Patient Account Supervisor - Sheridan Memorial Hospital - Sheridan, WY

Sheridan Memorial Hospital

Full Job Description

ABOUT SHERIDAN MEMORIAL HOSPITAL

Sheridan Memorial Hospital is a progressive, state-of-the-art facility nestled beneath the Big Horn Mountains in beautiful Northeast Wyoming. Founded over 100 years ago, Sheridan Memorial is licensed for 88 beds with over 60 physicians who provide primary medical care and specialty care in more than 15 areas. We are proud of our more than 700 employees who provide personalized, patient-centered care in a healing environment. When people think of excellent healthcare, they think of Sheridan.

JOB SUMMARY

Supervises and coordinates activities which relate to the hospital Patient Accounts Department. Area of responsibility includes all patient accounts to include accounts which have been determined to be bad debt, or in need of attention by the collection department. Maintains software associated with Cerner Revenue Cycle to ensure that the software is functional at the local level for billing and Charge Services functions.

ESSENTIAL JOB FUNCTIONS

  • Supervises billing and collection activity and serves as a resource person for billing matters and for issues involving reimbursement from third party payers.
  • Supervises and evaluates staff within the Patient Accounts Department.
  • Demonstrates the ability to direct and coordinate the patient accounting function in order to consistently produce accurate bills that are paid in a timely manner.
  • Monitors activities continually with collection agencies, insurance companies, Admitting, Health Information.
  • Management Services, Information Systems, patients and physicians; coordinates operation and recommends corrective action, as appropriate.
  • Monitors daily the GL Default Error report In Cerner Revenue Cycle, correct transactions as needed at the encounter level and makes appropriate changes to the Cerner GL Set up as necessary.
  • Reviews and approves refunds.
  • Effectively utilizes and understands Cerner Revenue Cycle software in order to realize its optimal potential and to be able to evaluate and answer staff member questions regarding the mechanics of the system.
  • Is a key in the maintenance and development of Cerner Revenue Cycle software modification, coordinating with the CFO and or Director of Revenue Cycle and information Systems Manager and contract vendor areas noted.
  • Coordinates with other departments in review of appeals for payment, gathering added documentation to support pursuit of an appeal as needed. Works effectively with auditors as required; demonstrates cooperation and responsiveness.
  • Has good working knowledge of APCs, DRGs, CPT, HCPCS, ICD-9-CM, ICD-10 and other coding classification systems and their impact on billing processes.
  • Maintains a current awareness of third-party reimbursement regulations and contractual arrangements with third party payors.
  • Coordinates with appropriate staff regarding changes in billing charges in the Cerner Pricing Tool or when new charges are to be established.
  • Holds staffing levels in the billing/collection areas at a functional minimum. Oversees staff productivity and efficiency.
  • Alerts the CFO and/or Director of Revenue Cycle of staffing issues or concerns.
  • Prepares staff work schedules to insure maximum coverage consistent to workload demands.
  • Encourages staff to work in a manner that is consistently responsive to patient/customer needs.
  • Consistently demonstrates good organizational skills in the routine accumulation of information and reports it to the Controller/Administration in an accurate and timely manner.
  • Oversees and monitors patient accounts referred to outside collection agencies for the collection of outstanding patient account balances.
  • Effectively maintains all required records for the department; demonstrates good organizational skills.
  • Continually works toward establishing an environment within the department promoting increased use of computer technology and more effective methods.
  • Conducts staff training and direction consistent with existing Corporate Compliance Plan.

Supervisory duties and responsibilities include:

  • Writes and conducts annual performance appraisals and ensures regular feedback, coaching, and communication with group.
  • Ensures high level of performance standards and achievement to meet organization needs and business goals.
  • Provides development opportunities for staff to broaden and enhance skills and abilities.
  • Administers organization policies and procedures.
  • Ensures compliance with safety policies and good housekeeping.
  • Manages initial training of new employees and ongoing training as required.
  • Promotes an environment that fosters team work and commitment to satisfy customer requirements.

POSITION QUALIFICATIONS

Education / Experience / License and Certifications

  • High school graduate, with college degree in Accounting or Business Administration preferred.
  • Five or more years of previous hospital experience in all aspects of patient accounts functions.
  • Knowledge of JCAHO and state regulations for both acute and skilled nursing facilities.
  • Ability to work with physicians in a collaborative manner.
Sheridan Memorial Hospital is an equal opportunity/Affirmative Action employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, national origin, disability or protected veteran status. If you’d like more information about your EEO rights as an applicant under the law, please click here.
Specific demands not listed: Possible exposure to blood and or body fluids / infectious disease / hazardous waste requiring the use of Personal Protective Equipment. Exposure to odorous chemicals / specimens and Latex products.
Pre-employment drug and alcohol screening is required.

Source:

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