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Sr. Patient Accounts in Los Angeles, California at TeamHealth

Date Posted: 8/7/2019

Job Snapshot

Job Description

Join a team of dynamic, results oriented professionals!

Named among “The World’s Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among “Great Places to Work" by Becker’s Hospital Review

  • Career Growth Opportunities
  • Convenience market on site
  • Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
  • 401K program (Discretionary matching funds available)
  • Employee Assistance Program
  • Referral Program
  • Dental plans & Vision plans
  • GENEROUS Personal time off
  • Eight Paid Holidays per year
  • Quarterly incentive plans
  • Business casual dress code
  • Free Parking
  • Free coffee daily
  • Employee of the month awards with monetary gift and parking space
  • Training Programs
  • Fitness Center with personal trainer on site
  • Awesome Facility with terrific amenities
  • Wellness programs
  • Flexible work schedule

JOB DESCRIPTION OVERVIEW:

Under the general Supervision, The Patient Accounts Senior is responsible for directing the day to day operations within the Patient Accounts Department. The senior oversees the workflow, quality control and the daily activities to ensure the department meets quality and production standards and production standards. The senior monitors and reviews all daily deposits and workflow. Ensures that all payments are posted timely and CCS reconciliation is within TeamHealth policies and timeframes. This position distributes monitors, communicates, and organizes workloads within the department. The Patient Accounts Senior directs the day to day education of all employees on department processes. This position deals directly with employees to resolve work related issues, addressing production issues and for completing all daily, weekly and monthly reporting requirements. The position works in a cooperative team environment to provide value to customers (internal or external). The Patient Accounts Senior carries out his/her duties by adhering to the highest standards of ethical and moral conduct, and acts in the best interest of TeamHealth. This individual exercises independent judgment in key decision-making processes.

ESSENTIAL DUTIES AND RESPONSIBILITIES: 

  • Manages and supervises the Patient Account Representatives in the functions of posting payments, CCS reconciliation, and ETM claim edits/rejections.
  • Manages issues and trends with ERA/lockbox remit files following HCFS and internal policies.
  • Actively, looks to increase ERA percentage for BC and identifies new payers to convert from paper to ERA or EFT remits.
  • Ensures that all time frames related to posting payments are strictly enforce and items never fall out of Team Health policy.
  • Ensures that all CCS reconciliation is completed prior to close unless there is an identified issue that cannot be avoided.
  • Ensures Monthly BC Close is managed well and that all deposits are posted and ensures that we do not close short.
  • Ensures production and quality audits are performed and reported timely and accurately, including notices to staff.
  • Assigning workflow and/or job duties to ensure effective, timely completion of departmental goals.
  • Assist Patient Accounts/Overprovisions supervisor as needed.
  • Provides weekly updates to the Patient Accounts/Overprovisions Manager on all department metrics.
  • Assists Patient Accounts/Overprovisions Manager with performance evaluations, rounding and initiates appropriate disciplinary action when required.
  • Plans, organizes, directs, and monitors the assigned area(s).
  • Actively participates in the training/retraining of employees, especially working with new hires in the initial onboarding process.
  • Scheduling the work hours of employees and maintaining accurate timekeeping records.
  • Actively participates in management meetings and provides accurate information.
  • Conducts staff meetings/email communications to inform of changes in policies and procedures and to provide in-service training.
  • Maintaining accurate production and quality records.
  • Handling complaints and grievances made by employees with the assistance of Human Resources and Manager/Director.
  • Controlling inventory, supplies, and materials necessary for the function of the department.
  • Assuring compliance with applicable laws and regulations.
  • Defines and implements a program for quality assurance for assigned areas.
  • Monitors key performance indicators and metrics for the department providing corrective action as indicated.
  • Actively participates in the leadership of the department and motivating staff.
  • Maintains accurate records of disciplinary actions, developmental conversations, and employee training sessions for their area.
  • Manages staff and procedures ensuring systems operate efficiently and maintains effective personnel relations.
  • Strives to improve internal relationships between internal departments.
  • Develops long-range and short-range goals and objectives.
  • Proactively keeps the Manager/Director/Vice President updated on the status of workload and any potential problems that may arise.
  • Performs any and all of the duties assigned by the Supervisor/Manager/Director/Vice President.
  • Assists in special projects as requested by the Supervisor Manager/Director/Vice President.
  • Develops and maintains policies and procedures.
  • Assuring the safety of employees.

 

Job Requirements

SUPERVISORY RESPONSIBILITIES: 

  • The Supervisor is responsible for overall, day to day management of the department.
  • Supervises Patient Accounts Support staff.

QUALIFICATIONS / EXPERIENCE:

  • College education or 3-5 years of equivalent experience in a medical billing setting, with an emphasis on reconciliation and payment posting preferred.
  • BS or BA preferred or equivalent of management/supervisory experience in physician billing related field.
  • Familiarity with the revenue cycle process.
  • Understanding of physician billing guidelines for commercial and government payers in multiple states.
  • Excellent written and verbal communication and interpersonal skills.
  • Proven analytical skills and ability to work in a structured, fast-paces environment.
  • Proficiency in working with systems, GE experience is desirable.
  • Must be organized, detail oriented, and meticulous with all tasks.
  • Astute problem solving skills and ability to interrelate and convey information professionally.
  • Medical billing experience with knowledge of the GE system, Microsoft Excel, Microsoft Outlook, and Microsoft Word.
  • Dependable, always conforms to standards for attendance.

PHYSICAL / ENVIRONMENTAL DEMANDS:

  • Set in a pleasant, high-volume, fast-paced office environment.
  • Ability to meet closing deadlines, and production standards is required.
  • Also, may require physical and/or mental stamina to work additional hours beyond a regular schedule and/or more than five days per week.
  • Significant workload that may require after hours work and/or additional hours be mandated by Management.
  • Regular and reliable attendance is necessary.
  • Prolonged work on a PC/computer.
  • Physical requirements include but are not limited to sitting for extended periods of time, walking, and bending.
  • Periodic travel may be required for meetings and trainings.
  • This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, and fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions.

DISCLAIMER:

Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.

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