Women's Healthcare Associates, LLC
  • Administrative Office
  • Portland, OR, USA
  • Full Time

Medical/Vision, Dental/Orthodontia, 401(k), Employer Paid Long Term Disability Insurance, Employer Paid Life & Accidental Death & Dismemberment Insurance, Employer Paid Parental Leave, Voluntary Short Term Disability Insurance, Voluntary Life Insurance, Voluntary Long Term Care, Flexible Spending Medical, Dependent Care, & Transportation Accounts, Paid Time Off & Holidays, Life Balance, Employee Assistance Program, Childbirth Education Classes & Breastfeeding Support


We wake up for women, every day. We're inspired by their strength, their stories and the choices they make in pursuing health for themselves and their families. Our vision is that every woman will have the care and knowledge she needs to lead a full and healthy life. Will you help us achieve it?

The PFS Coding, Claims and Accounts Receivable Supervisor supervises, directs, and coordinates the business office revenue cycle teams in billing and coding and accounts receivable. Oversees billing and coding activities, insurance follow-up, and patient customer service and collection activities for WHA. Works in collaboration with Department Manager and other Revenue Cycle Supervisors to facilitate communication, goal setting, and accountability. Develops and provides cross training opportunities to continuously improve department efficiency.

DUTIES:

  • Responsible for departmental goal setting and direction of department functions. Works with Patient Financial Services Manager to determine department long term goals and needs.
  • Establishes department priorities by answering questions and requests; establishes quality standards, methods and procedures; schedules activities and employees; monitors progress; revises schedules and resolves problems.
  • Coordinates the review and audit processes for all requests for charges, adjustments and other write-offs (other than the standard contractual insurance write-offs). Ensures that all requests are appropriate and properly documented. Arranges back-up coverage for processing requests for charge adjustments during planned absences.
  • Provides appropriate feedback to administrative management regarding coding and reimbursement-related performance issues for patient financial services department and clinicians.
  • Monitors accuracy and quantity of work of Billing and Coding Specialists by running reports and audits.
  • Informs Patient Financial Services Manager on coding, insurance, and reimbursement issues.
  • Manages performance, training, development and scheduling of accounts receivable and billing and coding staff. Works with Patient Financial Services Manager in the hiring and termination process. Writes and conducts reimbursement staff performance evaluations. Documents performance and attendance.
  • Consults with Patient Financial Services Manager regarding employee issues and results as appropriate.
  • Partners with Patient Financial Services Manager in decision making and problem solving for annual evaluations, developmental coaching and corrective action.
  • Responsible for employment and selection decisions. Completes and forwards employment requisitions for personnel replacements to Human Resources. Interviews, checks references and makes hiring decisions for new employees, in coordination with Patient Financial Services Manager and Human Resources. Partners with Patient Financial Services Manager and Human Resources to resolve compensation issues and determine starting pay for new hires.
  • Coaches, trains and develops revenue staff and promotes teamwork within WHA.
  • Maintains continuity among work teams within WHA by fostering a spirit of cooperation.
  • Serves as an employee role model in all patient interactions by remaining friendly, courteous and helpful. Ensures patient and staff satisfaction through efficient revenue department operations. Solves reimbursement staff problems as needed, or refers to Patient Financial Services Manager. Responds to patient complaints and seeks resolution.
  • Maintains customer confidence and protects operations by keeping information confidential.
  • Approves employee schedules, absences, overtime and vacation. Ensures staffing coverage meets the needs of the department.
  • Coordinates agendas and conducts department meetings.
  • Understands and is able to perform the duties of an Accounts Receivable Specialist and Billing and Coding Specialist, as outlined in the relevant job description and depending upon individual qualifications

QUALIFICATIONS

  • Bachelor's degree in Business Administration, Healthcare Administration or related field, or the equivalent combination of classroom training and/or work experience.
  • At least 2 years of medical billing and/or medical collections experience required, preferably in an OB/GYN clinic.
  • Certified Professional Coding Certification required or to be obtained within one year of hire.
  • At least 2 years of medical office supervision experience required.
  • Demonstrated effective leadership skills required.
  • Demonstrated ability to effectively work with others.
  • Knowledge of medical terminology and coding, including ICD-10, CPT and HCPCS required.
  • Prior experience with or ability to learn Microsoft Windows-based computer and medical practice management billing software required.
  • Knowledge of collection law and practices required.
  • Knowledge of local and major national medical insurance practices required.
  • Research and problem-solving skills in order to resolve complex billing issues required.
  • Proven effective verbal, listening and written communication skills.
  • Knowledgeable in Microsoft Office products (Word, Outlook, Excel).
  • Ability to perform basic mathematical calculations.
  • Ability to lead at a high level of excellence and to train others in the essential job functions for the positions for which they are responsible.
  • Knowledge of proper business writing standards for letters and memos including the ability to write correspondence with proper punctuation, grammar, spelling, etc.
  • Demonstrated success in service excellence and quality improvement.
  • Current driver's license and vehicle, or ability to procure transportation to other clinics or meeting sites.
  • Must be able to successfully complete a background check.
  • Ability to demonstrate The Values Statement and The Patient Experience of WHA.
  • Ability to perform the essential functions of the job

Women's Healthcare Associates, LLC is an equal opportunity employer.

Oregon employers are required by a number of state and federal agencies to display a variety of workplace notices and posters, including:
Federal Family and Medical Leave Act
https://www.dol.gov/whd/regs/compliance/posters/fmlaen.pdf
Oregon Family Leave Act
www.oregon.gov/boli/TA/docs/oflaposter2016englishlarge.pdf

Women's Healthcare Associates, LLC
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