Certified Woman & Minority Owned

Patient Access/ Patient Business Services Supervisor


Reference Number: RKCATP19

Patient Access/ Patient Business Services Supervisor
experience  Not Disclosed
location  Riverside, CA
duration  3.0 Months
salary  Not Disclosed
jobtype  Not Disclosed
Industry  Government - State
duration  $40/hour - $45/hour
Job Description


Class Concept
Under general supervision, plans, organizes, coordinates, and supervises the staff and day-to-day operations of a patient access or patient business services function at the client; and performs other related duties as required.

The Patient Access or Patient Business Services Supervisor class reports to and receives supervision from the Assistant Director, Patient Access or Patient Business Services and assists in the overall directing and coordinating of operations of functional sections within the patient accounts division of client. In addition, incumbents provide direct and technical supervision to staff in the admitting, insurance billing, charge description master, clinic registration and scheduling, cashiering, revenue cycle/collection, provider relations, patient eligibility, and financial counseling functions. This class is distinguished from the Assistant Director, Patient Access or Patient Business Services in that the latter class is responsible for general management and coordination of patient account activities for the client.

Examples of Essential Duties (may include but not limited to)

Supervise the activities and day-to-day operations of one or more patient access or patient business services/revenue cycle functions: admitting, insurance billing, charge description master, clinic registration and scheduling, cashiering, revenue cycle/collection, provider relations, patient eligibility, and financial counseling at the client; review and evaluate policies and procedures in terms of the client goals.

Assist in developing, updating, and implementing policies and procedures to ensure the most efficient methods of achieving patient access or 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 Client 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.



Minimum Qualifications:

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.

Desired Skills and Work Experience:
Must have the skill to monitor and analyze billing data to identify trends, issues, and areas for improvement, and implement necessary changes to optimize billing operations. Collaborate with other departments, such as HIM, Revenue Integrity and Ambulatory; to resolve billing related inquiries, discrepancies, and issues.
Must have supervisory experience
Must have vast knowledge of Hospital facility Billing and Collections practices and laws
Must have Medicare Part A and B, Medi-Cal, Managed Care & Commercial billing and follow-up expertise
Must understand Excel at intermediate level or above
Ability to generate and interpret Epic patient accounting system and Clearing House reports
Vast understanding of CMS guidelines
Detail and Goal orientated
Good verbal and written communication skills
Epic patient accounting system
Medicare DDE
Optum charge expert
Claims scrubbers (Experian, Office Ally, Change Health)


Examples of Duties
Provide ongoing training for Billing and Follow-up practices– Specifically for Hospital Billing and follow-up
Run and review Aging reports for outstanding Accounts Receivables
Provides resolution for complicated accounts
Streamline Billing and Follow-up workflows
Evaluation of employee work performance
Time keeping
Productivity reports & monitoring
Claim edit trending
Follow-up trending
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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