Physician Accounts Receivable Supervisor

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk? Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader with hospitals in Dover and Milford, a s well as stand -alone Emergency Department in Smyrna and a hybrid E mergency Department and Urgent Care in Milton .

We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore . Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand! Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including: Generous Paid Time Off and Paid Holidays Matching 401(k)/403(b) Plans Excellent Health, Dental, and Vision Disability and Life Insurance options On Site Child Care Educational Reimbursement Health Care and Dependent Care Flex Spending Accounts Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Location: Kent Campus Hospital, Dover Delaware Status: Full Time 80 Hours Biweekly (Exempt) Shift: Days SALARY RANGE: 60,424.00 - 93,662.40 YEARLY General Summary: Ensures accurate, timely and compliant billing, insurance collections and denial resolution for a team of at least ten subordinates for all payers. The team supervised will be responsible for collecting the employed physician group’s annual gross revenue.

Performs diversified information systems duties, including coordination of updates to the EMR, claims scrubber. Understands LEAN and is an agent for change.

Responsibilities

1. Manage daily billing activities. Resolve billing issues timely with clearinghouse; holds clearinghouse responsible for timely resolution of issues. Communicates and escalates claim file transfer issues to management immediately. Implements bridge routines as appropriate to facilitate clean claim/compliant submissions.
2. Maintain the dollar value of failed claims in the Claims system to less than 1 day of A/R; reduce detailed report of system unbilled/hold accounts
3. Monitor failed claims in the EMR and ensure timely resolution. Identifies recurring errors and recommends solutions to mitigate issues.
4. Maintain A/R greater than 90 days within MGMA’s benchmark; produce and maintain monthly A/R analysis stratifying the A/R by total number of billed accounts, accounts in workstation, accounts in Denials and Appeals queues.
5. Review A/R analysis and all high dollar accounts with balances greater than $5,000; document the review in the account notes.
6. Monitor denied losses for physician accounts receivable. Identify challenges/barriers to timely filing and implement change needed to minimize timely filing denials.
7. Monitor performance by outside contractor within Bayhealth’s performance expectations.
8. Reviews quality assurance review results with staff providing as necessary education/training to address opportunities for improvement. Contributes to development of education materials for new hire and annual training competencies. Perform quality assurance in absence of department trainer.
9. Complete monthly rounding on direct reports; maintain individual rounding logs and stop light reports to facilitate communication.
10. Maintains any ARCR certifications in good standing.
11. Reviews all requests for system changes to determine the impact on payers and processes under the position’s span of control. Ensures supporting research and documentation supporting the change request are accurate and have been properly validated.
12. All other duties as assigned within the scope and range of job responsibilities. Required Education, Credential(s) and Experience: Education: High School Diploma or GED ; ; Credential(s): None Required ; Experience: Required: Five years of physician A/R or patient accounting experience at Bayhealth. Preferred: Lead or Supervisory experience. Preferred Education, Credential(s) and Experience: Education: Associate Degree Related field Credential(s): Certified Revenue Cycle Specialist Certified Revenue Cycle Representative Experience: To view a full list of all open position at Bayhealth, please visit: https://apply.bayhealth.org/join/