Access Specialist Supervisor

Southeast. Always the right career direction.

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 and pursues payments as appropriate.
• Responsible for timely billing and follow up of all balances related to 3rd party payors including government, managed care, commercial and special payors.

Minimum Experience Required

• Working knowledge of CPT and ICD 10 coding systems.
• Working knowledge of computers.
• Knowledge of HIPAA regulations

Minimum Experience Preferred

• Prefer 5 years of revenue cycle experience

Minimum Education Required

• High School diploma

Minimum Education Preferred

• Bachelor's degree preferred
• Coding Certification preferred

Required Skills/Abilities

• Excellent written, verbal and interpersonal skills.
• Ability to interact with customers in both hospital and clinic environments
• Demonstrated leadership skills
• Basic keyboard/typing skills
• Basic computer skills
• Calculator skills

Shift

Day

Shift Details

FTE

1

Type

Regular

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Equal Employment Employer

Southeast Health is committed to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Southeast Health will provide reasonable accommodations for qualified individuals with disabilities.