Lead, Managed Care Billing & Collections

Powers Health; Munster (IN); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Wellness program

Retirement plan

Life insurance

Disability income protection

EAP

Fitness center discount

Tuition assistance

PTO

Rewards program

Job summary

Powers Health in Indiana is seeking a Supervisor Patient Accounting – Managed Care Billing and Collections to lead the daily operations of the Managed Care Unit. You will guide staff, monitor accounts receivable and denials, and drive process improvements to maximize reimbursement and compliance.

The role requires hands-on leadership, strong analytical skills and experience with Epic, managed care contracts, and denial management.

Qualifications

• Bachelor’s degree in Business, Finance, Healthcare Administration, Accounting or related field.
• 2-5 years of progressive experience in Patient Financial Services, Revenue Cycle, Medical Billing or related healthcare environment.
• Prior team lead or supervisory experience preferred.
• Experience with managed care billing, collections, denial management and accounts receivable required.
• Working knowledge of managed care contracts, payment methodologies, fee schedules, and contract compliance.
• Experience using Epic required.
• Strong analytical, financial reporting and problem-solving skills.
• Intermediate to Advanced level of proficiency with MS Outlook, Word, Excel and other computer system applications.
• Excellent problem solving, organization and analytical skills.
• Strong written and verbal communication skills.
• Ability to lead multiple priorities while meeting deadlines in a fast-paced healthcare environment.
• Epic proficiency or certification preferred within the introductory period.
• Demonstrated leadership skills.

Responsibilities

• Supervise the daily operations of the Managed Care Billing and Collections team to ensure timely and accurate resolution of assigned patient accounts.
• Hires, trains, motivates and supervises assigned staff; conducts performance appraisals and recommends salary increases consistent within policies and procedures.
• Conduct regular staff rounding, one-on-one meetings and department meetings to communicate goals and operational updates.
• Ensure adherence to hospital approved policies, procedures, guidelines and state and federal laws regarding billing and collection activity.
• Develops and maintains a comprehensive training program to ensure the technical competence of unit personnel.
• Responsible for monitoring the status of payer contracts to ensure that payers remain in good standing and adhere to contract payment terms. Monitor and trend all payer issues related to payment, variances, and denials. Implement software or workflow changes to reduce denials and payment issues.
• Establishes and maintains monthly unit reporting for patient receivables and denials. Monitor individual and team productivity, quality and service standards.
• Develops and implements new or revised procedures for the billing and collection unit.
• Coordinates with and appraises other Patient Financial Services Supervisors for all new and/or revised procedures which may have an impact upon those functions.
• Maintains a thorough understanding of the hospitals HIS system and bill scrubber software functions. Demonstrates understanding of relationships between programs and job functions.
• Recommend, implement and maintain Epic software changes and enhancements to improve workflow and efficiency.
• Maintains a thorough understanding of the hospital's scanning and archiving software.
• Maintain a thorough understanding of Epic and payer contracts, contract terms, rates, and fee schedules. Responsible for timely Epic Contract Management build, testing and maintenance within Patient Financial Services. Coordinates with the other departments to insure software requirements are coordinated appropriately.

Skills

Leadership

Communication

Analytical skills

Problem solving

Time management

Education

Bachelor's degree

Tools

Epic

Job description

Powers Health in Indiana is seeking a Supervisor Patient Accounting – Managed Care Billing and Collections to lead the daily operations of the Managed Care Unit. You will guide staff, monitor accounts receivable and denials, and drive process improvements to maximize reimbursement and compliance.

The role requires hands-on leadership, strong analytical skills and experience with Epic, managed care contracts, and denial management.