Performs responsible supervisory functions to oversee a variety of clerical activities involved in the billing and settlement of Benefis Medical Group (BMG) patient accounts; coordinates and performs complex tasks in maintaining financial records of accounts receivable and delinquent accounts. Promotes and models Customer Service principals in all encounters. Ensures all functions performed by representatives conform to the hospital policies and procedures.

EXEMPT

Adheres to organizational values, standards, policies and procedures at both the Hospital and Departmental level.

Demonstrates the ability to meet deadlines, deliver accurate information to management, and handle challenging situations.

Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict.

Ensures hospital policy and procedure compliance and communicates discrepancies to appropriate personnel or department heads.

Maintains employee work schedules within budgeted parameters to ensure adequate staffing.

Assumes responsibility for clerical functions supporting the BMG Patient Business Services Office.

Ensures charge and coding data from encounter sheets/super bills is entered timely into the patient accounting system for timely and accurate submission of BMG claims.

Identifies and coordinates resolution of BMG denials associated with credentialing, coding, charge capture etc.

Receives, analyzes, and answers inquiries from associates, patients, vendors and agencies at a supervisory level.

Processes PTO requests within three work days. Tracks and maintains current employees' Time and Attendance. Ensures recommendations for PTO are in compliance with defined protocols and do not exceed established Patient Account Services' thresholds for PTO approvals.

Assists in the development of departmental policies and procedures. Interprets these policies to staff and ensures adherence to policy.

Keeps abreast of reimbursement requirements and maintains current knowledge of applicable government, managed care, and/or third party regulations and guidelines.

Identifies and implements needed educational programs for Patient Accounts department and other hospital personnel

Develops and maintains payer resources, and ensures team members are utilizing all tools available to enhance job performance.

Maintains the department's desk reference manual to ensure accuracy of information and dissemination of changes to staff quarterly or as dictated by business changes.

Selects, trains/orients, assigns department staff, evaluates performance, and makes recommendations for personnel actions.

Adheres to policy in disciplining/terminating employees. Maintains good employee relations by using disciplinary measures effectively and appropriately and by addressing employee concerns and/or grievances in a timely manner.

Coordinates collection efforts within the Patient Business Services department

Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations.

Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict.