Description:
JOB PURPOSE:
Provides leadership and oversight for the Credit Resolution function within Patient Financial Services. Credit Resolution Supervisor is responsible for the supervision of Credit Resolution representatives and team lead along with quality and productivity metrics.
Qualifications:
MINIMUM EDUCATION REQUIRED:
High School diploma or GED.
MINIMUM EXPERIENCE REQUIRED:
Three (3) years of experience in patient accounting and understanding of healthcare Revenue Cycle, preferably within credit balance resolution.
Experience in conducting account inquiries and analysis to investigate and evaluate the payment methodology and accuracy.
ADDITIONAL QUALIFICATIONS:
Bachelors (or Associates) is preferred.
Five (5) years of related Revenue Cycle experience, preferably within Payment Applications, Credit Resolution is desired.
Three (3) years of supervisory experience preferred.
Certification with Healthcare Financial Management Association, or Certified Revenue Cycle Representative is preferred.
Previous Epic experience is desired.
KEY RESPONSIBILITIES:
1. Oversee day-to-day operations of the Credit Resolution team to ensure the timely completion of processing and balancing activities associated with credit resolution.
2. Ensure team maintains accurate and timely completion of credit and refund processing.
3. The Credit Resolution Supervisor will conduct quality analysis weekly on team.
4. The supervisor will ensure team maintains a daily focus on attaining productivity standards, recommending new approaches for enhancing performance and productivity when appropriate, utilizing Epic time logs.
5. The Credit Resolution Supervisor will also contribute to training material and provide counsel concerning job performance when applicable.
6. The Credit Resolution Supervisor will analyze Work queue entries identify trends that exist and the root cause for credits and works with the credit balance manager for resolution.
7. Distributes credit balance assignments or inventory in conjunction the credit balance manager.
8. Supervise Credit Resolution Team Lead and representatives to ensure employees maintain accurate and current knowledge of insurance payments, rejections/denials, and refund processing procedures.
9. Develop super user capabilities in Epic applications and all other related information systems, tools, technologies, and processes; assist other employees as needed to ensure all tools are fully utilized to create an efficient and effective department.
10. Constructive feedback, work delegation, personal example and goal setting that encourages creativity, open dialogue on work issues, professional growth, and a consistent, high level of performance; encourage and support employee decision-making within his or her scope of responsibilities with the use of Microsoft Teams.
11. Work with department management to complete disciplinary actions as required.
12. Work with department management to complete annual performance reviews for employees, provide timely feedback to employees and address performance/quality and training issues as appropriate.
13. Deliver a positive patient experience.
14. Adhere to Piedmont organizational policies and procedures for relevant location and job scope.
15. Liaise appropriately with peers across the system.
16. Perform any special assignments as requested.