Follow Up Supervisor

80 Hours Per Pay Period

Department: Business Office

Requirements:

  • The Follow-up Supervisor is responsible for investigating and resolving insurance claims accurately. Maximizes reimbursements through efficient, timely and comprehensive voucher, delinquent claim and denial management review. Prepares appeals and tracks outcomes. Complies with all contractual, state and federal requirements. Troubleshoots account issues and manages resolution to completion. Acts as a patient advocate by providing information and education on health insurance benefits, billing, and the reimbursement process to HMHD patients.
  • Qualifications
  • Education:
  • • Must possess high school diploma or equivalent.
  • • Bachelor Degree Preferred.

Description:
Essential Functions The Follow-up Supervisor supports the operations of HMHD by performing activities involved in insurance management and accounts receivable management. This position works closely with the Director of Revenue Integrity to drive revenue for HMHD. Deals with customers directly or by telephone to answer patient questions, inquires and concerns regarding their accounts and responds promptly to their inquiries. Assist patients to set up credit card payment and appropriate payment plans on their accounts where applicable. Identifies any billing or insurance errors and knows where to direct the issue for a resolution. Follow up on inquires to see that a resolution has been made. Obtain and evaluate all relevant information to handle patient billing inquiries and complaints. Position Responsibilities: 1. Does weekly follow-up on hospital accounts taking appropriate action and utilizes information appropriately. 2. Researches overpayments, identifies root causes or trends, processes refunds, takes corrective action and reports findings to Director of Revenue Integrity. 3. Communicates with Director of Revenue Integrity to secure patient payments per the HMHD Financial Policy. 4. Works in collaboration throughout the hospital district as it relates to reimbursement questions. 5. Answers patient related questions on accounts in a courteous manner. Seeks assistance from the Director of Revenue Integrity when unable to reach a solution. 6. Reviews all correspondence pertaining to billing for needed information and contacts the patient if additional information is needed. All correspondence and follow-up must be done in a timely manner. 7. Maintains the strictest of confidentiality concerning the patient and family members, with the ability to show empathy for the patient and family to deal with their complaints and problems. 8. Directs patients to the appropriate Business Office personnel to establish payment plans as policy directs. 9. Maintains constant contact with Director of Revenue Integrity & Utilization Review Department pertaining to patient insurance information for correct certification of services performed. 10. Provides assistance to Patient Account Representatives in the office or any other department if applicable. 11. Stays current on all hospital policies such as the Safety Policy, Emergency Preparedness Plan, Material Safety Data Sheets and the hospital mission and vision statements. 12. Completes all in-house training & mandatory classes offered or assigned by the Director of Revenue Integrity or the Education Department of the hospital. 13. Reports all areas of concern to the Director of Revenue Integrity. 14. Keeps work area in a neat and orderly manner.

Position Posted On: 07/09/2019

If interested, contact: bhamblin@hmhospital.org, lbraden@hmhospital.org

Mail your application to:
Hamilton Memorial Hospital
c/o Human Resources
PO Box 429
McLeansboro, IL 62859

Or, Fax your application to: 618-643-2875

Or, email your application to: Bobbie Hamblin.