Job Title: Supervisor, Payment Processing
Department: Payment Processing
Reports To: Payment Processing Manager
FLSA Status: Exempt
Summary of Position:
Assists in all functions of the Billing, Provider Payment processes. Promotes and maintains exceptional customer service while maximizing productivity.
Job Responsibilities:
- Oversee the day-to-day functions of the Payment team to ensure critical daily/weekly/monthly goals are met or exceeded
- Meet operational standards by contributing to strategic plans and reviews; implement and track production, quality and customer service standards; resolve problems and identify billing system improvements
- Run weekly ad hoc reports for executive management; prepare and submit MD&A bi-weekly
- Accomplish department objectives by measuring results against plan; evaluate and improve processes; make necessary changes
- Troubleshoot billing and insurance issues with peer groups. Actively participate in meetings by providing input and embracing best practice philosophy
- Recruit and retain high performing employees that will drive results by achieving individual and departmental goals
- Guide employee actions by researching, developing, writing, implementing and updating policies, procedures and guidelines
- Set and track production standards for each task in the department. Follow disciplinary steps as necessary when standards are not met.
- Oversee the timely processing and posting of denials and payments, ensuring ERS exceptions are consistently maintained. Collaborate with Customer Service and Accounts Receivable Departments on payment inquiries
- Ensure refunds and checks are processed by deadline
- Report weekly department updates to Leadership
- Research departmental issues, conduct root cause analysis, and present mitigation plans to leadership
- Ensure mapping is current in Imagine
- Oversee and ensure the timely and accurate completion of all daily cashiering operations, including cash handling, deposit preparation, and bank deposits.
- Maintain ownership and accountability for all bank reconciliations related to BankingQ, ensuring they are completed accurately, timely, and any discrepancies are identified and resolved
- Ownership of Payment Processing rejections (Claim Review) in Imagine; ensure staff is trained and working rejections
- Ownership of Provider Enrollments for STRIC and STRG
- Ensure Imagine and Waystar/Phicure work queues are current
- Ensures staff evaluations and performance management/discipline are carried out in a timely fashion
- Meet regularly with each employee with focus on quality, individual performance and employee satisfaction
- Remain knowledgeable of trends in governmental and non-governmental insurance billing regulations
- Consistently display initiative in all aspects of the position
- Meet weekly with department leads for updates r/t status of duties
- Contribute in a positive manner to the team culture
- Perform other duties as required
Supervisory Responsibilities:
- Payment Processors
- Leads, Payment Processing
- Patient Accounts Specialist
- Cashier
Experience / Skill Requirements:
- Prior experience in healthcare billing, with a strong working knowledge of payment/refund processes, deposit reconciliation, and payment investigation is preferred. Accounting knowledge is a plus.
- Excellent written and verbal communication skills
- Organized and detail oriented
- Intermediate knowledge of Microsoft Office Suite (Excel, Word, etc.)
- Must be able to multi-task and work in a fast-paced environment
- Knowledge of CPT, ICD-10 and modifier codes preferred
- Excellent customer service to internal and external customers
- Maintain confidentiality
- Is a mode of diplomacy and good judgment
Education:
College degree in Business, Finance, Healthcare or related field preferred, or equivalent work experience in lieu of degree