This position is responsible for providing leadership and supervising the staff and daily operations of the CBO servicing the Tri-state area. The supervisor should be knowledgeable in all payor, contractual and government regulations that pertain to the assigned payor groups and serve as an internal consultant to others in the organization regarding such matters.
Additionally, the supervisor will be expected to continually assess policies, procedures and work flows and make improvements as needed to insure maximum efficiency in their unit.
Identifies emerging revenue cycle concerns and determines the potential effect on the system. Develops and implements corrective action plans, and/or takes recommendations to the appropriate PBS manager, or the Director-Tristate CBO for assistance.
Analyzes the financial and operational effects of enacted or proposed federal or state legislation or managed care contract changes on the system. Implements workflow changes within the third party collections or claims area as needed.
Identifies and recommends potential process improvements in Patient Business Services, and assists with the design and implementation as requested.
Coordinates system-wide and network projects as requested.
Creates a positive work environment for staff through team building, coaching, 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. Encourages and supports staff decision-making within their scope of responsibilities.
Manages employee scheduling and timekeeping.
Performs technical reviews of staff work.
Responsible for ensuring annual Performance Reviews are completed for each direct repot in accordance with due date.
Partners proactively with Talent Acquisition team to ensure open position are filled in a timely manner.
Provides counseling to direct reports in relation to performance, behavior, or attendance concerns with guidance from Human Resources.
Conducts termination meetings as appropriate with approval and support from Human Resources.
Identifies, assesses and proactively works towards resolving conflict within the team and or with other areas, departments
Provides consulting on other financial and management issues as requested.
Support and supervise the performance of the assigned team as it relates to achieving CBO productivity goals/targets, while providing continual feedback and guidance to the team.
Monitor and strive to continually improve the collection of third-party payor claims in accordance with the respective contract or government entity.
Conduct monthly meetings with key third-party payors to discuss reimbursement issues and keep current on payer publication notices affecting claims processing changes.
Ensure all team activities comply with SSM established policies, processes, and quality assurance programs.
Implement efficient and effective operational policies, processes and best practices for the assigned team and monitor departmental performance for compliance with these activities.
Work with various hospital managers, state agencies, insurance companies, patients and custodians to ensure that all charges for hospital services are paid timely and accurately.
Qualifications Minimum Requirements:
Graduation from an accredited college or university required
Three years of Healthcare Reimbursement Experience required
Three years of management experience.
Experience in managing projects involving the collaboration, motivation and cooperation of a wide variety of people with whom there is no direct reporting relationship.
Experience as a team leader on business venture projects, and as a team member and team leader on financial planning projects.
Experience managing third-party contracts and payment rules.
Associate's degree in accounting or finance preferred
Certification with Healthcare Financial Management Association, preferred.
SSM Health - System Office –
SSM Health is one of the largest Catholic health systems in the country and is dedicated to quality and compassionate care for anyone in need, regardless of ability to pay. Based in St. Louis, where its System Office is located, SSM Health operates 20 hospitals in Wisconsin, Illinois, Missouri and Oklahoma. We provide care in various settings: outpatient sites, physician offices, a pharmacy benefit company, an insurance plan, hospitals, nursing homes, home care, hospice, telehealth and a technology company.Our Mission: Through our exceptional health care services, we reveal the healing presence of God.
You’ve known us as many names throughout St. Louis, and now, we’re bringing our hospitals, doctors, home care and other services together under one name – SSM Health. With seven hospitals, 350+ physicians, more than 40 physician locations and 12,000 employees, we are part of something bigger and better. We’re connected to a wealth of resources, expertise and advance technology to help you, your fa...mily and our community live long, healthy lives.
We’ve grown and changed a lot over our 143-year history. Our name may be changing but our mission remains the same