Physician Business Services Supervisor, Inpatient Specialty Services

Physician Business Services Supervisor, Inpatient Specialty Services

Experience a rewarding and fulfilling career with Mercyhealth. Mercyhealth is committed to offering our partners a best place to work. Our unique workplace Culture of Excellence is built upon:

• Employee engagement, empowerment and growth
• Teamwork toward our common goal - providing exceptional health care services with a passion for making lives better
• An atmosphere of caring and quality that cascades throughout the organization

Plans, develops and administers health information technologies for Mercyhealth Inpatient Specialty Services consistent with facility policies and procedures and standards of accrediting and regulatory agencies by performing the following duties personally or through subordinates. Plans and supervises activities within the department. Assigns work and coordinates activities to maintain efficient work flow. Monitors quantity and quality of work performed. Trains, supervises and evaluates employees. Works closely with physicians for scheduling, licensing/credentialing, onboarding, CME, Mandatory education, timekeeping and meetings. Other duties as assigned.

• Utilizes excellent analytical and interpretive skill to supervise and execute the daily operation of the Billing/Payroll/Medical records departments; planning and assignment of activities within the department to maintain efficient work flow.
• Monitor the quality of work performed; providing performance feedback and training.
• Interview, train, supervise and evaluate performance of employees.
• Responsible for maintaining budgeted staffing levels.
• Responsible for reviewing and analyzing new government billing regulations/guidelines, new managed care contracts, and industry publications to advise director, partners, and other department leads of potential issues that could impact billing, reimbursement and compliance.
• Develop, educate on, and facilitate process and procedures for documenting, storing, retrieving and other processing of legal documents in accordance with federal, state and local statutes.
• Produce and maintain reports required to review for financial stability.
• Supervises release of information requests for Mercyhealth Emergency Department records.
• Participates in development, design, modification and processing of computer software for electronic health information systems. Keeps department management team aware of upcoming changes and educational material for the anticipated software changes.
• Analyze client data for reimbursement, facility planning, quality of care, risk management and utilization review.
• Coordinates with various third party payers to maintain and enhance appropriate claims processing procedures and ensures managed care contract terms are operationalized in the process.
• Using effective and professional communication both oral and written to coordinate clinical staff to ensure accurate and proper planning for clients based on their payer and authorization limits from those payers.
• Ensures compliance to policies and guidelines regarding the handling of cash and checks, and the posting of payments and adjustments according to Finance.
• Perform with competence using database software; EPIC; Kronos Payroll systems; Spreadsheet software and word processing software, E-Solutions and other pertinent billing software. Displaying competence in mathematical skills possessing the ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
• Strong problem-solving abilities in complex situations. Ability to work within the budget and productivity targets to meet organizational objectives. Assures there are organized plans in place for selection of staff, evaluation of staff, orientation of new staff, continued education and development of staff, competency evaluation of staff, appropriate scheduling of staff based on patient acuity. A visible nursing leader with outstanding relationship building skills. A demonstrated record of success in identifying, recruiting and retaining strong clinicians. Must possess strong physician relationship skills.
• Supports process improvement in operations, quality, and organizational change identified for their areas. Knowledge of accreditation and certification requirements and standards for their areas of responsibility. Able to communicate effectively and persuasively with individuals and groups through compassion, creativity, and consistent visibility. Participates in hospital and department committees.
• Demonstrated ability in developing and mentoring staff and colleagues. Leads by example, consistently demonstrating highly professional behavior. Demonstrates personal and professional accountability and holds others to the same.
• Demonstrates decisiveness and an ability to gain consensus where appropriate.
• Works with provider recruitment and leadership to obtain locum emergency department provider coverage.
• Tracks, monitors and maintains financial documents for provider call, CME and licensure.

Level of Supervision

Some independent judgment is required, but alternatives are limited by standard practices and procedures.

High school diploma or equivalent is required. Minimum two years of experience in Medical Records / Health Care Administration field and experience with accounting or medical billing is required. Experience/education in Emergency Medicine related field preferred.

The Special Physical Demands are considered Essential Job Functions of the position with or without reasonable accommodations.
While performing the duties of this job, the employee is required to stand and walk occasionally. The employee is required to sit for extended periods of time. The employee is occasionally required to lift and move 25 pounds. The employee may be required to stand, stoop, kneel or crawl. The employee is required to hear, and specific vision requirements include close and peripheral vision as well as the ability to adjust focus.

To perform the job successfully, an individual should demonstrate the following behavior expectations:

Quality - Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals.

Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions.

Partnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals.

Cost - Conserves organization resources; Understands fiscal responsibility; Works within approved budget; Develops and implements cost saving measures; contributes to profits and revenue.