The County of Riverside's University Health System - Medical Center department seeks a Hospital Billing Supervisor to join their Patient Accounting-Billing team. Under general supervision, the incumbent will provide ongoing training for Billing and Follow-up practices (specifically related to Hospital Billing and Collections), run and review aging reports for outstanding accounts-receivables, provide resolutions for complicated accounts, streamline billing and follow-up workflows, evaluate employee work performance, timekeeping, and productivity monitoring; plan, organize, coordinate, and supervise the staff and day-to-day operations of a patient business services function at the Riverside University Health System, and perform other related duties as required. This position is located in Riverside.
Along with the experience and knowledge below, the department is looking for candidates who are currently working with Medicare/Medi-Cal and Commercial insurances in a supervisory role in a hospital setting.
The most competitive candidates will also have current and/or recent professional experience with and knowledge of the following:
- EPIC Patient Accounting System
- Optum Charge Expert
- Assurance Claims Scrubber
- Hospital billing and collections practices and laws
- Medi-Cal, Managed Care, and Medicare Part A and B billing and follow-up expertise
- An understanding of Excel at intermediate level or above
- Ability to generate and interpret EPIC patient accounting system and Clearing House reports
- A vast understanding of CMS guidelines
This position has a 5/40 schedule for the first 90 days (Monday-Thursday 7:30a-4:00pm or 8:00am-5:00pm & Friday 7:00am-3:30pm).
After 90 days of training, there may be an option to be on a 9/80 schedule (Possible 9/80 schedule = Monday-Thursday 7:00am-4:30pm, 7:30am-5:00pm & Friday 7:00am-3:30pm).
Meet the Team! RUHS-Medical Center
- Supervise the activities and day-to-day operations of one or more patient business services functions: admitting, insurance billing, charge description master, clinic registration and scheduling, cashiering, collections, provider relations, patient eligibility, and financial counseling at RUHS; review and evaluate policies and procedures in terms of RUHS goals.
- Assist in developing, updating, and implementing policies and procedures to ensure the most efficient methods of achieving revenue/patient business services goals and objectives, including admitting patients, billing fiscal intermediaries, and maximizing collections of delinquent accounts.
- Evaluate work performance and progress of subordinate employees; develop and implement comprehensive training programs for division personnel; perform or review patient financial evaluations and recommend payment and free care arrangements as appropriate.
- Provide technical guidance to staff on the most difficult and complex work of unit; coordinate the work of units supervised with other RUHS departments, County departments, and external fiscal intermediaries to ensure the accurate flow of information and to solve mutual problems.
- May participate in contract negotiations with fiscal intermediaries; analyze and prepare a variety of detailed financial and statistical reports.
Education: Graduation from an accredited college or university with a Bachelor's degree, preferably with major coursework in business, public, healthcare, or hospital administration or a closely related field. (Additional journey level experience related to patient access or revenue cycle or patient business services function in a hospital or health care agency may substitute for the required education on the basis of 30 semester or 45 quarter units equaling one year of full-time experience).
Experience: One year of supervisory experience over a patient access or revenue cycle or patient business services function, including billing, collections, admissions, or financial counseling activities in a hospital or health care agency.
Knowledge of: The principles and practices involved in insurance billing, admitting and registration, provider relations, revenue cycle, and credit and collection activities; laws, rules, regulations, and policies affecting patient access and revenue cycle functions; the principles and techniques of supervision, staff utilization, and training.
Ability to: Organize, coordinate, and supervise the work of subordinate staff; develop instructional materials; analyze situations and recommend appropriate actions; establish and maintain effective working relationships with medical staff, fiscal intermediary representatives, and others; prepare clear and concise oral and written reports.
**Hospital Billing Coordinator is the working title for this classification, the established title is Patient Access or Patient Business Services Supervisor.**
Questions regarding this recruitment? Please contact Raven Padilla via email at rpadilla@rivco.org.
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