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Collections Supervisor Exempt

MAJOR RESPONSIBILITIES/ESSENTIAL FUNCTIONS


Position Summary:

The Collection Supervisor is responsible for planning, coordinating, and managing the hospital collection team related to the activities required to ensure effective accounts receivable management, timely follow-up while maintaining satisfactory staff productivity levels. Responsibilities include direct supervision, providing guidance, training, mentoring, and following/implementing policies and procedures that ensure that compliance standards are met with all payers and involvement in the HPMC budget process as required.

Duties:

  • Supervise and Manage daily operations of the collection team
  • Maintain AR, monitor accounts to identify outstanding balances
  • Take appropriate action to insure timely payments
  • Monitor and assist with electronic payments and posting of funds
  • Resolve billing and payment disputes
  • Understand payor contracts
  • Identifies and works to resolve root causes of issues delaying payment
  • Ensure timely collector follow up with hospital AR
  • Escalate accounts to insurance when needed for immediate payment
  • Monitor and assist with underpayments and payor appeals are to be reviewed in a timely manner
  • Ensure AR is being adjusted timely to reduce AR days
  • Experience in Revenue Cycle,Payment, and Collections is a must
  • Manage, oversee, and monitor the collection process
  • Monitors employee’s productivity to insure quality and quantity objectives are maintained
  • Conducts team and individual staff meetings
  • Provides constructive feedback to staff
  • Must have Medi-Cal, Medi-Cal Managed Care and Medi-Cal Programs collection
  • Knowledge of billing and collections guidelines and requirements for government programs is a must
  • Monitor and maintain a clean claim rate
  • Identify claim edits, review and correct when necessary
  • Participate in the recruitment process for collection staff
  • Conduct training and on-going learning sessions


JOB QUALIFICATIONS


Minimum Education
(Indicate minimum education or degree required.)


  • High School Diploma


Preferred Education
(Indicate preferred education or degree required.)


  • Bachelors degree preferred


Minimum Work Experience and Qualifications
(Indicate minimum years of job experience, skills or abilities required for the job.)


  • Minimum of 3 years’ experience as a lead, supervisor or manager in a fast paced environment.
  • Previous experience overseeing financial activities with collections, claims and billing departments


Preferred Work Experience and Qualifications
(Indicate preferred years of job experience, skills or abilities required for the job.)


  • Minimum of 5 years’ experience in a business office setting required
  • 3 years medical billing, coding collections experience
  • Working knowledge of CPT-4, ICD-10 coding, DRG, revenue codes, government and private insurance, laws governing collection efforts as well as understanding the hospital billing and collections systems
  • Understanding payer payment methods including fee schedules, case rates, first and second dollar stop-loss
  • Healthcare contract analytics related to revenue cycle operations
  • Keen understanding of the claim adjudication process
  • Microsoft word, Excel, PowerPoint
  • Strong in analytics when working with active AR
  • Excellent written and communication skills
  • Ability to multi-task
  • Resolve escalated calls with payers and patients
  • Project Management is a plus
  • Prior experience with provider network management


Required Licensure, Certification, Registration or Designation
(List any licensure or certification required and specify name of agency.)


  • Current Los Angeles County Fire Card required (within 30 days of employment)

Full-Time, Exempt

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