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Supervisor, Patient Accounting TPL/COLLECTIONS

Company: Kaiser Permanente
Location: Portland
Posted on: May 28, 2023

Job Description:

The purpose of the position is to supervise, coordinate, and direct the work flow functions of the collection department and billing areas including hiring and training of competent staff to record revenues, ensure complete and accurate billing, timely and efficient follow-up of unpaid accounts and claims, appropriate handling and posting of payments, and follow-up with correspondence in accordance with Divisional standards, third party payer agreements, Federal Fair Debt Collection Practices Act and other State and Federal rules and regulations.
Essential Functions:
--- Organize, direct, coordinate and supervise the collection department and billing areas by developing, implementing and evaluating ongoing processes to collect unpaid patient/member/guarantor and insurance claims while complying with the Federal Fair Debt Collection Practices Act using multiple computer systems to obtain information. Assist patient/member/guarantors in resolving coverage, benefit and billing questions by providing a high level of customer service for medical and dental billing. Direct, train, and monitor the collection staff in assessing financial resources for patient/member/guarantors such Workers Compensation, Motor Vehicle Accident Fund, Medicaid, etc. Manage, recommend, and approve the use of funds from the Region's Charitable Care Program when appropriate. Mange the assignment of unpaid accounts to professional collection agencies and represent KP in court when necessary in the collection of unpaid accounts. Is held accountable for the reduction of accounts receivable residing in both SPARCS and Resolute Billing Systems. New targets to be established in conjunction with the Director of Patient Business Services.
--- Must obtain Masters Certification by EPIC personnel in the appropriate component of Resolute, as defined by the Director of Patient Business Services and EPIC.
--- Ensure smooth efficient operations of the department by recruiting, hiring, providing orientation, training, monitoring, evaluating, and when necessary, counseling and/or disciplining of staff in accordance with Divisional policies, procedures, goals and visions. Trains and develops and provide opportunity for all staff to offer input into their area of responsibility to provide and promote team work and staff feeling valued and a member of the partnership to enhance the delivery of excellent customer service.
--- Develop and maintain current procedures and performance standards and instruct and train staff in usage and compliance. Develop the presence of controls and procedures to assure compliance with State and Federal laws and regulations by analyzing work flow processes, implementing changes where necessary, and continually monitoring to ensure compliance and making changes when appropriate. Active participation in Kaiser Permanente's Corporate Compliance program and compliance with Principles of Responsibility. Must demonstrate strong work ethic and promote adherence to policy by modeling desired behavior, and leading by example.
--- Integrate service quality with customers both inside and outside the organization, who rely on us to meet their individual needs by focusing, communicating, and resolving concerns and discrepancies in a fair, efficient, timely, and friendly manner. Demonstrate leadership skills by creating, developing, encouraging and mentoring employees to develop cross functional skill. Enhance employee satisfaction by providing learning tools and growth opportunities for staff.
--- Maintain cost effective operations by maintaining high levels of productivity and positive budget variance.
--- This job description is not all encompassing.
Basic Qualifications:Experience- Minimum three (3) years of supervisor experience or equivalent.- Minimum five (5) years of collection experience.Education- Bachelor's degree in management or related field OR four (4) years of experience in a directly related field.- High School Diploma or General Education Development (GED) required.License, Certification, Registration- N/A Additional Requirements:- Demonstrated knowledge of the Federal Fair Debt Collection Practices Act.- Demonstrated knowledge of rules and regulations of third party payers.- Knowledge of KP organization policies and procedures.- Medical terminology and coding.- Knowledge of Charitable Care principles.- Basic accounting skills.- Demonstrated leadership abilities and ability to work effectively as a team player.- Demonstrated knowledge of computer applications.- Demonstrated written and verbal communication skills.- Able to provide and manage staff technical training.- Participatory management oriented.- Computer skills include proficiency in e-mail, word processing, spreadsheets and databases.- Regional resource for respiratory Care, sleep diagnostics and cardiac surveillance.
Preferred Qualifications:

  • Minimum five (5) years of previous supervisory experience.

  • Bachelor's degree in management or related field.- In depth understanding and working knowledge of the Signature Patient Accounts Receivable Common System (SPARCS).- Proficiency in medical terminology and standard coding practices, i.e. CPT 4, ICD-CM-9., ADA.- In-depth understanding of the Federal Fair Debt Collections Practices Act.- Working knowledge of third party payer rules and regulations i.e. Medicare, Medicaid, Champus.- Working knowledge of organization policies and procedures.- Proficiency with computer and KP on-line systems.- Demonstrated excellent written and verbal communications.- Demonstrated knowledge of Charitable Care policies and principles.- Working knowledge of basic accounting principles.

    TITLE: Supervisor, Patient Accounting TPL/COLLECTIONS
    LOCATION: Portland, Oregon
    REQNUMBER: 1164937
    External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

Keywords: Kaiser Permanente, Portland , Supervisor, Patient Accounting TPL/COLLECTIONS, Accounting, Auditing , Portland, Oregon

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