Supervisor, Payment Processing & Credit Balance

Job Title:

Supervisor, Payment Processing & Credit Balance Department:

Payment Processing & Credit Balance Location:

San Antonio, Texas (on site)

Reports To:

Revenue Cycle Manager FLSA Status:

Exempt Summary of Position:

Assists in all functions of the Billing, Provider Payment processes and Credit Balance Services. Promotes and maintains exceptional customer service while maximizing productivity.

Job Responsibilities:

Oversee the day-to-day functions of the Payment team to ensure critical daily/weekly/monthly goals are met or exceeded Meet operational standards by contributing to strategic plans and reviews; implement and track production, quality and customer service standards; resolve problems and identify billing system improvements Run weekly ad hoc reports for executive management; prepare and submit MD&A bi-weekly Accomplish department objectives by measuring results against plan; evaluate and improve processes; make necessary changes Troubleshoot billing and insurance issues with peer group. Actively participate in meetings by providing input and embracing best practice philosophy Recruit and retain high performing employees that will drive results by achieving individual and departmental goals Guide employee actions by researching, developing, writing, implementing and updating policies, procedures and guidelines Set and track production standards for each task in the department. Follow disciplinary steps as necessary when standards are not met. Ensure denials and payments are posted in a timely manner Collaborate with Customer Service and Accounts Receivable Departments on payment inquiries Ensure refunds and checks are processed by deadline Report weekly department updates to Leadership Research departmental issues, conduct root cause analysis, and present mitigation plans to leadership Ensure mapping is current in Imagine Ownership of Credit Balance and Payment Processing rejections (Claim Review) in Imagine; ensure staff is trained and working rejections Ownership of Provider Enrollments for STRIC and STRG Ensure Imagine and Waystar/Phicure work queues are current Ensures staff evaluations and performance management/discipline are carried out in a timely fashion Meet regularly with each employee with focus on quality, individual performance and employee satisfaction Remain knowledgeable of trends in governmental and non-governmental insurance billing regulations Consistently display initiative in all aspects of the position Meet weekly with department leads for updates r/t status of duties Contribute in a positive manner to the team culture Perform other duties as required

Supervisory Responsibilities:

Payment Processors Lead, Payment Processing Overpayment Recovery Specialist Patient Accounts Specialist Credit Balance Resolution Specialists Lead, Credit Balance Cashier Experience /

Skill Requirements:

Prior experience in healthcare billing, with a strong working knowledge of payment/refund processes, deposit reconciliation, and payment investigation is preferred. Accounting knowledge is a plus. Excellent written and verbal communication skills Organized and detail oriented Intermediate knowledge of Microsoft Office Suite (Excel, Word, etc.) Must be able to multi-task and work in a fast-paced environment Knowledge of CPT, ICD-10 and modifier codes preferred Excellent customer service to internal and external customers Maintain confidentiality Is a mode of diplomacy and good judgment

Education:

College degree in Business, Finance, Healthcare or related field preferred, or equivalent work experience in lieu of degree Attendance /

Work Schedule:

Maintaining and satisfying minimum attendance requirements is an essential function of this position, including working all full-time regular hours as established for this position and scheduled or emergency overtime. Full-time regular hours are defined as Monday through Friday, with after-hours or weekends as required. All employees in this job classification are required to satisfy this requirement. This job classification does not include "light duty" work or allow unpredictable or unrestricted absences.