About the role
Responsible for the upkeep and maintenance in relation to various aspects of the Payer/Plan, Organization, and Transaction master files within the financial health information system.
JOB SUMMARY The Supervisor, Patient Financial Services (PFS) provides management of administrative support teams to ensure that services provided meet the needs of the organization through ease of access, timely paper claim submission, customer service, cash posting and mail processing. This position is responsible to work collaboratively with hospital staff, PFS Manager, and contracted billing/collection services to coordinate account receivable activities.
In addition, the PFS Supervisor is the contact for PFS's financial information system. Key
Essential Function Apprises director of all activities, as well as pertinent changes in internal/external market, threats, and opportunities in a timely and anticipatory manner and presents action plans for immediate implementation/ approval. Maintains current awareness of customer's needs and meets standards and requirements in preparing and maintaining patient information in compliance with organizational and regulatory policies, procedures and standards.
Ensures that daily reconciliation for cash posting is completed and cash is posted. Maintains confidentially of patient, department and hospital information. Adheres to established department and organization policies in processing and releasing patient information (i.e.
HIPAA, Confidentiality, and Compliance Policies). Ensures compliance with applicable policies, standards, hospital and regulatory requirements and ensures that contacts with the public are conducted in a concerned, efficient and professional manner. Demonstrates knowledge and skills to perform technical functions and activities to support PFS department.
Develops various statistical analyses as needed, utilizing spreadsheets and database management. Monitors financial worklists to communicate issues and/or delays as they arise. Develops and states assumptions, gathers data regarding volume, revenue and resource utilization.
Evaluates and analyzes all sources of financial and other data used in forecasts or reports and documents. Coordinates the gathering of specific information from Accounting, Patient Financial Services, Managed Care, and other departments involved in the development of financial reports/analysis relating to the financial system. Completes data analysis to determine departmental training needs, needed processes, and prevention methods.
Plans and coordinates financial information system training as needed. Creates training material and job aides for the financial system Works as a main point of contact for end users hospital wide, as well as offsite vendors for purposes of troubleshooting and account resolution. Acts as a liaison between the IT department, end users, and clinics regarding specific financial application and interface issues.
Essential Function Ensures proper testing of new upgrades, service packs, and enhancements relating to financials. Responsible for the upkeep and maintenance in relation to various aspects of the Payer/Plan, Organization, and Transaction master files within the financial health information system. Works closely with the hospital Charge Master to identify charge related issues to determine long term resolutions.
Coordinates, plans and supervises cash posting, assembly, document scanning, copying, refunds, receptionist coverage, and data entry. Assigns employees to daily tasks; sets priorities and redirects employees to other tasks as the need arises. Oversees the work of staff and instructs them in daily processes and tasks.
Demonstrates knowledge of PFS processes and makes decisions which utilize resources effectively. Plans work schedules to provide adequate support at all times, assigns work and monitors workflow to provide adequate billing support services at all times through individual or cooperative activities. Compiles, prepares and maintains records, reports and files for administrative and compliance purposes.
Monitors department activities and recommends and/or implements changes as needed to improve services. Supervises, develops and motivates direct reports to ensure that a capable and productive staff exists within the support teams. Selects, orients, trains and develops staff to meet requirements set forth in department plan and ensure patient bills are processed in accordance with established organizational policies, procedures, billing requirements, and other regulatory/legal requirements.
Develops staff competencies to meet job requirements. Supervises assigned students. Evaluates performance and initiates corrective action as required.
Monitors department activities. Resolves complaints, conflicts and operational problems. Identifies problems, documents resolutions and communicates with applicable parties to ensure that operational issues are handled and resolved in a timely manner.
Recommends and/or implements changes to improve quality and/or efficiency within support team operations. Maintains a working knowledge of Microsoft applications and billing computer/information systems. Coordinates computer system to process patient accounts and obtain billing records in a timely and accurate manner.
Defines and communicates computer system specifications, changes, and problems. Investigates, troubleshoots, and analyzes system problems, requests for changes and/or enhancements in a timely manner. Provides technical direction and assistance to staff to provide continuous operations of information systems.
Provides follow-up and project/status updates to keep staff informed of system activities/issues. Assists in the implementation and the installation and upgrades of assigned systems/modules. To model the Regional Medical Center a Memphis’ mission and values at all times.
Physical Demands A thorough completion of this section is needed for compliance with legal standards such as the Americans with Disabilities Act. The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Physical Demand N/A Rarely Occasionally Frequently Constantly Weight Standing X Walking X Sitting X Lifting X Carrying X Pushing X Pulling X Climbing X Balancing X Stooping X Kneeling X Crouching X Crawling X Reaching X Physical Demands A thorough completion of this section is needed for compliance with legal standards such as the Americans with Disabilities Act.
The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Physical Demand N/A Rarely Occasionally Frequently Constantly Weight Handling X Grasping X Feeling X Talking X Hearing X Repetitive Motions X Eye/Hand/Foot Coordination X Qualifications Education Education Level Education Details Required/ Preferred Work Experience Experience Experience Details Required/ Preferred Minimum 2 years experience Directly related to patient accounting Required and At least 1 year experience Supervisory/Leadership experience Preferred and At least 1 year experience Experience in a union environment Preferred
Day