Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation???s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also received the Advisory Board Company???s Workplace of the Year. This award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. Join us! Discover why U.S. News & World Report has named us one of America???s Best Hospitals.
What you will you be doing in this role:
The Financial Service Supervisor is responsible for the daily planning, organizing and supervising of the operations for assigned areas, to meet the needs of all customers and support health system philosophies. You will assume fiscal responsibility through participating in unit budget preparations, serve as a liaison with revenue cycle partners and other personnel, promote maximum growth and development of each employee, participate in long and short-term strategic planning, and assure patient advocacy. The Supervisor is accountable to the Health Systems Manager. You will guide staff in meeting customer's needs consistent with the health system???s philosophy, mission, vision and strategic plan. Responsible for contributing to the overall achievement of CS Revenue Cycle goals and objectives of professional billing: Accounts Receivable days not to exceed seventy-five (75), minimum monthly cash collections of forty-seven ($47) million and aged Accounts Receivable not to exceed ten (10%) percent of total Accounts Receivable; payments and reimbursement posting approximately $70M a month with a 5-day turnaround time; 5-day turnaround time for claim rejections involved with a current monthly claims volume of approximately 240,000 claims per month. Maintains competency skills including the ability to interact with customers with diverse cultural backgrounds:
- Promotes an organizational focus by implementing goals consistent with organizational goals facilitating collaboration and coordination for interdepartmental problem-solving and supporting new concepts that enhance the functioning of area operations.
- Maintains appropriate staffing requirements and recommends actions as to hiring, transfers, promotions, terminations, salary adjustments, overtime, discipline actions time off and other administrative functions. Substantial supervisory responsibilities for a minimum of eight (8) employees exist.
- Functions as a positive, creative and effective leader, actively participating in performance improvement activities and consulting in implementation of education programs.
- Assures that area of responsibility maintains a custom focus by serving as a role model with consistent focus of customer relations, providing feedback regarding positive and negative customer comments and participating in customer satisfaction initiatives.
- Ensures compliance with all federal, state and municipal laws, regulations and ordinances for assigned areas. Maintains staff compliance with Medical Center policies, procedures and protocols.
- Recognizes the worth of our human resources and uses them effectively. Maintains positive work climate, ensures appropriate staff education, promotes environment that fosters self-directed staff, assists employees to develop and contribute to the organization and applies human resource policies fairly and consistently.
- Assumes fiscal responsibility for the unit including assisting with unit budget preparation, labor and supply cost management and revenue enhancement.
- Ensures ongoing staff compliance with established Medical Center Patient Accounting Protocols.
- Responsible for the coordination of PBS staffing schedules to ensure appropriate coverage for ongoing daily operations.
- Ensures efficient area workflow, minimizing area backlogs and unbudgeted overtime.
- Monitors staff timekeeping to ensure appropriate compensation.
- Collaborates with departments and entities within and outside Cedars-Sinai Health System in resolving patient accounting issues and process flows.
- Reviews, monitors and reports overall productivity and service quality indicators.
Department specific duties include:
Maintaining days in the work queues within the department goals set for PRM PB Claims and Remits.
Working closely with EIS CSLink PB counterparts for integrated clearinghouse needs to ensure best practices and build are in place to maintain a high percentage of ???Accepted??? claims without manual intervention.??
Assisting with basic accounting principles and healthcare billing and collection practices.
Planning, directing, coordinating, and controlling the operation and activities of Claims, Electronic Data Interchange (EDI), Remittance, Cash Posting, Claims Operations.
Coordinating with PRM Management to resolve problems and coordinate activities for areas including, but not limited to claim edits, claim definition files, paper, and electronic form output, and claims and remittance information for all RMOs.
Knowledge of regulatory requirements affecting claims processing and cash posting. This includes adherence with the most current version of following X12 HIPAA mandated transactions.
- EDI 837I and 837P Health Care Claim Transaction Set
- EDI 835 Health Care Claim Payment/Advice Transaction Set using HIPAA-compliant ANSI standard Claim Adjustment Reason Codes and accompanying Remittance Advice Remark Codes, when appropriate.
- EDI 276/277 Health Care Claim Status Request/Status Notification
- EDI 278 Health Care Service Review Information
- EFT Electronic Funds Transfer
Overseeing daily posting and balancing of cash, insurance and self-pay payments, and payment error rejections to patient accounts, either by manual or EDI (electronic posting).
Providing prompt and accurate response to staff questions, problems, or informational needs.
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