Supervisor Accounts Receivable - Hybrid - Museum District

Supervisor Accounts Receivable - Hybrid - Museum District

At Houston Methodist, the Supervisor Accounts Receivable position is responsible for overseeing the processing of all third party claims for inpatient and outpatient primary and secondary claims for professional billing. This includes claim edits management, claim submission, payer follow-up, denial review, appeal submission and adjudication. The Supervisor Accounts Receivable is also responsible for monitoring and improving all revenue cycle metrics and measures for their respective departments, including but not limited to the following: AR days, aged AR, cash collections, denials, avoidable write-offs, staff productivity and work quality, credit balances.

The supervisor position responsibilities include overseeing the daily work activities of the work unit/department staff, ensuring quality, productivity, functional excellence and efficiency. This position trains and supervises staff while maintaining adequate staffing levels and budget compliance. This supervisor position contributes to staffing decisions such as hiring, coaching and counseling employees on work related performance. This position assists in the development and implementation of policies and procedures to ensure a safe and effective work environment. Other duties for the supervisor position include participating in performance improvement activities, as well as providing support for department management to achieve operational goals. This position may also perform staff duties and responsibilities as needed.

FLSA STATUS Exempt

QUALIFICATIONS

EDUCATION

• High School diploma or equivalent education (examples include: GED, verification of accredited homeschool equivalency, enrollment or completion of post-secondary education, etc.)
• Bachelor’s degree preferred

EXPERIENCE

• Five years of experience of healthcare experience in revenue cycle, of which one year must have been in a supervisory role; for internal candidates, four years of healthcare experience in revenue cycle with HM performance that demonstrates progressive leadership abilities

• SKILLS AND ABILITIES

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations

• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security

• Ability to effectively communicate through a variety of channels with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles; engages the recipient(s) and helps them understand and retain the message

• Demonstrates the ability to interact with others in a way that gives them confidence in one’s intentions and those of the organization

• Demonstrates leadership qualities and critical thinking through self-direction initiative, effective interpersonal skills, and oral/written communication skills

• Ability to identify and understand issues, problems and opportunities; and recommend solutions

• Ability to work effectively in a fast paced environment

• Demonstrates flexibility and adaptability in the workplace

• Knowledge of payor regulations and requirements for professional fee revenue cycle

• ESSENTIAL FUNCTIONS

• PEOPLE ESSENTIAL FUNCTIONS

• Participates in management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees in the department. Provides development and mentoring of staff. Ensures that all department staff are properly trained and comply with all policies and procedures. Assists with meeting or exceeding threshold goal for department turnover.

• Consults with department leadership on coaching/corrective counseling and staff performance to achieve desired outcomes. Conducts new hire feedback sessions and provides recognition/commendations, as appropriate.

• Creates and maintains an environment of collaboration by role modeling teamwork within the department. Effectively interacts within and between departments ensuring seamless flow of information/communication. Role models clear and professional communication to facilitate problem resolution to achieve mutual understanding. Teaches others to critically think by verbally expressing rationale for decisions and follows up consistently.

• Meets or exceeds threshold goal for department and/or system metrics on employee engagement indicators.

• Oversees daily revenue cycle functions and acts as front line leader to answer staff questions and prioritize follow-up efforts.

• Leads pod meetings to help identify revenue cycle trends

• SERVICE ESSENTIAL FUNCTIONS

• Oversees daily department operations, schedule and activities. Sets priorities and functional standards, giving direction to staff as necessary to ensure the best possible delivery of service and high customer/patient satisfaction.

• Organizes the workflow, proactively problem solves, anticipates needs, and manages multiple ongoing priorities. Provides reports to management of needs, issues to be addressed, and all important information necessary to ensure department success. Serves and actively participates on various committees as directed

• QUALITY/SAFETY ESSENTIAL FUNCTIONS

• Ensures a safe and effective working environment; assists in monitoring and/or revising the department safety plan and/or any specific accreditation/regulatory agency required safety guidelines.

• Uses and optimizes information systems to enhance operations; participates in performance improvement and data management/analysis functions as directed.

• Employs a proactive approach in the optimization of positive outcomes by monitoring and improving the department workflow, supporting peer-to-peer accountability, and identifying solutions via collaboration. Role models situational awareness, using teachable moments to improve safety. Participates in investigations as a result of the root cause analysis process as assigned by manager.

• Monitors self and ensures employee compliance with policies, procedures, and System HR Standards of Practice and performs associated actions upon non-compliance (i.e., focal point review requirements, disaster plan, in services, influenza immunization, wage and hour, standard hours, timely termination submission, timely timecard approval, etc.).

• Responsible for conducting quality review of revenue cycle accounts receivable staff output.

• Ensures the protec