The ICC/Payments Supervisor has the responsibility to plan, direct, organize, coordinate, and implement services within the department in a manner suitable to accepted standards of care. He/she ensures the highest quality and safe delivery of customer service, maintains compliance with professionalism and Regulatory Processes. Interface with facility BOM’s, CFO’s, corporate departmental peers, and upper management. Supervises Support, Payment Integrity and ICC staff as well as working with outside vendors and makes sure these areas are properly staffed while fulfilling daily duties.
Duties primarily include:
- Work with department supervisors, managers and upper management that have direct effect on cash, payment posting, patient and insurance refunds, Medicare credit balances.
- Reports issues and trends to direct reports in a timely fashion
- Helps schedule appropriate staffing for low census days.
- Works with staff PTO schedules – making sure areas are covered while staff take off.
- Participate in documenting and prioritizing potential solutions to issues & fallout for system issues.
- Establish and implement interim workaround solutions as needed and communicate to all impacted users.
- Establish new and existing policies and procedures.
- Ensuring weekly work queues are completed and current.
- Daily metric update sent to distribution list.
- Reviews and provides guidance on weekly audits ensuring that quality and productivity standards are met.
- Ensures all payment EOBs are obtained and posted accurately and timely.
- Communicates productivity scores.
- Provides staff with ongoing training, education, and development as well as regulatory or contract compliance updates.
- Function effectively within a team by participating and contributing constructively to produce positive outcomes.
- Continually seeks to understand and act upon customer needs, concerns, and priorities, meeting customer expectations, requirements and gains customer trust and respect.
- Contacts/Interacts with: Hospital leadership, including but not limited to VP, CFO, BOM, AND CBO staff; Management at USPI home office, Accountants, Accounts Payable, Patients, other facility staff and physician offices.
Required Skills
- Bachelor’s degree in business or healthcare administration preferred, or equivalent management background experience.
- 3 years of pervious Revenue Cycle Management, Ambulatory Surgical Centers and healthcare business processes preferred.
- Knowledge of medical terminology, CPT codes, and ICD-10 codes preferred.
- Expert level experience with Microsoft Office Products- ability to create and build spreadsheets and reports in Excel.
- Demonstrates competence in leadership skills to develop and implement organizational strategies and opportunities for improving hospital growth.
- Maintain current knowledge and adhere to appropriate regulatory standards such as Government.
- Effective English communication skills, both written and verbal.
- Project management and operational implementation skills are a must.
- Advanced understanding of healthcare related federal, state, and health plan guidelines.
- Computer technology proficiency, such as Word, Excel, Tableau and Outlook.
Required Experience