Supervises credit, collection, insurance and billing specialists in an ambulatory patient accounting office. Coordinates activities and schedules work assignments to meet the needs of the billing department.  Enhances system revenue cycle with timely and accurate resolution of eligibility, billing and credentialing edits compliant with departmental policy and goals while promoting an exceptional customer service experience to internal and external customers. Contributes to the development of processes and procedures through thorough knowledge of assigned area.

Education:

• High school diploma or equivalent required.
• Associate’s Degree or 2-3 years of demonstrated leadership experience in operations, customer service, or a related field preferred.

Licensure/Certification/Registry:

• Not specified.

Experience:

• 3-5 years of experience as a Patient Account Representative, or an equivalent combination of healthcare experience required.
• Experience in facilitating change through team building, process improvement, and a multidisciplinary approach preferred.

Skills & Abilities:

• Excellent customer service skills required.
• Proficiency in Microsoft Office and departmental applications required.
• Strong oral, written, and electronic communication skills required.
• Strong analytical, problem-solving, and multitasking abilities required.
• Ability to work with a diverse group of individuals required.
• Understanding of healthcare, financial, and insurance concepts required.

• Develops, reviews, and monitors processes for quality and performance; identifies and tracks quality indicators for specific job functions.
• Creates schedules for team members, coordinates training and orientation for new colleagues, ensures compliance with departmental and organizational policies, and prepares and conducts employee performance evaluations using provided tools. Initiates training or corrective actions as necessary.
• Supervises the daily work of Account Representatives and investigates and resolves operational problems encountered.
• Develops and maintains written procedures for each individual area, as guided by the department manager.
• Performs and maintains edits in the claim editing or payment and adjustment posting system; prepares and distributes related reports.
• Provides support to all organizational levels (clinical, financial, and administrative) regarding the number and types of edits in the editing system.
• Operates within the staffing budget limits and demonstrates corrective measures when necessary.
• Establishes positive working relationships with all affiliated parties, IT staff, and vendor representatives.
• Performs other related work as required or requested.