City of Austin - JOB DESCRIPTION

Patient Account Supervisor

1. Manages business office processes and ensures timely submission, adjudication, follow-up, and posting of insurance claims (HMOs, Medicare, Medicaid, Texas Department of Health, and others) and the issuance of bills to patients/guarantors.
2. Establishes and maintains full receivable accounting function for the clinic system.
3. Meets regularly with business office supervisors and /or district managers and ensures that all FQHC business office/receivables problems are addressed, that coordination and implementation of business office changes occur, and that feedback and on-going communication occur. Facilitates teamwork among the patient account representative staff and the clinic staff.
4. Coordinates with City, County, and departmental financial staff regarding receivable accounting, revenue projections, performance data and other issues.
5. Receives and addresses patient complaints as needed, in an appropriate and timely manner.
6. Coordinates with HMOs, Medicare, Medicaid, TDH, and others regarding billing and collection processes.
7. Coordinates with FQHC MIS Manager and HHSD Information Systems Manager regarding system processes.
8. Manages employee performance through planning, evaluating, training, coaching and disciplining staff. Fosters a sense of teamwork and motivates team to perform assigned functions and achieve objectives.
9. Completes performance Appraisal/Success Strategies according to established policy, procedures, and timelines.
10. Resolves problems at lowest level and recommends and takes appropriate disciplinary or performance counseling action according to Personnel Policies and Procedures using appropriate forms within established time frames.
11. Identifies training needs of staff and assigns staff to participate in relevant training.
12. Provides managerial oversight and assumes responsibility for all staff within assigned business structure.
13. Ensures that the business office has fully implemented division administrative and programmatic policies and procedures i.e., program standards and protocols for business office practices.
14. Ensures the development of processes/procedures to monitor and audit policies and procedures. Ensures compliance and follow-up with all standards and audits. Develops action plan and measures when audit standards are found out of compliance.
15. Ensures that the Coordinated Care Remittance Processing is being met; posting of receivable, remittance advise review, analysis and error correction; preparation and submittal of claims; monthly update of enrollment/capitation report; batching and forwarding of electronic claims.
16. Actively participates in managed care work sessions to ensure contractual arrangements are being met.
17. Maintains current knowledge of applicable Medicare, Medicaid, and TDH regulations regarding billing and collections. Maintains complete and current knowledge of client management system functionality and processes. Implements procedural changes as needed in response to system updates.
18. Responsible for the development and monitoring of the unit's budget and expenses; ensures that expenses are not exceeded in accordance with departmental policies and procedures.
19. Develops and maintains fee schedule and schedule of discounts for FQHC. Implements upon approval by governing bodies.

• Responsible for the full range of supervisory activities including selection, training, evaluation, counseling, and recommendation for dismissal

• Graduation from an accredited high school or equivalent , plus five (5) years of experience in a field related to the job , one (1) year of which were in a lead or supervisory capacity.
• Education or experience may be substitute up to a maximum of four (4) years