CLINIC BUSINESS SVCS SUPERVISOR
SUMMARY:
The Clinic Business Services Supervisor is responsible for overseeing the various aspects of medical insurance entitlements and patient billing service operations within the Patient Business Services Department. This position is governed by state and federal laws and institution policy. TYPICAL FUNCTIONS:
Supervises patient accounts and administrative support staff personnel by interviewing, hiring, training, making work assignments and evaluating job performance. Assists in long-range planning for department, develops policies and procedures, and implements program changes. Coordinates processing of patient insurance and patient billings, monitors pre-certification of insurance, collections, quality of customer services, and data management processes. Serves as liaison between hospital and insurance agencies, computer support departments and customers and researches technical manuals to keep abreast of technical processing advancements. Handles problem cases and referrals from management, provides information to patients and outside agencies and represents work units at various meetings. Compiles various reports and statistical data required by management. Performs other duties as assigned.
KNOWLEDGE, ABILITIES, AND SKILLS:
Knowledge of public and private insurance carriers’ operations.
Knowledge of hospital billing, collections, and services.
Knowledge of medical insurance entitlements and processing requirements.
Ability to direct patient billing operations.
Ability to develop various reports.
Ability to supervise the work of subordinates.
Ability to coordinate technical processing operations.
MINIMUM EDUCATION AND/OR EXPERIENCE:
The formal education equivalent of a bachelor's degree with a major in general business, finance, or a related field; plus two years of experience in patient business service operations or a related area, including one year in a supervisory or leadership capacity.
Additional requirements determined by the agency for recruiting purposes require review and approval by the Arkansas Division of Higher Education.
OTHER JOB RELATED EDUCATION AND/OR EXPERIENCE MAY BE SUBSTITUTED FOR ALL OR PART OF THESE BASIC REQUIREMENTS, EXCEPT FOR CERTIFICATION OR LICENSURE REQUIREMENTS, UPON APPROVAL OF THE QUALIFICATIONS REVIEW COMMITTEE.
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