Job Details

Overview

Supervisor, Hospital Billing Childrens Wisconsin

Job Summary

Supervises the activities of the Hospital Billing Department relating to claims, follow-up, credits, variances, and denials for hospital based services. Primary responsibilities are for staffing plans, schedules, productivity, quality assurance, performance management, and coaching and development of staff. Works collaboratively with staff, peers, and department Manager to achieve goals set forth by Patient Financial Services leadership.

Essential Functions

• Ensures adequate staffing for the Hospital Billing functions for claims, follow-up, credits, variance, and denials. Monitors and approves PPL in accordance with organizational and departmental policy.
• Provides resource support to staff related to department responsibilities and operations as well as computer systems and procedures.
• In collaboration with the department Manager, develops productivity targets and reports to measure and assess the productivity of Hospital Billing staff. Reports out productivity measures to include unique accounts worked, account activity scoring, and dollars recovered per staff person. Assesses staff goals and makes adjustments based on business variables. Assesses individual staff performance related to productivity on a regular basis and utilizes action planning tools to help staff achieve productivity goals.
• In collaboration with the Revenue Cycle Training and Education Services teams, ensures the quality audit process is effective and representative of individual staff performance. Works with the Revenue Cycle Training Team to develop quality markers for audit and assessment, and to develop and maintain the audit tool.
• Responsible for the monitoring and delivery of performance feedback to Hospital Billing staff. Delivers productivity and quality feedback to staff on a regular (at least monthly) basis. Delivers feedback as well as training, business, and policy updates as needed. Utilizes the performance management tool to document performance throughout the year. Prepares staff reviews according to department practice and in collaboration with the department Manager. Delivers reviews to staff.
• Prepares corrective action and performance improvement documents for staff when needed. Collaborates with and obtains approval from the department Manager and the Human Resources representative for corrective action and performance improvement documents. Delivers corrective action and performance improvement feedback and documents to staff.
• Daily monitoring of billing reports and dashboards to ensure debit and credit receivables are worked in a timely and efficient manner. In particular the Hospital Billing Supervisor should on a daily basis review and interpret total candidate for bill, total denials, total credits, claim submissions including claim skips, claim runs, claim edits, and DNBs.
• Participates in the interview team for all new employees and supplies input to the department Manager on the selection of new employees. Orients new employees to the policies and procedures specific to the Hospital Billing department.
• Receives, investigates and responds to problems and/or questions from parents, physicians, payers and departments. Determines and initiates appropriate action or refers to appropriate personnel for follow-up.
• Assists in the development and encourages the adoption of process improvement changes that enhance the billing experience.
• Performs people management responsibilities for employees which may include but are not limited to: employee engagement, recruitment, performance management and development.

People Management Responsibility

• Performs people management responsibilities for employees which may include but are not limited to: employee engagement, recruitment, performance management and development.

Education

• Bachelor's Degree in Business Administration or a closely related field (Preferred).

Experience

• 2+ years of supervisory/lead experience in hospital or large physician office billing leading and working with teams and data collection and analysis, as well as the proven ability to manage multiple projects simultaneously. (Required)
• 2+ years requires proficiency in hospital patient accounting procedures usually acquired through two years of hospital accounts receivable collection experience. (Required)
• Computer related experience with spreadsheets. (Required)

Knowledge, Skills And Abilities

• Requires the ability to analyze problems relating to the efficiency of the billing and collection functions as well as resolve employee relations issues.
• Requires excellent communication skills in order to direct the work of, advise, and counsel employees.
• Requires excellent communication skills in order to effectively interact and work with employees from other departments and payer representatives in the resolution of problems.
• Analytical and critical thinking skills to make independent decisions in a complex fast paced environment.
• Excellent organizational skills required for prioritizing workload.

Required For All Jobs

• This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that may be requested in the performance of this job.
• Employment is at-will. This document does not create an employment contract, implied or otherwise.

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.

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