Job Summary:

Woman’s Patient Accounting is seeking an experienced A/R Supervisor to oversee the workforce for Physician Practice Management and Ancillary insurance follow-up. A/R Supervisor is responsible for monitoring and overseeing the daily activities of the A/R team. Supervisor will monitor account inventory and ensure accounts are worked timely and accurately, review team’s quality and track productivity, and provide feedback and education to A/R team. The Supervisor will also monitor denial trends and work closely with insurance representatives, hospital departments, and Woman’s Managed Care to resolve denials and work on process improvements to avoid future denials. Candidate should be well versed in revenue cycle metrics and will be responsible for encouraging the A/R team to reach their goals.

Prior experience with EPIC and the ability to assist Patient Accounting in their transition from Meditech to EPIC is preferred.

Works closely with patients, physician offices (internal and external), practice and clinical managers, insurance carriers, collection agencies, Louisiana Department of Health and Huron, consultants and vendors, various departments and directors.

Job Requirements:

Degree in Business Management from an accredited college or university. Degree may be waived with five years proven practical experience in patient financial services.

Revenue cycle management experience required. Knowledge of principles of overseeing a patient accounting office required. Five years experience in revenue cycle management required.

Job Knowledge:

Requires considerable knowledge of professional billing and follow-up principles. Computer skills, excellent math, written, verbal, presentation and supervisory skills required.

Position-Specific Competencies:

• Participates in monthly Denial Task Force meetings.
• Compiles Variance Occurrence Report in Trac and utilizes the data to identify denial trends and offer suggestions to reduce future denials.
• Makes necessary adjustments to the patient's account in the billing module when analyzing individual insurance contracts.
• Determines if account was paid according to contract guidelines (i.e., correct payment amount, DRG payment).
• Creates automated reports and tools for effectively and efficiently analyzing the contract payment and timeliness of payments.
• Coordinates monthly provider meetings and serves as the primary provider contact for Patient Accounting.
• Prepares and monitors the Medicaid outlier payment requests.
• Makes any necessary changes to the patient's account.
• Works with billers to prepare and verify the Medicaid outlier request.
• Coordinates with Patient Accounting and Managed Care staff to clarify and interpret contract language.
• Notifies managed care department of analysis results to be incorporated into the scoring of managed care companies.
• Assists with monthly denial samplings.
• Appeals denials for medical necessity to Medical Directors after all efforts by Patient Accounting have been exhausted.
• Assists Director, Patient Accounting with special projects as they arise.
• Oversees the hospital's governmental follow-up initiative.
• Conducts weekly quality assessment and meets with staff to discuss quality review.
• Leads a daily staff huddle to educate team members on Medicaid policy and office procedures.

Hours:

Monday - Friday; Days

Pay Range:

$25.20 - $36.54