Provide leadership and support to staff responsible for posting insurance and patient payments to patient accounts, including proactive training and guidance, troubleshooting support, issue escalation, and project prioritization
Identify and help resolve problems in the payment posting processes and when appropriate, identifies and initiates change to prevent future problems or improve existing processes
Assist Centralized Payment Posting (CPP) manager in department compliance with established policies and procedures of AdventHealth and helps ensure that all policies and procedures reflect compliance with government regulations
Collaborate with other CPP supervisors on CPP operational and strategic matters
Develop and maintain an understanding of Federal, State, local and industry regulations, rules, and standards to help ensure compliance with payment posting and refund requirements (CMS, Federal and State legislation, etc.)
Implement and monitor key performance indicators and productivity goals; identify root cause for variances and applicable process improvements; and report key findings to appropriate leadership
Responsible for the establishment and effectiveness of internal controls
Review and approve refunds, write-offs, and adjustments on accounts, as defined in AdventHealth policies
Work collaboratively with other department leadership, including revenue cycle, finance, IT, and physician practice personnel
Utilize knowledge of revenue cycle processes that include insurance claim follow-up, denial management, payment posting, credit resolution, etc.
Achieve superior customer satisfaction by embracing and exemplifying the AdventHealth service standards
Responsible for other duties as assigned by the AdventHealth leadership team
Provide effective feedback, coaching, counseling, or discipline to employees when needed
Assist CPP manager in setting goals for performance and deadlines in ways that comply with AdventHealth plans and vision
Ensure that performance expectations are communicated to employees and that performance evaluations are fair and conducted in a timely manner
Monitor employee productivity and provide constructive feedback and coaching
Recruit and retain qualified staff
Conduct orientation and training to staff
Organize workflow and ensure that employees understand their duties or delegated tasks
What You Will Need:
Bachelor’s degree in Healthcare Administration, Finance, Business Administration, or equivalent degree from a four-year accredited university or college; or Associate’s degree in Healthcare Administration, Finance, Business Administration plus three years of relevant work experience; or six years of relevant work experience in lieu of a Bachelor’s degree
Minimum two years of experience in healthcare revenue cycle or payment posting operations
Knowledge and Skills Required:
Basic knowledge of insurance billing practices
Understanding of file formatting and interpretation of insurance Explanation of Benefits (EOB)
Clear understanding of payer adjudication and file flow that may include clearinghouses and other third party intermediaries.
Ability to communicate effectively both orally and in writing
Extensive Knowledge on use of email, search engine, Internet
Ability to effectively navigate payer websites
Knowledge and use of Microsoft Products
The Centralized Payment Posting team is responsible for payment posting activities for the majority of AdventHealth services provided. These activities include posting insurance and patient payments, managing patient refunds and credit balances, patient and insurance correspondence, reconciliation, and other miscellaneous functions. AdventHealth services included in the Centralized Payment Posting activities are hospital, physician, urgent care, home health, hospice, among others. The Supervisor oversees a team of staff responsible for accurate and timely execution of the payment posting activities.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.