financial Services Supervisor is responsible for billing staff to ensure effective and efficient billing of all hospital accounts. This position will reconcile daily import and exports of all billed accounts and ensure all accounts are billed out daily. The Patient Financial Supervisor will work with all responsible parties to increase the clean claim rate and reduce future failed or rejected claims. Understand Managed Care contracts and have edits built in patient accounting system or billing system to avoid revenue leakage
The Patient Financial Services Supervisor is responsible for monitoring and following up on claim denials and payment variances with insurance companies in a timely manner. Monitors, analyzes and makes improvement recommendations to management to avoid payment recoupments, denials and billing errors for various payers.
POSITION REQUIREMENTS
Formal Education / Training:
High School diploma or GED required. Strong working knowledge of Patient Financial Services with 2 years’ experience preferred. Must be detailed oriented while demonstrating the ability to multi-task maintaining efficient, organized and consistent outcomes.
Workplace Experience:
Prefer five years healthcare experience in patient financial services within a hospital setting or related area.
Equipment and Skills Training:
Telephone, Meditech System, scanning software, Fax, PT650, Label/Armband Printers, Copier, Passport, Cisco phone system, API time and attendance system, Event notification incident reporting system, Healthstream On-line training system, Excel, Word, Internet, PowerPoint.
Physical Environment:
Highly active office/clinical environment
Physical Effort:
Ability to accurately communicate in English both verbally and written. Prolonged sitting, standing, bending, consistent repetitive keyboard and terminal usage. Consistently work well under pressure and can function independently.
PERFORMANCE STANDARDS
- Coordinates daily operations of the Patient Financial Services department. The supervisor is responsible for providing guidance to the billing, follow-up, revenue integrity, denials and appeals. Recommends and implements process improvements to current processes in a cost-effective manner.
- Stays informed of new regulations and provider (HMO/PPO, etc.) requirements and develops written processes for the staff as necessary. Responsible for departmental communication of managed care requirements, and regulatory guidelines.
- Communicates effectively with staff through staff meetings, email, huddle and individually. Follows through with issues and responds to others in a timely manner with resolution
- Work independently while addressing situational challenges in a professional manner. Resolving staffing challenges and open consistent communication with the team so all are current with departmental operations, changes and hospital current events.
- Thorough understanding of current policies and procedures and ensure the team has a clear guidance around these procedures. Ensure individual education is provided for downtime processes and procedures. Assist with Policy and Procedure development, administration and modification to ensure best practice is maintained.
- Monitor the aging of accounts receivable by payor or ensure prompt payment. Work effectively with all payors to resolve problems. Identify and investigate billing problems. Formulate and implement solutions
- Staff education around expectations for quality work the first time, while exuding compassion and creating departmental cohesiveness. The individual establishment of goals, while aiding in education when gaps appear or complimenting individual and departmental achievements.
- Handles and prioritizes multiple tasks/responsibilities and completes any other job duties assigned by Patient Financial Services Manager and/or Director.
- Monitor claim denials via payer EOB’s and computer generated reports. File reconsideration requests and chart review requests with insurance as needed. Also, generate selection reports from various software applications to help identify denial trends and work with various departments to develop improvements or corrections are required.
- Works closely with the Asst. Director of Revenue Cycle,, Director of CIM and Director of Case Management to ensure that certain deadlines are met relative to the CMS RAC Audits utilizing the Meditech task and Denials Management software.
- Cooperates and interacts with supervisors, peers, other departments, and all customer groups demonstrating our commitment to “service”.
- Assist leadership with hiring, training, supervising, monitoring, evaluating, educating and discipline all patient financial service staff.