GENERAL SUMMARY:

The Payment Posting Supervisor is responsible for assisting department staff with questions related to medical payment posting.
The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform job related tasks other than those specifically presented in this description.

JOB REQUIREMENTS:

• Supervise team who will manually and electronically process and post a high volume of payor payments and adjustments on a daily basis.
• Supervise teams’ productivity expectation.
• Review and analyze reports to determine if correct payment and adjustment codes are being utilized.
• Assists with audits to current procedures to monitor and improve efficiency of posting team.
• Assists to ensure that the activities of the posting department are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.
• Understands and remains updated with current remit station setups within the billing system.
• Maintains a working knowledge of all health information management issues such as HIPAA and all health regulations.
• Assists staff with training and problem resolution.
• Assist with the management of website conversions during acquisitions
• Maintains confidentiality of patient and facility related business.
• Documents concisely, precisely, and accurately on all records or documents as indicated by policy.
• Participates in Quality Assessment as directed for the continuous improvement of patient care, facility, and CBO business.
• An understanding of Accounts Receivable principles and procedures.
• Ability to secure payments using effective communication skills in a professional manner.
• Regular attendance on a predictable basis is essential to the performance of this job.
• Assists in both day-to-day and special projects.

KNOWLEDGE AND ABILITIES:

• Thorough understanding of Medical Billing, collections and payment posting, revenue cycle, third party payers, Medicare.
• Working knowledge of CPT, HCPC, ICD-9/ICD-10 codes, CMS 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits, and the appeal process.
• Knowledge of business management and basic accounting principles to direct the department.
• Sufficient knowledge of policies and procedures to accurately answer questions from internal and external customers.
• Up to date with health information technologies and applications.
• Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public.
• Skills in developing, implementing, and administering work processes.
• Proficiency in Microsoft Office, including Outlook, Word, and Excel.
• Working knowledge of Raintree.
• Working knowledge of clearing houses.
• Ability to work under minimum supervision and demonstrate strong initiative.
• Ability to supervise and train employees, to include, organizing, prioritizing and scheduling work assignments to meet CBO timelines.
• Ability to deal in an organized manner with problems involving multiple variables within the scope of the position.
• Ability to make independent decisions when circumstance warrant: make prompt and accurate judgments regarding A/R, billing and other office duties.
• Ability to recognize, evaluate, solve problems, and correct errors, and to develop processes that eliminate redundancy.
• Ability to conceptualize work flow, develop plans, and implement appropriate actions.
• Ability to communicate effectively in writing, over the telephone, and in person.

EXPERIENCE:

• High School Graduate/GED required, associate or bachelor’s degree preferred.
• One to Three (1-3) years’ experience as a manager in the medical industry, preferably in Revenue Cycle
• Understanding of Revenue Cycle operations
• Knowledge of EOBs
• Understanding of cash reconciliation
• Experience with Raintree preferred

Please refer the Job description for details