Facility

Cape Fear Valley Medical Center

Location

Fayetteville, North Carolina

Department

Physician Financial Services

Job Family

Management

Work Shift

Days (United States of America)

Summary

The Patient Accounts Supervisor has primary responsibility for the coordination and daily supervision of all billing functions. The Patient Accounts Supervisor shall strive to ensure complete continuity of accuracy, productivity, and efficiency in the flow of accounts.

Major Job Functions

The following is a summary of the major essential functions of this job.  The incumbent may perform other duties, both major and minor, that are not mentioned below.  In addition, specific functions may change from time to time:

• Manage, direct and ensure a highly productive, efficient, and accurate process flow of customer accounts through billing.

• Supervises and ensures proper training of employees to include the completion of performance appraisals.

• Develop and implement procedures to improve efficiency, organize work assignments, and monitor productivity.

• Monitors insurance denials through rejection reports, research, processing and follow-up.

• Assist with Billing Edit issues and helps educate the staff in correct billing procedures.

• Supervises and directs the organization of work assignments to include:  Denials Reports, work lists, Billing Rejection Reports.

• Stays current on billing requirements, coordinates changes with SSI for paper and electronic billing.

• Troubleshoots software/hardware problems that arise in claims production and nonpayment by carriers when related to claims processing.  Notifies staff and Manager of any changes and updates.

• Coordinate staff meetings.

• Maintains monthly productivity reports and ensures accuracy.

• Works with Corporate Compliance, and Risk Management to ensure they are provided requested paperwork, claims, and EOBs as requested. 

• Responsible for helping to develop department policies and procedures Ensures compliance with Federal regulations for maximum reimbursement.

• Maintains liaison with the entire PFS team to ensure two-way communication.

• Assists internal and external customers with any issues related to billing/collections

• Other duties as assigned

Minimum Qualifications

The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:

Education and Formal Training: 

• High school graduate or equivalent required

• Associate degree in Business preferred

Work Experience: 

• 3 years of medical billing/management or supervisor experience required

Knowledge, Skills, and Abilities Required: 

• Thorough knowledge of computer functions. 

• Medical Terminology. 

• Knowledge of CPT-4 and ICD-10 coding. 

• Microsoft Office Suite proficiency. 

• Demonstrates leadership qualities and organizational skills. 

• Good written and oral communication skills. 

• Ability to supervise personnel directs implementation of policies and procedures and to establish and maintain effective relationships with necessary agencies.

Physical Requirements: 

• Numerical ability required. 

• Motor coordination and finger dexterity required to operate the calculator, computer terminal and typewriter. 

• Talking and hearing to give information by phone

Required Licenses and Certifications

Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity