Hospital Billing Supervisor - Riverside, United States - County of Riverside

Description

ABOUT THE POSITION

The County of Riverside's University Health System - Medical Center department seeks a Hospital Billing Supervisor to join their Patient Accounting-Billing team. Under general supervision, the incumbent will provide ongoing training for Billing and Follow-up practices (specifically related to Hospital Billing and Collections), run and review aging reports for outstanding accounts-receivables, provides resolutions for complicated accounts, streamlines billing and follow-up workflows, evaluates employee work performance, timekeeping, and productivity monitoring; plans, organizes, coordinates, and supervises the staff and day-to-day operations of a patient business services function at the Riverside University Health System, and performs other related duties as required. This position is located in Riverside.

Along with the experience and knowledge below, the department is looking for candidates who are currently working with Medicare/Medi-Cal and Commercial insurances in a supervisory role in a hospital setting.

The most competitive candidates will also have current and/or recent professional experience with and knowledge of the following:

- EPIC Patient Accounting System

- Optum Charge Expert

- Assurance Claims Scrubber
- Hospital billing and collections practices and laws
- Medi-Cal, Managed Care, and Medicare Part A and B billing and follow-up expertise
- An understanding of Excel at intermediate level or above
- Ability to generate and interpret EPIC patient accounting system and Clearing House reports
- A vast understanding of CMS guidelines

This position has a 5/40 schedule for the first 90 days (Monday-Thursday 7:30a-4:00pm or 8:00am-5:00pm & Friday 7:00am-3:30pm).
- After 90 days of training, there may be an option to be on a 9/80 schedule (Possible 9/80 schedule = Monday-Thursday 7:00am-4-30pm, 7:30am-5:00pm & Friday 7:00am-3:30pm).

Meet the Team RUHS-Medical Center

EXAMPLES OF ESSENTIAL DUTIES

•Supervise the activities and day-to-day operations of one or more patient business services functions: admitting, insurance billing, charge description master, clinic registration and scheduling, cashiering, collections, provider relations, patient eligibility, and financial counseling at RUHS; review and evaluate policies and procedures in terms of RUHS goals.

•Assist in developing, updating, and implementing policies and procedures to ensure the most efficient methods of achieving revenue/patient business services goals and objectives, including admitting patients, billing fiscal intermediaries, and maximizing collections of delinquent accounts.

•Evaluate work performance and progress of subordinate employees; develop and implement comprehensive training programs for division personnel; perform or review patient financial evaluations and recommend payment and free care arrangements as appropriate.

•Provide technical guidance to staff on the most difficult and complex work of unit; coordinate the work of units supervised with other RUHS departments, County departments, and external fiscal intermediaries to ensure the accurate flow of information and to solve mutual problems.

•May participate in contract negotiations with fiscal intermediaries; analyze and prepare a variety of detailed financial and statistical reports.

MINIMUM QUALIFICATIONS

Education: Graduation from an accredited college or university with a Bachelor's degree, preferably with major coursework in business, public, healthcare, or hospital administration or a closely related field. (Additional journey level experience related to patient access or revenue cycle or patient business services function in a hospital or health care agency may substitute for the required education on the basis of 30 semester or 45 quarter units equaling one year of full-time experience).

Experience: One year of supervisory experience over a patient access or revenue cycle or patient business services function, including billing, collections, admissions, or financial counseling activities in a hospital or health care agency.

Knowledge of: The principles and practices involved in insurance billing, admitting and registration, provider relations, revenue cycle, and credit and collection activities; laws, rules, regulations, and policies affecting patient access and revenue cycle functions; the principles and techniques of supervision, staff utilization, and training.
Ability to: Organize, coordinate, and supervise the work of subordinate staff; develop instructional materials; analyze situations and recommend appropriate actions; establish and maintain effective working relationships with medical staff, fiscal intermediary representatives, and others; prepare clear and concise oral and written reports.

**Hospital Billing Coordinator is the working title for this classification, the established title is Patient Access or Patient Business Services Supervisor.**

SUPPLEMENTAL INFORMATION
Reasonable Accommodations The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). If you are a qualified individual and need a reasonable accommodation to take this exam, contact the recruiter before taking the exam. For additional information and the accommodation form, visit the Disability Access Office web page at:

Veteran's Preference:
The County has a Veteran's Preference Policy. Upload a copy of your (or your spouse's) Member-4 Form DD-214 indicating dates of service, and a copy of your spouse's letter of disability (if applicable) with your application. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans' preference. See the policy here .

Pre-Employment All employment offers are contingent upon successful completion of both a pre-employment physical exam, including a drug/alcohol test, and a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment).

Probationary Period As an Approved Local Merit System, all County of Riverside employees, except those serving "At Will," are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.

What's Next? Open to All Applicants
This recruitment is open to all applicants. Applicants who are current County of Riverside employees and/or current employees of The Riverside University Health System may be considered before other applicants depending on the volume of applications received.

Application Period BASED ON THE NUMBER OF APPLICATIONS RECEIVED, THIS POSTING MAY CLOSE WITHOUT NOTICE.
Applications received prior to the closing date will be considered based on the information submitted. Changes or alterations cannot be accepted. All applicants must submit a complete application by the closing date of this recruitment. No late applications will be permitted.
Include relevant work experience details on resume and/or application.
Applicants who fail to provide information demonstrating they possess the position requirements may not be considered further in the application process. A description of job duties directly copied from the job classification or job posting will not be considered.

Upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account. If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services ( NACES ) or Association of International Credential Evaluators, Inc. ( AICE ).

Questions regarding this recruitment? Please contact Raven Padilla via email at .

GENERAL APPLICATION INFORMATION:

Please read and follow any special application instructions on this posting. Click the 'Apply' link located on this page to submit your application. For instructions on the application process, examinations, Veteran's preference, pre-employment accommodation or other employment questions, please refer to our web site, . A pre-employment physical examination and background check may be required.

MEDICAL/DENTAL/VISION INSURANCE: A choice of different medical, dental and visions plan are available to elect. The County provides a Flexible Benefit Credit contribution as governed by the applicable SEIU Memorandum of Understanding to contribute towards the cost of these plans.

Note: Employees on assignment through the Temporary Assignment Program (TAP) receive different benefits. See the list here .
MISCELLANEOUS RETIREMENT: County of Riverside has three retirement Tiers through the California Public Employees' Retirement System (CalPERS).

• Tier I (Classic Member - Formula 3% @ 60): Applicable to current and former County of Riverside local miscellaneous employees hired prior to 08/24/2012 and did not withdraw CalPERS contributions. The employee contribution is eight (8%) percent.
• Tier II (Classic Member - Formula 2% @ 60): Applicable to local miscellaneous employees 1) hired after 08/23/2012 through 12/31/2012; 2) Previously employed with another CalPERS contracting public agency or a reciprocal retirement system, with a break in service of less than six months between the separation date with the previous employer and the appointment date with the County of Riverside. The employee contribution is seven (7%) percent.
• Tier III (PEPRA New Member - Formula 2% @ 62): Applicable to CalPERS local miscellaneous new members hired on or after the implementation of the Public Employees' Pension Reform Act of 2013 (PEPRA) which took effect January 1, 2013. Effective July 1, 2023 employee contributions are 7.25% and will increase to 7.75% effective July 1, 2024.

A new member is defined as any of the following:
A new hire who enters CalPERS membership for the first time on or after January 1, 2013, and who has no prior membership in any California Public Retirement System. A new hire who enters CalPERS membership for the first time on or after January 1, 2013, and who was a member with another California Public Retirement System prior to that date, but who is not subject to reciprocity upon joining CalPERS. A member who first established CalPERS membership prior to January 1, 2013, and who is rehired by a different CalPERS agency after a break in service of greater than six (6) months.
CalPERS refers to all members that do not fit within the definition of a new member as "classic members".

Contribution rates are subject to change based on the County of Riverside annual actuarial valuation.

Note:

This summary is for general information purposes only. Additional questions regarding retirement formulas can be sent to or by calling the Benefits Information Line at ,
Option 2.

If you have prior service credit with another CalPERS agency or within agencies, please contact CalPERS at to determine which retirement tier would be applicable to you. CalPERS is governed by the Public Employees' Retirement Law. The Retirement Law is complex and subject to change. If there's any conflict between this summary and the law, the law will prevail over this summary.

DEFERRED COMPENSATION: Voluntary employee contribution with a choice between two 457 deferred compensation plan options.

VACATION ACCRUAL (Bi-Weekly Accrual):
0< 3 year = 80 Hours (10 Days)
4< 9 years = 120 Hours (15 Days)
10 or more years = 160 Hours (20 Days)

Maximum Vacation leave accumulation is 480 hours.

SICK LEAVE: Four (4) hours Sick Leave accrual per pay period with unlimited accrual.
HOLIDAYS: Normally 12 paid holidays per year.

BEREAVEMENT LEAVE: Allowed 5 days (3 days are County paid; 2 additional days can be taken from accrued Sick Leave balance).

BASIC LIFE INSURANCE: Equal to one times annual base salary not to exceed $50,000 of term life coverage. Premiums are paid by the County. Additional Supplemental Life plan is available for employee purchase.

DISABILITY - LONG-TERM DISABILITY (LTD): Benefit pays 66.67% of earnings to a maximum of $10,000 per month; 30-day waiting period; pays to age 65. Benefit can be coordinated with other available leave balances to provide up to 100% of pay.

POST RETIREMENT MEDICAL CONTRIBUTION: A monthly contribution is made by the County towards retiree health insurance offered through the County as governed by the applicable SEIU Memorandum of Understanding.

OTHER: There may be other benefit provisions as specified in the applicable Memorandum of Understanding. Please contact the recruiter listed on the job posting directly for more information.