Supervisor, Patient Financial Services

Supervisor, Patient Financial Services

Join PrairieCare: Transform Lives Through Meaningful Work! Are you ready to embark on a rewarding career in psychiatric healthcare? At PrairieCare, we are passionate about delivering exceptional mental health services to individuals in need. Our comprehensive approach covers the entire spectrum of care, creating a wealth of diverse roles for those who aspire to make a real impact. We believe in nurturing talent and fostering professional growth in a supportive environment. Here, you won't just find a job-you'll discover a fulfilling career path in the mental health field. If you're eager to contribute to a mission-driven organization and help change lives for the better, we invite you to join our dedicated team at PrairieCare. Together, we can make a profound difference in the lives of those we serve!

Responsibilities

The Supervisor, Patient Financial Services supervises the Patient Accounts Representatives and assists the Revenue Cycle Director in monitoring the daily operations of the department. Works collaboratively within the Patient Accounts team to make sure all visits and services are billed as accurately and timely as possible. Coordinates the day-to-day support for staff and department. Oversees, responsible for, and guides the day-to-day work of patient account representatives impacting front end operations of revenue cycle. Hires, trains, and performs 1:1 meetings with staff. Assists in any disciplinary actions and annual performance reviews. Ensures teams have the necessary tools and training to complete their work, and audit work for accuracy and timeliness. Assure that the 837, electronic claims batch process is run every day and work Avatar (EHR) error reports to clear pre-billing edits/errors, so that claims can be released to Affinity/Payers. Work closely with our third-party billing system to ensure communication on all Payer contract changes or new billing requirements to enhance the accuracy and ease of claims billing. Work closely with patients, guarantors and families to answer questions about insurance issues, claims processing/adjudication information and advocate for payment with Insurance Payers. Provide exceptional customer service to external customers as well as internal customers. Work and monitor Vericle billing tasks/tickets and claims as assigned; following up with appropriate staff, providers and/or departments as necessary to resolve issues. Monitor and approve past due self-pay patient accounts for sending to third party collection agency. Work closely with Utilization Review (UR) when services are denied for no authorization, out-of-network or require UR to provide clinical information to an Insurance Payer. Provide as much direction as appropriate in guiding patients, guarantors and families of how to work with their insurance companies to get accurate and specific benefit information. Process insurance refunds as directed. Assist with training and cross-training of positions within the Patient Accounts Department to provide good cross-coverage and support for absences and vacations.

Qualifications

Prefer 2-year Associates degree in accounting or related field or equivalent work experience. Requires 3 or more years of prior claim submission (billing) requirements with a working knowledge of CPT/HCPCS codes, REV codes, ICD-10 Diagnosis codes and regulatory requirements Requires prior medical accounts receivable experience, working with insurance companies and patients regarding claim submission and payment activities Ability to read and understand Payer remittance advice, the patients' Explanation of Benefits and other payer related communications Keyboarding skills and basic math skills Proficiency using Microsoft Office products such as Word, Excel and Outlook The salary range is $58,211 to $81,495 depending on experience and education. Benefit options include: Medical/Dental/Vision Company paid life insurance Paid time off including sick time Voluntary Short term and long-term disability 401K with company match Flexible spending accounts Tuition Reimbursement Student Loan Repayment PrairieCare Healthcare is an Equal Opportunity Employer. PrairieCare provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, genetic information, or any other characteristic protected by federal, state, or local laws. PrairieCare is committed to ensuring equal employment opportunity, including providing reasonable accommodations to individuals with disabilities. Applicants with a physical or mental disability who require a reasonable accommodation for any part of the application or hiring process are encouraged to email careers@newporthealthcare.com for assistance. PrairieCare does not discriminate against any person on the basis of race, color, national origin, disability or age in admissions, treatment or participation in its programs, services, adolescents and their families. PrairieCare is an Affirmative Action Employer/Equal Opportunity Employer Offers of employment from PrairieCare are conditional and contingent upon successful clearance of all background studies.