AdventHealth Patient Financial Services Supervisor in TAVARES, Florida
Patient Financial Services Supervisor AdventHealth Waterman
Location Address: 1000 Waterman Way Tavares, Florida 32778
Top Reasons To Work At AdventHealth Waterman
Career growth and advancement potential
Health Insurance Coverage
High quality of life with low cost of living just outside of Orlando, Florida
You Will Be Responsible For:
Monitors A/R by reviewing all payer account listing logs, including credit balance reports, ensuring accounts reaching days in A/R over 60, 90 and 150 are processed, and identifies barriers causing payment delay. Follows up as appropriate with payors, government agencies, third-party vendors, ancillary areas and contract manager for resolution. Reports all issues identified at Joint Operations Committee (JOC) meetings/state meetings for governmental or regulatory agencies. Communicates regularly with government payors to ensure proper reimbursement on patient accounts. Monitors A/R issue reports and participates in conference calls with payors to expedite resolution of accounts.
Manages financial reports on a weekly and monthly basis and all accounts pending discharged not final billed (DNFB) and RMAU (report) on a weekly basis ensuring timely billing per payor requirements and federal regulations; escalates as needed to resolve issues holding accounts and provides accurate statistical records and reports. Facilitates the reviews and follows up for all government audited claims to ensure necessary adjustments have been applied accurately and that billing and appeals process guidelines and procedures have been completed accurately and timely. Monitors outcomes and resolutions on identified accounts.
Plans, develops, organizes, and manages all Managed Care, Government, Medicare, and Medicaid payor staff in the daily operations of working payments, denials, correspondence and credit balances. Responsible for all Insurance Reimbursement outcomes and follow up for assigned payors. Monitors receivables of Government, Medicare, and Medicaid payors to ensure timely, accurate claims submissions and reimbursement. Coordinates the management of third-party vendors’ relationships to ensure account flow and performance is aligned with FH PFS protocol, standard operating procedures, and policies.
Establishes and maintains working relationship with all payors, staying in constant communication with provider representatives/contract managers, ensuring contract language is followed, and if not, appropriate action is taken with contract management. Maintains effective good rapport with Case Management, Utilization Management, Health Information Management, and ancillary partners. Manages rapport with government agencies to stay updated on applicable programs and obtain updates and changes to policies and procedures of state regulatory requirements and laws. Analyzes effect on department operations.
Focuses on process improvement strategies with special focus on Insurance Reimbursement outcomes to protect financial standing of Florida Hospital. Holds self and staff accountable for individual and team goals set by PA/PFS Department. Evaluates staff at 90 days and annually in accordance with regulatory standards including giving constant feedback on productivity and any disciplinary action that is required including HR when appropriate. Ensures monthly audits are in place for quality assurance and meets with team members regularly to discuss outcomes. Performs job responsibilities in keeping with the Standards of Leadership protocols and values.
What You Will Need:
KNOWLEDGE AND SKILLS REQUIRED:
Uses discretion when discussing personnel/patient related issues that are confidential in nature.
Responsive to ever-changing matrix of hospital needs and acts accordingly.
Self-motivator and quick thinker.
Proficient in performance of basic math functions.
Proficient in time management with superior prioritization skills
Ability to communicate professionally and effectively in English, both verbally and in writing.
Servant Leadership skills, and results oriented
Ability to favorably influence team to accomplish goals
Secures business results in the area of FH Extending Excellence model (Team, Clinical, Service, Market, Finance)
Familiar with Microsoft Office Suite and Revenue Cycle software.
EDUCATION AND EXPERIENCE PREFERRED:
Five years’ experience (including two years supervisory experience) in Patient Access/Patient Financial Services department or related area (registration, finance, collections, customer service, medical office, or contract management).
Continuing education in Business preferred
Under general direction, manages all functions of Billing and Insurance Reimbursement areas. Maintains working relationship with all payers, staying in constant communication with provider representatives/contract managers. Monitors A/R by reviewing all high dollar accounts and ageing to identify barriers causing delay in payment. Reports all issues identified at quarterly JOC meetings/state meetings for Governmental Agencies. Performs managerial duties in the absence of Manager. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. Adheres to Florida Hospital Waterman Corporate Compliance Plan and to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies. Ensures team success in meeting and exceeding accuracy and productivity goals set by PA/PFS department. Specifically takes responsibility for patient satisfaction and employee engagement scores, meeting goals set by Florida Hospital and PA/PFS department.
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.