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Job Description Summary
Access Supervisor monitors all aspects of revenue cycle to include scheduling, physician orders, registration, charge entry, claims management, payment recovery and follow-up. Works closely with Compliance Coordinator to ensure that assigned clinic/staff is kept aware of changes in payor regulations and related fee schedules. Responsible for implementation and training of billing software to assigned clinic/client staff and provides ongoing education as necessary. Works closely with Med Staff Services to ensure that assigned clinic/client provider numbers and contracts are kept current. Monitors end of month process and balancing for clinic/client A/R and identifies A/R needing specific attention and/or guidance.
Job Description
Represent the Hospital Access Office in the role as a subject matter expert for revenue cycle items related to the designated department(s). (Other duties as requested)
Supervision:
Supervises staff and monitors employee performance.
Assists the department manager with Human Resource related issues, identifying staffing needs, interviewing and hiring staff.
Provides on-going performance feedback, address problems, orients and trains employees, verifies competency and identifies and suggests ways to develop skills.
Work with the department manager to develop strategic plans and programs for the Revenue Cycle team and ensure that goals and objectives of the team are properly defined and clearly established.
Determines disciplinary and termination actions.
Monitors workflow to assume highest levels of productivity for an engaged workforce.
Manage work queue performance by all parties, including department and third-party vendors.
Perform employee productivity audits.
Staff Resource:
Serve as a liaison to department and practice contacts to ensure that the Professional Billing team is meeting service levels and to address issues that may cause challenges to meet service level and KPIs.
Demonstrate continuous effort to improve operations, decrease turnaround times, streamline work processes, and work cooperatively and jointly to provide quality seamless customer services.
Contact providers or clinic staff to clarify information when necessary.
Ensures department is responsive to patient financial service needs and that patient complaints are resolved.
Accounts Receivable (Follow-up):
Monitors and oversees accounts receivable balances and activity management.
Ensures claims process is managed timely with proper adjudication procedures.
Works with the clearinghouse and third party entities when necessary.
Monitors timeliness and effectiveness of department activities, ensuring that outstanding patient accounts and accounts receivables are no more than the agreed upon limit and that bad debt is within target.
Resolve error reports/work queues as associated with the billing process, identify and report error patterns, and when necessary assist in design and implementation of workflow changes to reduce billing errors.
Access Management
Ensures all required patient data is obtained through interview process with patient or family members.
Provides billing information for verification and authorization for accurate and timely billing.
Ensures all required documents are explained, patient’s provided copies upon request, and appropriately signed for Treatment, billing and follow up.
Oversees the collection of self-pay balances at time of service.
Oversees the communication of MYCHART information to patients and encourages enrollment.
Works collaboratively with other departments to ensure patients’/family smooth transitions and service.
Contacts providers or clinical staff to clarify orders or information as necessary.
Works closely with Order Tracking and In-house Insurance verification for pre-services completion.
Denial Management:
Responsible for claims denial management.
Monitor third party payments for compliance with contractual agreements…