Account Representative Supervisor
Employment Type : Full-Time
Description
Account Representative Supervisor
Location Address: 900 Winderley Place, Maitland FL
Top Reasons to work at AdventHealth
- Career growth and advancement potential
- Full time hours with Benefits
- Conveniently located near i-4 and Apopka expressway 414
- We have Positive values with a productive and energetic atmosphere
Work Hours/Shift:You Will Be Responsible For:
Demonstrates, through behavior, AdventHealth Orlando’s service standards.
- Assist in the management of daily patient business office operations. Coordinates with Insurance payors to ensure proper reimbursement on patient accounts. Manages the participation in conference calls, review accounts receivable reports, and/or create reports to compile issues in order to expedite resolution of accounts. Is responsible for the employee performance evaluations for the staff.
- Responsible for examining and interpreting contracts to ensure patient accounts are properly reimbursed. Trends and reports any issues to leadership or as requested. Is well versed in the NUBC guidelines by maintaining an understanding of Federal, State, local and industry standards, guidelines, rules and regulations to ensure compliance. (Medicare, Medicaid, HIPAA, etc.)
- Reviews quality assurance reports with appropriate Leadership and staff. Creates, prepares and updates various weekly and monthly reports as assigned by Management within specified time frame. Analyzes and reviews statistical reports when requested by Leadership. Proactively identify opportunities for process and system utilization improvements.
- Specifically takes responsibility for patient satisfaction and employee engagement scores, meeting goals set by Florida Hospital and PA/PFS department. Develops action plans based on the employee engagement scores. Promotes an atmosphere of open communication for staff. Assists Customer Service with Patient concerns/questions to ensure prompt and accurate resolution is achieved.
- Provides continuing education of all team members on process and A/R requirements. Provides team members with tools and training needed to assist in meeting productivity and accuracy goals. Able to conduct interviews for open positions. Manages new hire training to ensure staff successfully meets 90-day standards. Coordinate and manage insurance claim event to reduce outstanding AR.
- Required to constantly ensure a high level of team productivity by proactively assigning and directing workload distribution amongst all team members. Enables staff to meet goals and deadlines by monitoring time management of staff. Limits use of overtime. Documents employee performance and attendance. Furnishing actionable feedback and performance improvement requirements to the staff. Offers suggestions on hiring.
- Monitors and assists team members regularly, providing feedback, ensuring both goals and job requirements are met as assigned by Supervisor and/or Manager. Trains inexperienced staff, performs audits of work performed, and communicates progress to appropriate Supervisor. Provides continuing education of all team members on process and A/R requirements
- Adheres to HIPAA regulations by verifying pertinent information to determine caller authorization level receiving information on account.
Qualifications
EDUCATION AND EXPERIENCE REQUIRED:- Associate Degree in Business, Healthcare or related field
- Three years of experience in a Revenue Cycle department or a related field, such as, registration, finance, collections, customer service, medical, or contract management with a minimum of two years working collections on HMO, PPO or Government claims
- One-year lead or supervisory experience
OR- Five years of experience in a Revenue Cycle department or a related field, such as, registration, finance, collections, customer service, medical, or contract management with a minimum of two years working collections on HMO, PPO or Government claims
- One-year lead or supervisory experience
KNOWLEDGE AND SKILLS REQUIRED:- Ability to use discretion when discussing personnel/patient related issues that are confidential in nature.
- Ability to be responsive to ever-changing matrix of hospital needs and act accordingly.
- Self-motivator, quick thinker.
- Proficiency in performance of basic math functions.
- Capable of communicating professionally and effectively in English, both verbally and in writing.
Job Summary:
Under management, assist in the management of daily patient business functions of all insurance collections, denials and billing areas and teams. Ensures proper reimbursement on patient accounts, identifying error trends and reporting to leadership as needed. Ensures proper billing and follow up on patient accounts timely. Coordinates with Insurance payors and interprets contracts to ensure proper reimbursement on patient accounts. Proactively identifies opportunities for process and system improvements. Ensures team success in meeting and exceeding accuracy and productivity goals set by Patient Access/Patient Financial Services department. Responsible for employee performance evaluations. Specifically takes responsibility for patient satisfaction and employee engagement scores, meeting goals set by AdventHealth, Central Florida Division South, and Patient Access/Patient Financial Services department. Performs managerial duties in absence of Manager.
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.