Patient Accounting Supervisor

13372 Enterprise Revenue Cycle - Patient Financial Services: Nine LakePointe PlzFull timeYes40Weekdays

PRIMARY PURPOSE

Regional leader responsible for the operational oversight of Medicaid eligibility and other coverage enrollment functions. Directly responsible for adding millions to regional reimbursement by ensuring the team maximizes opportunity to help patients qualify for Medicaid or marketplace coverage. Oversight of self-pay pre-arrival, point of service and program enrollment operations for all encounters in the region that may qualify for Medicaid or other coverage opportunities. Support the maintenance and modifications of applicable policies and workflows as needed.

Major Responsibilities

• Oversees day-to-day operations designed to complete eligibility assessments with uninsured patients across pre-arrival and point-of-service workstreams. Accountable for meeting productivity standards and KPIs focused on maximizing opportunities to determine program eligibility and initiate the process of applying for Medicaid, other coverage or financial assistance.
• ​Directly responsible for overseeing the end-to-end processes involved in helping patients apply for and secure Medicaid coverage. Manages and supports teams that operate under the authority to act on the patient's behalf throughout the Medicaid application process, up to and including representing patients at administrative appeals. Liaises and works closely with internal partners, legal counsel, county and state agencies to ensure compliance and continuity with the Medicaid application process.
• ​Accountable for meeting KPIs and performance targets focused on maximizing the success of coverage assistance processes, including but not limited to QA and productivity metrics, goals for gross-self-pay charges converted to Medicaid and AR management. Regularly assesses performance metrics to ensure compliance with workflow expectations and departmental policies.
• ​Manages cross-functional workflows designed to help reduce length-of-stay and achieve other organizational goals and initiatives.
• Oversees marketplace enrollment workflows and ensures Certified Application Counselors (CACs) are in compliance with the set of rules and regulations that must be followed in assisting patients with marketplace enrollment. ​
• Contribute to building and developing a highly effective team to provide oversight for staffing, performance management and regulatory support.​
• ​​Play an active role in the design and continuous improvement of all processes that ensure accounts are managed promptly and effectively to secure Medicaid or other coverage.​ Demonstrate accountability through contributing to continuous quality improvement ensuring metrics and key performance indicators are met and exceeded, specifically those focused on eligibility assessment completion and revenue generated from marketplace and Medicaid conversions.​
• Ensure optimal resource utilization and institute measures that result in greater cost effectiveness and efficiency in operations while ensuring high patient satisfaction.​
• Oversees day-to-day operations to include managing workflows, compliance monitoring, performance management, teammate development and scheduling and administrative functions.
• Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
• Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.
• Leads escalated aspects of direct report work to include teammate relation issues, recommending and approving teammate hires, performance evaluations of direct reports, KPI achievement, and patient complaints.

MINIMUM JOB REQUIREMENTS

Education

Bachelor's Degree

Certification / Registration / License

n/a

Work Experience

Typically, requires 3+ years of experience in revenue cycle operations, preferably in scope with health coverage eligibility and enrollment. Minimum of 1 years in supervisory role managing staff, reimbursement and receivables management

Knowledge / Skills / Abilities

Demonstrated leadership skills including project management, process improvement, problem-solving, decision making, prioritization, delegation, team building, customer service and conflict resolution. ​​

Strong interpersonal, communication and organizational skills.​

Strong background and knowledge in both hospital and revenue cycle operations/principles preferred.​

​Strong background and knowledge in program management, government health plans and regulatory compliance​

​​Experience in executing change and results based upon data analytics.​

Self-directed, flexible and ability to handle a high degree of pressure with effective time management

PHYSICAL REQUIREMENTS AND WORKING CONDITIONS

This position requires travel, therefore, will be exposed to weather and road conditions. ​​

Operates all equipment necessary to perform the job.​

Exposed to a normal office environment.​

Occasionally lifts up to 20lbs

DISCLAIMER

All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities.

This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position. Employees must follow any other job-related instructions and perform any other job-related duties requested by their leaders.

Pay Range

$26.10 - $39.15

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program