Supervisor Accounts Receivable

Description

The Opportunity

Responsible for the efficient, effective supervision of Professional Billing and Follow Up. The Supervisor, Professional Billing Follow Up monitors WQ volumes daily and adjusts team member schedules according to the strategic direction and goals set forth by management, as well as identifies trends for escalation.

Monitors daily team performance and quality assessments, continuously working to improve people, processes, and technology across the team.

Principal Duties and Responsibilities

Leadership Impact & Problem Solving

• Monitors work assigned to team members, proactively identifying high-risk accounts receivable requiring prompt attention.
• Identifies, escalates, and solves technical and operational problems; understands and recognizes broader impact across the department in conjunction with payer rules and regulations.
• Completes timekeeping and evaluations timely, coordinating team member coaching and training.
• Onboards and motivates team members, connecting daily work to Mass General Brigham and RCO missions.
• Evaluates work performance and completes productivity / quality assessments timely, including transparent communication on results.
• Conducts frequent huddles and at least bi-weekly 1 : 1s to facilitate feedback from team members and ensure alignment with Patient Financial Services goals.
• Embodies Mass General Brigham’s Essentials of Leadership and develop existing talent by implementing Everybody Solves Problems and a positive organizational culture.

Financial Performance

• Supervises effective billing and follow up team members to support timely charge review and claims submission in addition to no response, denial and appeal follow up, minimizing account touches.
• Assists Manager and Operations Lead(s) in preparing weekly and monthly reports to ensure payer AR / goals are within budget.

Operational Performance

• Supervises onshore day-to-day operations of billing and follow up teams, including identification and monitoring of team success metrics and activities related to account resolution.
• Identifies, analyzes, and follows up on payer issues, denial trends, interacting with payer representatives and others to ensure accurate and timely follow up.
• Implements policies and procedures related to payer billing and follow up processes.

Key Interactions

• Payer Services Team Support a thorough understanding of payer policies and identification of issues requiring payer escalation.
• Patient Financial Services Team Support efficient, seamless workflow management between functions.
• Enterprise Revenue Cycle Operations Propose and implement approved procedures to support efficient, effective collections.
• Provider / Hospital Experience Collaborate on accounts receivable pending Enrollment, Group Practice Management and Revenue Operations involvement to maximize collections.
• Revenue Cycle Performance Excellence Team Collaborate with Rev. Cycle Performance Excellence to increase automation and follow up on quality reporting scores.

Other duties and responsibilities as assigned.

Qualifications

Qualifications : Education

Education

• High school diploma required.
• Associates degree preferred with discipline in Healthcare Administration, Management, Finance, Business Administration, or related field.

Work Experience

• Minimum of 3 years prior relevant healthcare experience, PFS or Denials experience required.
• Minimum of 1 year in leading people.
• Excellent personnel management and organizational management skills including written and oral communication, relationship management, customer service, and organization.
• Drives DE&I (Diversity, Equity, & Inclusion)and recognizes the value that different perspectives and cultures bring to an organization.
• Insurance billing, denial management experience.
• Knowledge of coding and billing regulations for all payors, regulatory updates, and local payer policies and procedures to support charge accuracy, compliance, and optimization.
• Comprehensive knowledge of denial root cause analysis, net patient service revenue, post payment audits, electronic interfaces related to charge documentation, capture and billing.
• Communicate and operate effectively within and between system functions.
• Create and foster an atmosphere of continuous improvement.
• Quickly learns new reporting tools and successfully navigates MS Office applications : Excel, Outlook, Teams, PowerPoint, and Word.
• Manage and interpret data and analytics.
• Guide and influence others either internally or externally to adopt a different point of view.

Direct Reports Approximately 15

Demonstrates fiscal responsibility by effectively using Mass General Brigham resources.