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Team Supervisor, AR Mng (Hingham) EPIC preferred!

GENERAL SUMMARY/ OVERVIEW STATEMENT:
Reporting directly to the Billing & Accounts Receivable Manager, the Supervisor is responsible for minimizing receivables on a payer/specialty focused team. Directly manages a team of Billing Representatives and ensures that all processes performed within each team are completed in a timely and efficient manner. Manages a variety of complex assignments using numerous electronic systems; performs a variety of special billing projects; act as an expert resource to all departments within the PBO on complex issues. In particular, the Supervisor focuses on building direct communication and collaborative relationships with insurance companies, the PBO and other departments. Demonstrates a service orientation which consistently aims at exceeding client expectations and which contributes positively to the greater working environment.
The MGPO Professional Billing Office is the central billing office for physician practices affiliated with Massachusetts General Hospital in Boston Massachusetts.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Achieve excellence in performance by working collaboratively with others on MGH, MGPO and MPGO Professional Billing Office initiatives
Supports and demonstrates the values of the Massachusetts General Hospital and the Massachusetts Physician's Organization by conducting activities in an ethical manner with integrity, honesty, and confidentiality. Demonstrates a positive, open-minded, can-do attitude. Represents a team perspective and willingness and enthusiasm to collaborate with others. Follows through on commitments and achieves desired results. Exhibits sound judgment, obtains the facts, examines options, gains support, and achieves positive outcomes.
Maintain high standards of professional conduct at all times. Represents the MGPO Professional Billing Office at events and projects external to the organization.
Enthusiastically promote a cooperative team environment to provide value to all customers. Act as a leader in creating a positive atmosphere within the team. Listen and interact tactfully, diplomatically and effectively without alienating others.
Provide opportunities for continuing education, skill training and upward mobility for employees. Create an environment that encourages quality, productivity, loyalty, job satisfaction and positive reinforcement.
Ensure that quality services are delivered to the customer. Ensure that adequate monitoring plans are in place with appropriate reward and corrective action systems.
Leverage technology to improve processes. Be forward thinking with regard to the use of technology and its application to current processes. Utilize existing technologies to the fullest to ensure revenue optimization and operations are efficient.
Serve as the primary backup to the Billing/Accounts Receivable Manager.
Personnel and Performance Management:
Responsible for hiring, supervising, training, and motivating staff. Provides leadership and coaching to develop and help to retain qualified staff. Ensure staff completes all required training and orientation, and obtain access to systems as needed.
Evaluates work performance and completes productivity assessments. Manage staff accountability for work performance and behavior by providing timely and consistent feedback. Completes all staff evaluations on schedule.
Perform audits of staff members using quality measurement and assessment tools to determine skill levels and improve performance.
Works with Human Resources to implement hospital policies and procedures and to address employee issues, (i.e. counseling, discipline, EAP). Enforce corrective action as needed.
Responsible for tracking time, monitoring earned time, and approving vacation requests. Document tardiness and attendance. Ensure accurate completion and timely submission of time sheets.
Accounts Receivable Management
Manages the daily activities of the Team members to effectively organize complex work processes including:
Claim Edit Reports for all claim runs including tracking and resolving
Paper claim processing (including attachments) and mailing
Tracking and resolution of scrubber reports
EPIC work queue processing (aggressive follow-up)
Rejection Analysis (pulling major rejections to expedite rejection appeals)
Sorting/routing of incoming and outgoing mail
Write-off approvals/Group Practice Management requests
Performs independent analytical work using data from database to track trends and identify issues that contribute to variances and impact receivables. Monitors accounts receivable and cash flow trends with the aid of AES & DBMS queries to ensure that the proper workfiles are established and maintained appropriately.
Conducts regularly scheduled staff meetings to facilitate feedback from staff regarding departmental issues. Document minutes and distribute in a timely manner.
Closely monitors staffing, staff productivity and staff quality. Assigns, monitors and recommends adjustments to workflows within the specific team as it relates to current account issues. Report to management all cash flow issues in a timely manner.
Maintains effective relationships with internal and external customers to ensure consistent communication on issues impacting the overall operation of the unit. Focuses on building direct communication and collaborative relationships with Partner's Finance, the PBO and other departments within MGH.
Ensures that all areas that have a direct relationship to cash flow (i.e. TES, claim forms, fatal and non-fatal claim edits, insurance claim scrubber reports & PCS workfiles) are closely monitored.
Reviews PCS work files to ensure thorough follow up and to trouble shoot issues. Assigns, monitors and recommends adjustments to workflows within the payor specific group as it relates to current AR issues.
Applies knowledge of insurance rules and regulations to interpret new insurance or HCFA information and reports potential impact on the PBO and its clients. Makes recommendations and communicates trends to Manager.
Coordinates data to complete special billing projects based on contractual obligations and regulatory demands.
Assists in the development of department policies and procedures. Communicates and implements department policies and procedures to all staff and makes recommendations for revisions. Provides oversight for the implementation of new initiatives and processes.
Participates in continuous quality improvement efforts on an ongoing basis. Establishes goals with Manager and tracks progress. Complies with hospital confidentiality policy (attached). Manages special projects as assigned.
Perform other duties as assigned.
QUALIFICATIONS:
High School Diploma and/or GED equivalent required.
Associates or Bachelor's degree or significant related work experience. Experience may substitute for degree
3-5 years healthcare experience required, particularly in professional billing
Extensive, detailed working knowledge of medical terminology, medical billing, A/R systems, ICD-9 and CPT coding, HCPCS and payer issues required.
Strong communication and leadership skills required. 3-5 years supervisory experience preferred.
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
Effective communication skills (both verbal and written)
Ability to motivate and lead staff
Project management skills in order to manage multiple projects and issues simultaneously
Ability to assume a high level of responsibility and autonomy
Ability to interact with people from all levels of the organization
Strong analytical and problem solving skills
Strong computer skills
Demonstrated proficiency with a variety of automations, including but not limited to IDXBAR, IDXPCS, IDXTES, PCIS, PATCOM, LMR, Microsoft Word, Excel, E-mail, Voice-mail and Payer Websites.
Experience with Epic software is desired.
WORKING CONDITIONS:
Office environment
The work environment is very busy and dynamic
The employee is required to travel to any Partners' facilities to attend off-site meetings. This includes travel to new client sites.
Staff is very collaborative and work together to solve issues with particular practice issues
SUPERVISORY RESPONSIBILITY:
Manage a team of Billing Representatives consisting of approximately 6 to 12 employees.
FISCAL RESPONSIBILITY:
Projected income totaling approximately $550 million
Projected billings totaling approximately $3.1 billion

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