Job Summary:Supervises assigned staff. Directs and coordinates business operations for Patient Financial Services. Participates in and collaborates on Region-wide activities relating to areas of responsibility.Essential Responsibilities:
Plans, coordinates, directs, and supervises activities of assigned patient financial servies area. Delegates, monitors, and evaluates activities of assigned staff to ensure accuracy and efficiency of business operations. Coordinates and facilitates monthly department meetings. Develops and implements business operations process changes. Implements work plans and efeciency improvement strategies. Promotes and supports processes, programs, and methods to enhance quality of service. Develops and monitors use of process improvement tools to ensure efficient, productive, quality work flow and environment. Develops procedures and documentation. Prepares and maintains statistical data on incoming work and identifies potential operational problems.
Analyzes history of delinquent accounts; determines whether account is collectible; prepares write-off accounts; attaches pertinent information to assist outside attorney; submits to manager for review; summarizes monthly write-off report. Communicates and corresponds with insurance carriers, intermediaries, members, in-service orientation to other departments/personnel; obtains complete and valid information. Processes problem claims and bills. Solves other billing problems.
Provides information for and coordinates special projects/activities within area.
Contacts debtor and arranges interviews and collection of debt. Receives telephone calls and correspondence pertaining to charges and services, researches complaints and inquiries, and responds to patients in timely manner.
Hires, trains, supervises, counsels, disciplines, and terminates assigned staff as appropriate.
Communicates goals, objectives, accountabilities, priorities, and authority parameters to assigned staff.
Basic Qualifications:
Experience
Minimum three (3) years medical insurance claims processing and collections or related experience in the healthcare industry.
Education
Bachelors degree in business administration, related field, OR four (4) years of directly related experience.
License, Certification, Registration
N/A
Additional Requirements:
Demonstrated ability to perform diversified clerical functions and basic accounting procedures.
Demonstrated knowledge of business operations and organizational practices and procedures.
Demonstrated familiarity with medical charts and fee schedules.
Knowledge of medical terminology, CPT-4 and ICD-9-CM coding.
Demonstrated knowledge of and skill in word processing, spreadsheet, and database PC applications.
Demonstrated knowledge of and skill in adaptability, change management, conflict resolution, creativity, innovation, decision making, customer service, influence, interpersonal relations, oral communication, problem solving, quality management, results orientation, systems thinking, team building, teamwork, and written communication.
Demonstrated knowledge of state, federal and community agencies, insurance carriers, and intermediaries.
Preferred Qualifications:
Supervisory/lead or project management experience in a healthcare industry.
COMPANY: KAISERTITLE: Supervisor Patient Financial ServicesLOCATION: Honolulu, HawaiiREQNUMBER: 1281289External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.