Sup Cash Applications
Wellstar Health Systems

Job Info

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Facility: VIRTUAL-GA
Job Summary:

The Supervisor Cash Applications reports to the Manager Cash Applications and coordinates all daily activities of the Cash Applications department. Providing direction to ensure timeframes are met for posting payments and adjustments, ensure daily processes and reports are completed in a timely manner. Coordinates staff training and quality assurance. Completes and maintains policies and procedures. Completes and provides weekly/monthly productivity and departmental reports to leadership. Ensures accurate and timely posting of ERA posting files with Change Healthcare and is responsible for testing as applicable. Ensures and provides reconciliation reporting to leadership on a daily, weekly, and monthly basis. Management skills are required in the daily operations of assigned area and in the supervision of subordinate staff. It is imperative to maintain a good working relationship with management, staff, and external contacts such as insurance representatives. The Supervisor Cash Applications position requires the use of independent judgement and decision making; as well as strong analytical, problem solving, and leadership skills. External contacts include all levels of staff and management. External contacts include insurance companies, state and federal agencies, outside accounting firms and auditors; resolving problems and issues, and discussing sensitive and confidential information.

Core Responsibilities and Essential Functions:

Results Oriented Leadership (Mandatory Content)
* Sets challenging and productive goals for team.
* Holds team accountable for actions while providing leadership and motivation.
* Provides resources and support,
* Uses checkpoints and data to track progress, setting up system and processes to measure results.

Collaboration and Partnership (Mandatory Content)
* Works collaboratively and as a team member with hospital leadership. Partners with Human Resources to achieve desired organizational culture, staffing and workforce metrics.
* Fosters positive working relationships between staff and physicians across the Health System.
* Fosters a culture that focuses on patient satisfaction, safety, customer service, staff participation, collaboration, motivation, and effective communication.

Responsible for day to day operations of the Cash Applications department.
* Keeps management abreast of all issues and concerns of the department.
* Maintains payroll responsibilities.
* Oversees staff productivity and accuracy to ensure accurate and timely postings in managing daily unposted cash.
* Conducts regular performance reviews for staff and recommends salary adjustments or disciplinary actions.
* Conduct the interviewing and screening process of staff hires.
* Holds regular meetings with staff and promotes positive staff morale.
* Maintain excellent customer relations for all internal and external customers
* Demonstrate proficiency in document production for the following applications: Word, Excel, and Power Point
* Coordinate Connect tickets related to department functions
* Create/update department policies and procedures
* Demonstrate effective departmental leadership and provide appropriate direction to the staff
* Utilize quantitative production reports and providing consistent feedback to staff
* Maintain effective communication with other Patient Financial Services and Revenue Cycle departments
* Apply appropriate supervisory, management and leadership techniques in an operational setting
* Work effectively with difficult people and/or difficult situations
* Evaluate best practice suggestions for possible outcomes into the revenue cycle
* Oversees staff productivity and ensures accuracy and timely postings in managing daily posted and unposted cash.

Responsible for implementation of new technology and training.
* Reviews, researches, and implements new technology impacting Cash Applications.
* Coordinates training and quality assurance feedback to staff.
* Ensures all banking instructions are valid and processing without error.
* Maintains a thorough knowledge of WellStars Compliance department policies as they relate to the payment posting processes.
* Maintains a working knowledge of the ASC X12N 835 Implementation information.
* Train and assist Revenue Cycle staff on DAA and ERA detail in EPIC as requested by management

Serves as the intermediary with Support Services relationships with Bank of America, Health Logic, and other WellStar entities.
* Serves as the intermediary with Change Healthcare in relation to ERA payer files.
* Serves as the intermediary with Health Logic to ensure high quality level of performance and intercede for prompt resolution.
* Serves as key liaison for the Reference Lab and WHS pro-fees for payment and refund issues.
* Serves as liaison with Bank of America for insurance and correspondence lockboxes.

Responsible for maintaining ERA payment file processing to include ERA CAS Reason Codes, ERA Payment File Definition, ERA Provider Level Adjustment Mapping, ERA Provider Level Adjustment Reasons, ERA Remark Codes and ERA Segment Matching Rules.
* Reviews payer volumes and availability of 835 files to determine implementation schedule.
* Responsible for the creation of new ERA posting templates.
* Responsible for testing new ERA payers and templates to ensure posting accuracy.
* Monitors ERA files for possible payer changes that would necessitate changes in the posting templates or posting procedures.
* Responsible for tracking changes made to ERA posting templates to include the addition of new carrier codes and plans.
* Responsible for testing and implementation of the new ERA payers.
* Responsible for coordination of documentation for requested deposits via the BOA automated clearinghouse.
* Responsible for reviewing reported CAS code issues.
* Monitors transition of ERA posting files from Change Healthcare to WellStar to ensure timely posting.

Responsible for reporting and balancing of PFS WellStar deposits and postings.
* Creates the format for the monthly Cash Graph and Daily Deposit Log
* Creates monthly PFS Cash Report detailing AR and Non-AR funds.
* Monthly reconciliation of Unposted cash, AR/Non-AR general ledger accounts and deposits in the Access database.
* Ensures timely resolution and completion of assigned Epic WQs
* Completes other tasks as assigned by the department director.

Trust/Engagement (Mandatory Content)
* Builds a culture of trust and engagement as reflected in the Great Place to Work Trust Index Survey at a direct report, workgroup and hospital/entity level.
* Holds leaders accountable for behaviors that create trust and engagement.
* Performs all duties and responsibilities of this position in a manner that reflects the values of WellStar.
* Maintains and strengthens relationships with physicians and assures their involvement in developing systems to assure the growth of the service and the cost effective delivery of quality patient care in a manner that fosters patient and employee satisfaction.

Performs other duties as assigned

Complies with all WellStar Health System policies, standards of work, and code of conduct.

Required Minimum Education:

High School graduate Required and
BA or BS Preferred or
equivalent work experience. Required

Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated.

Additional License(s) and Certification(s):

Required Minimum Experience:

Minimum 2 years experience in healthcare preferred, claims processing management, or other management, or other management role in a healthcare environment. Required and
Minimum 3 years previous supervisory experience in hospital payment management Preferred

Required Minimum Skills:

Broad proven practical experience in hospital billing, follow up, and customer service
Knowledge of hospital billing process and revenue cycle environment
Knowledge of state and federal regulations as they pertain to collection processes and procedures
Knowledge of and skill in the use of computers and related systems and software
Knowledge of insurance plan payment practices and billing requirements
Knowledge of and detailed understanding of managed care agreements
Knowledge of 835 payment file processing
Skill in problem solving in a variety of settings
Skill in motivating and directing the work and activities of staff with the ability to effectively delegate
Skill in technical and professional accounting
Skill in good oral, writen, and interpersonal communication, grammar, and spelling
Skill in time management and project management
Ability to effectively conduct regular department meetings
Ability to work cooperatively in a team environment
Ability to set climate for performance at optimum levels
Ability to establish and maintain a cohesive work team
Ability to work efficiently under pressure
Ability to apply appropriate supervisory, management, and leadership techniques in an operational setting
Ability to work independently and take initiative
Demonstrates a commitment to continuous learning and to operationalize that learning and top operationalize that learning
Ability to willingly accept responsibility and/or delegate responsibility
Ability to deal effectively with constant changes and be a change agent
Ability to deal with difficult people and/or difficult situations effectively
Ability to set priorities and use good judgement for self and staff

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