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Supv Billing & Revenue Patient AccountingCompany BAYSTATE HEALTH SYSTEM
Location Westfield, MA
Update 8 Day ago
Reporting to the Baystate Health Centralized Patient Accounting Department. Responsible for monitoring the day to day operational activities of the Patient Accounting Department at Baystate Noble Hospital. This includes overseeing the development and administration of the Claims Scrubber System, Customer Service, Cash Applications and A/R system to maximize optimal efficiency and insure the realization of cash and supervise the overall insurance reimbursement accuracy according to contractual obligations including but not limited to underpayments, overpayments and denials. Responsible for ensuring Medicare’s IPPS and OPPS Final Rules and other payroll requirements are seamlessly integrated into Baystate Noble’s System.
Certify timely and accurate billing of patient accounts in accordance with hospital policies and procedures and in compliance with state, federal and third party regulations. Responsible for implementing such practices and procedures as are necessary to insure continuing high levels of patient satisfaction. Involved in revenue cycle reporting and system testing for upgrades and new implementations. Maintains collaborative relationships with all staff both within and outside the department and has the authority to interact with those external and internal parties whose activities are seen as impacting or being impacted by Patient Accounting.
Adheres to system and department compliance policies, and any and all applicable laws and regulation. Performs other duties as assigned. Supervise the daily work activities of assigned employees and strive to achieve defined performance goals. Day to day supervision of all billing functions which include the claims scrubber system to insure medical necessity and compliance of all insurance claims submitted.
Directs the activities of staff that validates the insurance reimbursement integrity in accordance with contractual obligations. Daily responsibility to verify and validate all cash received from 3 rd parties are posted appropriately. Interacts with all hospital departments to assist in validating their charge master is compliant with all regulations. Supervises the customer service area to insure that patients receive the highest standard of assistance when they contact the staff by phone in in person.
Assists the Director in providing effective leadership and ensures all policies and procedures are efficiently carried out and take necessary steps to be in compliance with third party payers. Assist the Director in preparation of departmental goals and objectives for billing cash collection, claims integrity and revenue. Provides regular reviews and determines trends, system issues and discrepancies which will require action plans to resolve and improve process. Evaluate and make recommendation for changing priorities as necessary to ensure maximum representative productivity and unit performance.
Under the direction of the Director, provide staff supervision and development to assure productivity and quality of job performance. Provide feedback to staff members to correct and enhance. Will assist to insure smooth transition to the centralized office and conversion to Cerner Invision in 2018 In the absence of the Director will assume responsibility for operation of the unit. High School/GED Required Bachelor’s Degree in Business or Healthcare Preferred Comprehensive knowledge of all facets of Patient Accounting Operations required Minimum of 8 years of Patient Accounting Management experience Must exhibit strong leadership qualities with high degree of self-motivation and self-direction.
Demonstrates the ability to effectively communicate with the utmost dignity, compassion and respect in a diverse work environment in all levels of the work force. Hours/Schedule: Full time 40 Hours/Days Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.