Supervisor, Patient Financial Services Maryland

Description:
The PFS Supervisor is responsible for the day-to-day operations of certain assigned work units within the PFS Department. The PFS Supervisor is responsible for managing all end-to-end processes in the PFS Department and ensuring proper coordination and integration with all upstream, revenue cycle processes. PFS has work units that currently perform the following: identification and primacy determination of third-party billing opportunities (Medicare, Other Insurance Coverage (OIC), Workers Compensation, and Third-Party Liability situations); the billing of charges to these entities; the collection of accounts receivable from these entities; the billing and collections of all member and non-member self-pay balances; and, the application of all payments to the Kaiser Mid-Atlantic patient accounting system.

• Directly manages the staff in the assigned work units. Is responsible for hiring and all disciplinary actions up to and including termination of subordinates in accordance with EEO/AA, union contracts, and personnel policies.


• Develops and implements standards of work (SOW) consistent with National and Regional KP policies. Ensures that all employees are properly trained and adhere to all applicable standards of work (SOW), policies and procedures once implemented.


• Develops comprehensive unit and employee goals to motivate staff and support departmental objectives. Ensures that financial goals are met and that all employees reach all performance metric targets and departmental production standards of quantity and quality as set forth by the PFS Director.


• Assists in developing specifications for new reports. Reviews and analyzes operational reports to monitor productivity, identify trends, explain variances and manage performance.


• Leads and/or manages projects that are cross functional. Provides consulting support and acts as a subject matter expert with project managers and leadership, as required.


• Supervises back-end revenue cycle activities. Regularly evaluates existing workflows, business systems and processes to identify improvement opportunities for streamlining operations and increasing revenue and productivity.


• Ensures that the unit operations and business practices are conducted in a manner that is compliant with regulatory requirements for all applicable jurisdictions.


• Integrates front and middle-end revenue cycle activities with PFS processes. Works closely with other departments, such as General Accounting, Accounts Payable, Membership Services, Claims, HIMS, Appeals, Fraud & Abuse, and Legal, to coordinate the flow of information involving payment of medical bills and/or financial liability.


• Ensures that all employees interacting with members are conducting themselves in a courteous and professional manner.


• Ensures that all employee follow the time collection process, including the KRONOS automated time and attendance systems for a designated Region.


• Perform other duties as assigned.