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Supervisor, Payments (Physician Billing)

Universal Health Services

Job Code:
Universal Health Services
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Job Details

Supervisor, Payments (Physician Billing)

Job Code:  242224
Facility: Independence Physician Management
Location: MALVERN, PA US Mid-Atlantic
Region: Mid-Atlantic
Travel Involved: 0-10%
Job Type: Full Time
Job Level: 
Minimum Education Required: High School or equivalent 
Category: Office/Clerical
FTE: 1
Position Summary:

The Payments Supervisor has day to day oversight of all payment posting functions including cash reconciliation and (insurance) credit balance resolution. Supervises the volume of incoming work, and existing inventory and matches current staffing resources to ensure that the work is completed accurately and timely based on team goal/objectives. Monitors daily processes to minimize payment posting and ERA remittance processing lag days and daily cash reconciliation to ensure all incoming cash is either posted or reconciled per IPM guidelines. Identifies ERA files not posting 100% to the practice management system (PMS) and works to enhance the process to allow for more automation in the overall process. Oversees daily insurance credits, including payer refund request correspondence and offsets (PLB adjustments) to ensure all insurance credits are thoroughly researched and credit balances are applied accordingly to the patient account or refunded to the payer. Routinely meets with direct reports to review their individual results and identifies opportunities to improve performance (productivity and quality). Trains, coaches, and counsels staff members in an effort to develop staff, improve teamwork, morale and overall team performance/results.

1. Monitors daily incoming payment activity (lockbox, ERA files) to maximize efficiencies for timely and accurate payment posting and ERA processing and minimize lag days to ensure that goals/objectives are met. Distributes work appropriately across the team to yield optimal results. Supervises a cash reconciliation process to verify deposits against incoming payments. Works with the clearinghouse to ensure that all ERA files are available for import to the PMS; address missing files.
2. Supervises (productivity and quality) and routinely meets with his/her direct reports to review results and identifies ways to improve performance. Collaborates with the team to identify root causes on ERA payments that aren’t posting to the PMS and inaccurate insurance credits. Works to resolve issues and escalates to the Provider Billing and Reimbursement Operations Manager as needed.
3. Maintains an expanded knowledge base and thorough understanding of PMS functionality, manual payment posting, ERA processing, ERA clearinghouse processes, deposit/payment reconciliation processes, Claim Adjustment Reason Codes, Remittance Advice Remark Codes and PLB Adjustment Reason Codes. Serves as the point of escalation for resolution of complex issues that arise on a daily basis.
4. Supervises daily insurance credits including payer refund request correspondence and offsets (PLB adjustments) to ensure all credits are thoroughly researched and credit balances are applied accordingly to the patient account or refunded to the payer.
5. Provides excellent service to internal and external customers by providing clear and concise answers to questions or follow-up items in a responsive and positive fashion. Works collaboratively with Practice Administrators/Managers to resolve daily issues as needed.
6. Enforces standardization of daily work flows to promote established “best practices” and to maximum efficiencies. Builds a cohesive team that works well together to ensure that the work of the team is accomplished.
7. Promotes a work environment of accountability and ownership. Sets appropriate standards of performance and behavior, communicates clear expectations; coaches and counsels staff on performance and behaviors as needed. Conducts routine
one-on-one meetings focused on work performance and behaviors, opportunities for improvement and recognition of accomplishments. Maintains comprehensive and concise documentation of the one-on-one meetings, next steps and expectations.
8. Participates in the employment hiring process for Provider Billing and Reimbursement Operations Department. Prepares well thought-out and meaningful performance appraisals for direct reports summarizing performance as well as focusing on opportunities for improvement and recognizing performance that exceeds expectations.
9. Performs other duties as assigned.

Education: High School Diploma/GED required. Bachelor’s degree preferred.

Work experience: Experience (3-5 years minimum) working in a healthcare (professional) billing, health insurance or equivalent operations work environment. Minimum 2 years of direct supervisory experience managerial or administrative experience required.

Knowledge: Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, claim submission requirements, ERA processing, and insurance credit and refunds. Thorough understanding of the revenue cycle and how the various components work together.

Skills: Excellent verbal/written communication skills. Proven track record of leadership ability. Results oriented with a proven track record of accomplishing tasks and building high-performing teams. Strong interpersonal and organization skills. Service-oriented/customer-centric. Microsoft Office. Strong computer literacy skills.

Equipment Operated: Mainframe billing software (e.g., Cerner, Epic, IDX) experience highly desirable. Microsoft skills required (i.e., Excel, Power Point).

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