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Supervisor Patient Billing - FT - Day Shift

EcmcBuffalo, NY
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Job Description

HOURLY RANGE: $27.224 - $36.244

DISTINGUISHING FEATURES OF THE CLASS: The work involves supervising and participating in patient billing and reimbursement operations of the Erie County Medical Center Corporation (ECMCC). This is a highly responsible position overseeing the daily operations of patient billing and reimbursements. Work performed under the general supervision of the Director of Patient Financial Services. Incumbent may exercise some independent judgment in carrying out assigned duties. Supervision is exercised over lower-level employees. Does related work as required.

TYPICAL WORK ACTIVITIES:

Oversees and participates in daily operations of patient billing and claim submission and follow-up with payers in accordance with Medicare, Medicaid, governmental and/or third-party payer billing guidelines;

Coordinates with internal and external departments to ensure correct billing practices and accurate reimbursement;

Creates, develops, analyzes, distributes and monitors various reports;

Acts as liaison to Patient Financial Services staff;

Investigates and tracks issues and questions for assessment and resolution; provides timely and accurate feedback to staff and leadership;

Communicates and enforces policies and procedures with subordinate employees;

Assists with organization of work and establishing priorities;

Assists in the coordination and evaluation of subordinate employees;

Monitors and documents staff time and attendance;

Plans and oversees training of current and new staff on new and updated procedures;

Assists in hiring and training personnel, evaluates staff based on established competencies and prepares and assists with disciplines;

Participates in meetings, workgroups and continuing education sessions to assist in development of process improvements and maintenance of appropriate level of staff support.

FULL PERFORMANCE KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS: Thorough knowledge of hospital/medical billing, terminology, and procedures; thorough knowledge of hospital services, charges, revenue and diagnosis codes; thorough knowledge of Medicare, Medicaid, governmental and third party payer billing guidelines, rules and regulations; ability to use computer applications including Microsoft Word and Excel and hospital billing systems; ability to communicate effectively, both orally and in writing; ability to develop and analyze reports; ability to organize, direct and evaluate work of assigned staff; ability to carry out oral and written instructions; ability to train lower level clerical staff; ability to multi-task; ability to communicate effectively, both orally and in writing; ability to establish and maintain effective working relationships with a diverse constituency; initiative; dependability; tact and courtesy; sound professional judgment; capable of performing the essential functions of the position with or without reasonable accommodation.

MINIMUM QUALIFICATIONS:

Promotional:

Candidates must be permanently employed in the competitive class and must be serving and have served continuously on a permanent basis as a Senior Patient Financial Service Representative for 12 months immediately preceding the date of the written test plus open competitive qualifications.

Open Competitive:

  • Graduation from a regionally accredited or New York State registered college or university with an Associate's Degree in Business, Finance, Accounting or closely related field and three (3) years of experience in hospital or healthcare billing, one (1) year of which included supervisory experience; or:
  • Graduation from high school or possession of a high school equivalency diploma and five (5) years of experience in medical billing in a hospital or healthcare setting, one (1) year of which included supervisory experience.
  • An equivalent combination of training and experience as defined by the limits of (A) and (B).

NOTE: Completion of a certificate program in Medical Billing or Medical Reimbursement may be substituted for one (1) year of hospital or healthcare billing.

NOTE: Verifiable part-time and/or volunteer experience will be pro-rated toward meeting full-time experience requirements.