Billing specialist jobs in Woodbridge, NJ

Job Title:Supervisor Department Name:Emergency Dept Access Service Status: Shift:Evening Pay Range: $54,600 - $66,300 Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The Compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience, Job Overview: Ensure that [unit/department/division] is in compliance with all applicable policies, laws and regulations Qualifications: Required: High School graduate Previous hospital or related healthcare experience preferably with some supervisory experience Strong supervisory / leadership skills Extensive knowledge of pre-admission, authorization, verification, insurance reimbursement contracts and departmental and system policies and procedures Extensive knowledge of legal aspects of Patient Access Services, including state federal regulations regarding Patient Access, medical legal deaths, living wills, organ donation, and other hospital responsibilities Ability to prioritize and delegate in response to multiple, changing demands. Strong Communication skills, both written and verbal Understand Patient Access Services potential positive or negative impact on the hospital accounts receivable, cash flow, and bad debt processes. Knowledge of on-line computer system application Ability to proactively identify the needs of the customers, creating and implementing change. Interpersonal abilities necessary to effectively deal with all levels of hospital personal as well as legal representatives, third party payors, patients, etc. Analytical skills necessary to comprehend complicated issues and formulate creative solutions for problem solving. Knowledge of applicable Joint Commission requirements. Scheduling Requirements: Shift- 3:00pm-11:00pm Monday - Friday with weekends; on call (24/7) Full Time Essential Functions: Assumes responsibility for the operation and management of the department in the absence of the Director. Managers and supervises the daily activities and workflows of Census Management ensuring timely and accurate bed assignment Ensures patient, physician, and nursing needs are met while maintaining alignment with the goals of Patient Access Services, both customer service and financial Plans and manages the pre-encounter process to include scheduling, pre-registration, registration, patient and family education, clinical and financial prerequisites, pre-certification, verification of benefits, utilization management, and patient / family communication Provides leadership and timely interaction with employees regarding staffing issues Provides 24-hour direction and guidance to staff. Monitors Admissions / Registration area activities and performance by analyzing and responding to available statistical data Monitors quality assurance standards, and when appropriate, recommends, implements and maintains standards, policies, and procedures to improve productivity and efficiently Interprets and explains complex activities to patients, physicians, and staff necessary for compliance with managed care contracts, as well as other insurance plans Recognizes learning and orientation needs of staff and participates with the trainer in meeting those needs. Questions and identifies possible areas for problem resolution to patient care Plans, schedules and organizes work, ensuring proper distribution of assignments and efficient utilization of personnel, space and facility Provides a workplace that exemplifies teamwork and customer service while treating all staff members with dignity and respect Monitors employees' individual performances as compared to standards for making periodic performance evaluation of employee fairly accurately and objectively Schedules and coordinates employees' PTO, sick time, and discretionary time off Maintains operations within budget and provides justification for variances to Director Maintains confidentiality of all information related to patients, medical staff, employees, and as appropriate, other information Demonstrates expertise in inpatient/outpatient hospitalization accessibility for Admission personnel, physicians and their designees, patient care units, ancillary areas, and patients Coordinates individual and group training Makes time to observe and study staff as they are working in real-time to identify skill deficiencies, process problems and procedural misunderstandings. Manages the training and orientation of new hires Conducts performance evaluations at the end of the introductory period, annually, and at any other timely counseling as needed Keeps a record of any verbal or written communication with staff Suggests action plans for immediate Correction of any disciplinary problems and plans follow-up meetings to assess progress. Ensures staff has effective work driver, work tools, and supplies to execute their assigned work tasks Ensures staff has effective work driver, work tools, and supplies to execute their assigned work tasks Reviews patients' charts for completion and accuracy and ensures the results are reported in a timely manner Develops, implements and manages continuous quality improvement procedures to systematically monitor quality of work Tracks key performance measure/ outcomes such as insurance denials, data accuracy, customer wait times, customer complaints and suggestions, compliance with government and system standards to maximize performance Provides the Director with regular updates/summaries of key performance indicators, quality review and feedback, and productivity / utilization of staff Resolves any problems with staff performance / quality of work, morale, customer complaints, backlogs in work, training deficiencies, staffing shortage, physician complaints, or problems with specific insurance contracts Ensures staff compliance with mandatory hospital wide education programs and other departmental in services/ training programs Develops and maintains positive working relationship with related department managers, ancillary areas, physician, nurses and other healthcare professionals Represent the Patient Access Services Department in meetings or on committees Verifies accurate completion of staff payroll functions Integrate the services with the Hospital's primary functions Coordinates/integrates inter-intradepartmental services Develop/implement Policies and Procedures that guide/support services Determine staff qualifications and competence. Continuously assess/improve department performance Maintain appropriate Quality Control programs. Ensure the department operations are effective and efficient Participate in orientation/continuing education of Department staff. Hold staff accountable for their responsibilities. Maintains the integrity of the department's payroll by ensuring that personnel are not paid for more paid time off than they are entitled to and premium overtime is kept to a minimum. Completes all staff introductory evaluations, annual evaluations and re-evaluations within the timelines outlined and in accordance with Human Resources policy. Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Benefits and Perks: At RWJBarnabas Health, our employees are at the heart of everything we do. Driven by our Total Wellbeing promise, our market-competitive offerings include comprehensive benefits and resources to support our employees' physical, emotional, financial, personal, career, and community wellbeing. These benefits and resources include, but are not limited to: Paid Time Off including Vacation, Holidays, and Sick Time Retirement Plans Medical and Prescription Drug Insurance Dental and Vision Insurance Disability and Life Insurance Paid Parental Leave Tuition Reimbursement Student Loan Planning Support Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Community and Volunteer Opportunities Discounts Through our Partners such as NJ Devils, NJ PAC, and Verizon….and more! Choosing RWJBarnabas Health! RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey-whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.