Description

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: * We serve faithfully by doing what's right with a joyful heart. * We never settle by constantly striving for better. * We are in it together by supporting one another and those we serve. * We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job Summary Supervises the department responsible for creating claims, reimbursement follow-up, denials, customer service, cash flow, and receivables. Essential Functions of the Role * Assures billing and collection procedures are timely and compliant with regulatory authority. * Maintains in-depth knowledge of all billing and collection regulations and makes recommendations for policy and procedure changes. * Resolves escalated billing, reimbursement, and customer service issues in accordance with established policies and procedures. * Monitors results of quality assurance reviews and sets goals for improvement and training requirements. * No compliance reporting issues are identified. * Evaluates correspondence, denials, reimbursement, and customer reaction to identify need for process changes. * Reviews trend analysis of charge and billing issues, reimbursement, denials, and customer responses and initiates process corrections. * Coordinates with appropriate vendors and payer representatives to clarify and resolve billing and reimbursement issues. * Interprets customer feedback into enhanced customer service. * Supervises follow-up of claims and accounts. * Monitors target files, worklists, and phone calls to assure policies and procedures are followed and adjust directions accordingly. * Coordinates with various Scott & White departments to identify issues and improve data capture and data sharing. * A/R days are within targeted levels. * Monitors account payment, adjustment, and reimbursement issues. * Notifies management of any changes in reimbursement and after thorough research makes recommendations to rectify the issues. * Reviews worklists and reports to ensure timely and appropriate application of payments and adjustments. * Monitors credit adjustment transaction reports and assures employees comply with departmental procedure. * Provides reports to manager. * Projects are completed as assigned by the manager. * Participates in the development, installation, and training of all new system software applicable to the department. * Specific assignments are finished on time and are thorough and complete. * Escalates to the manager any system issues beyond the scope of their peers. * Attracts and retains qualified staff. * Hires and ensures appropriate training of qualified staff. * Consistently follows department-specific policies and procedures such as time and attendance, security, food, appearance, etc. * Maintains open communication with staff and provides detailed and thorough policies and procedures. * Mentors and empowers staff to make them successful. * Performs other position-appropriate duties as required in a competent, professional, and courteous manner. Key Success Factors * Three to five years experience in health care related field required. * Three to five years previous supervisory leadership experience preferred. * Knowledge of Healthcare Accounts Receivable management required. Belonging Statement We believe that all people should feel welcomed, valued and supported. *QUALIFICATIONS* * EDUCATION - H.S. Diploma/GED Equivalent * EXPERIENCE - 3 Years of Experience * EPIC experience a plus * Government and/or non-government payer experience * Previous/current position in a supervisor, lead, or mentoring role