DISTINGUISHING FEATURES OF THE CLASS: The work involves supervising and participating in the billing functions, collecting and accounting for monies received, and denials prevention analysis in the Hospital Billing Department for the Erie County Medical Center Corporation. This is a working supervisor position. The incumbent assists in the coordination and implementation of activities related to day-to-day operations for the billing and reimbursement functions and performs a variety of billing and reimbursement related activities as assigned. The incumbent may exercise some independent judgment in carrying out assigned duties. Work is performed under the general supervision of higher level administrative staff. Supervision is performed over lower-level employees. Does related work as required.

TYPICAL WORK ACTIVITIES:

Participates in and supervises employees engaged in billing functions, collecting and accounting for monies received, and denial prevention analysis;

Assist in creation, development, analysis, distribution and monitoring of various reports;

Communicates and enforces policies and procedures with lower-level employees;

Assists in the planning and oversight of training for current and new staff on new and updated procedures;

Assists with organization of work and establishing priorities;

Evaluates work performed by subordinate employees to verify processing is consistent with ECMCC policies, payer contracts and applicable regulations;

Assists in coordination and evaluation of subordinate employees;

Assists in monitoring and documentation of staff time and attendance;

Participates in meetings, workgroups and continuing education sessions to assist in the development of process improvements and maintenance of appropriate level of staff support;

May serve as a liaison to Patient Financial Services staff.

FULL PERFORMANCE KNOWLEDGES, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS:

Thorough knowledge of hospital/medical billing, terminology and procedures; good knowledge of hospital services, charges, revenue and diagnosis codes; good knowledge of Medicare, Medicaid, governmental and third party payer billing guidelines, rules and regulations; ability to use computer applications including Word, Excel and hospital billing systems; ability to communicate effectively, both orally and in writing; ability to develop and analyze reports; ability to supervise others; ability to carry out oral and written instructions; ability to train lower-level staff; ability to work both independently and in a team setting; ability to multi-task; ability to establish and maintain effective working relationships; accuracy; initiative; dependability; tact and courtesy; sound professional judgment; capable of performing the essential functions of the position with or without reasonable accommodation.

MINIMUM QUALIFICATIONS:

Graduation from high school or possession of a high school equivalency diploma AND

• NOTE 1: Patient Access experience must include health insurance verification, eligibility and processing.

NOTE 2: Verifiable part-time and/or volunteer experience will be pro-rated toward meeting full-time experience requirement.

@Approved by Erie County