Lead Collection Spec, SMH

Rochester, NY

POSITION SUMMARY:

Provide supervisory and technical support to an Ambulatory Patient Accounts team. Oversees daily billing activities and maintains control over billing and follow-up procedures for the team. Ensure that all billing and payments are processed per payer regulations and contracts. Prepare and maintain daily, weekly and monthly quality indicators for the team members, identifying goals and areas that require attention and follow-up. Serve as a liaison between the department and ISD to ensure billing processes, programs and system generated reports are maintained. Assist the Outpatient Manager with planning and problem solving, goals and objectives for this area. Assist the Outpatient Manager by serving as a liaison between the department and other hospital departments in areas of customer service and satisfaction. Recognize and support the Strong commitment to service excellence.

TYPICAL DUTIES:

  • Provide overall supervisory and technical support and direction to the billing team. Provide and train staff to understand and adhere to contract language by payer for appropriate reimbursement to the hospital, and to ensure the accuracy of account reconciliation. In addition, the Operations Supervisor monitors compliance with timely filing requirements and takes corrective action if the guidelines are not followed.

  • With support of the Outpatient Manager, administers and coordinates hospital and departmental procedures relative to charges, billing, reimbursement and accounting functions

  • Maintain knowledge of all current third-party coverage, federal and state billing, reimbursement and compliance regulations and procedures

  • Serve as a focal point for answering questions and solving problems for difficult and unusual accounts, assist in problem identification and resolution

  • Review, compile, approve, and submit patient refunds and complete balance transfers

  • Review mid dollar 500.00-999.99 report for approval for write-offs

  • Ensure that requests for information from patients and external contracting agencies are responded to timely

  • Work assigned reports and work queues that target particular areas of the aged AR. Independently balance your workflow between collecting and adjustment.

  • Along with the Outpatient Manager develop goals, objectives and operating policies and procedures for the billing team. Develop cross training programs within the specific billing area for outpatient billing. Add policies and procedures to the Patient Accounts shared drive.

  • Ensure a positive working environment through suggestions on team building to promote heightened team morale.

  • Provide training, coaching and reinforce billing and customer service skills to team members to ensure exceptional service

  • Empower team members by providing the appropriate level of decision making

  • Recognize and reward team members for their contribution to the department

  • Seek feedback from other departments to improve processes and level of service within the department

  • Communicate with other SMH departments re: problem visits. (CIV, PSR’s)

  • Complete additional supervisory activities:

  • Complete performance evaluations for designated staff

  • Screen, review, interview and make recommendations for new hires

  • Handle time reporting requirements in accordance with state and federal regulations.

  • Address personnel disciplinary issues

  • Act as authority in the absence of the Outpatient Manager, exercising tact and good judgment.

  • Attend meetings and seminars in the absence of the Outpatient Manager when appropriate

  • Provide coverage for other teams when their Operational Supervisors are absent.

  • Soft coding as necessary

  • Work with Compliance to streamline processes and automate coding

  • Coding of CCI Edits

  • Coding of PBB accounts

  • Coding of genetic accounts

  • Other duties as assigned

  • Attend continuing education seminars offered by local payers, as well as by Medicaid and Medicare

  • Represent the department on various internal and external committees

  • Complete the mandatory leadership classes offered by the Hospital

  • Attend other internal training classes as needed (Microsoft Excel training)

QUALIFICATIONS:

  • Bachelor’s or Associate’s Degree in Business, Health Care Administration preferred

  • Related discipline and 3-5 years of relevant health care experience or an equivalent combination with 1 year of demonstrated leadership experience required.

  • Working knowledge of Microsoft Word and Excel and a general knowledge of researching information via using the web required.

The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University’s mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.

How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

Pay Range

Pay Range: $ 19.00 - $ 26.44 Hourly

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job’s compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

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Location: Strong Memorial Hospital
Full/Part Time: Full-Time
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