Government Collection Supervisor

Location: Pasadena, California
Posted On: 9/13/2017
Job Code: 2667-GC-PA
Job Description
Essential Functions:
• Provides overall supervision of the collections department, contributes & ensures accurate & timely collection of all appropriate revenue for PBS.
• Recruits & maintains a competent, motivated & qualified staff including disciplining, counseling, coaching, advising, training, termination & resolution of personnel issues.
• Conducts performance evaluations for staff.
• Monitors & measures collection performance against cash performance targets by collector, by payer category, by medical center & division, & maintains communication between the collections teams & service area PBS teams.
• Identifies & develops new products & services to enhance recoveries.
• Communicates updated procedures & information to all involved parties.
• Ensures effective financial management of Accounts Receivable, to include financial tracking & analysis of financial recoveries & performance.
• Plans & implements departmental programs & systems that provide analytical support on financial issues.
• Authorizes refunds, write offs & adjustments up to a specified amount.
• Provides consulting expertise to business function areas & coordinates/conducts required training as identified from various sources or externally mandated requirements; stays abreast of all regulatory changes & requirements; implements & communicates changes to department & service area staff within PBS.
• Ensures timely & accurate processing of industrial, TPL, COB, commercial insurance, Medi-Cal, & outpatient Medicare & self pay accounts in accordance with best practices, defined process flows & procedures & applicable legislative & regulations.
• Ensures consistent application of processing procedures, policies & personnel practices among the employees on the collection team & promotes organization & division strategic objectives.
• Supervises the work of the staff in maintaining high quality of work with revenue enhancement & customer service focus, through monitoring operational performance, & implementation & improvement options for either/or Northern & Southern California.
• Ensures consistent application of divisional wide operational practices, policies & procedures.
• Develops, recommends, implements & monitors goals, objectives, & performance standards Tracks & analyzes financial recoveries of outside vendors, ensuring effective performance.
• Plans, develops, & implements administrative strategies consistent with business plans, organizational goals, health plan member service agreements & federal & state law.
• Ensures appropriate financial reporting & accounting of revenue.
• Ensures preparation of Northern &/or Southern California general accounting documents for monthly revenue & PBS financial reports.
• This job description is not all encompassing.
Basic Qualifications:
• Minimum of three (3) years demonstrated ability to lead, manage and supervise staff, preferably in a healthcare environment required. Five (5) years of experience preferred.
• BA/BS Degree required
• Must have insurance hospital collections background
• Understand insurance appeals processes
• MediCal or Medicare FFS or HMO knowledge required
• Knowledge of applicable state and federal regulations related to billing and collections.
• Knowledge in budgeting and accounting principles and of personnel/labor laws and regulations.
• Knowledge of systems requirement development and user acceptance testing.
• Excellent negotiating and analytical skills.
• Demonstrated interpersonal skills in dealing with employees and all levels of management.
• User knowledge of word processing and spreadsheet software and mainframe systems.
• Strong verbal and written communication skills and excellent presentation skills.
• Knowledge and understanding of the relationship between management and union contracts and work within the parameters of the Labor management partnership, preferred.
• Great writing skills
• Analytical skills

Preferred Qualifications:
• Basic computer skills to include Word, Excel, PowerPoint, and Windows PC.
• Epic system knowledge is helpful, but not required
Category:IT  code:new
Job Requirements
Training, Compliance, Direct3D, Focus, Windows 2003, Mainframe, Windows 2000, Ms Word, Windows 98, Ms Excel, Management, EPIC,HEALTHCARE

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Contact Details
Aashi Vishwakarma