Supervisor Collections Unit/ MSOII

Supervisor Collections Unit/ MSOII

Job Title: Supervisor Collections Unit/ MSOII
UCLA Title: Management Services Officer II
Job No.: H60419
Work Hours: M-F, some weekends
Work Location: 10920 Wilshire Blvd., #1600
Job Type: Career
Duration: Indefinite
Minimum Salary: $24.06 / $4187
Maximum Salary: $46.58 / $8104
Layoff Referral Deadline:
Bargaining Unit: 99


Job Duties:

The Supervisor of the Collections Unit for Managed Care/Contracts/Commercial/WC payers is primarily responsible for the timely collections of the expected reimbursement for inpatient and outpatient receivables, for all three hospitals of the UCLA Healthcare System. Reports to the CCMC Collections Manager on a regular basis and keeps Manager apprised of current work status and of issues to be resolved. Communicates regularly with internal UCLA Healthcare Management and Administration. Works independently and autonomously. Other major duties include: Improving processes between Contracting, Reimbursement and the PBS departments; Managing Pathways Contract Management issues in relation to payment variances; Fixing problem areas that can decrease or hinder cash flow; Making recommendations to the Director that improve technologies, processes, that lead to increased collections at a reduced cost. Monitoring and controlling budget items that directly affect unit's responsibility. Managing the Contract Performance of third party payors. Overseeing the outsourced accounts receivable portfolios. Managing and developing several supervisors as direct reports. Managing and training of approximately staff 60 members that include supervisors, analysts and clerical personnel. Maintaining the account escalation process for resolving difficult pares monthly payors escalation formprojects as assigned by the department Director. Attending internal and external meetings on behalf of the department. Other duties include:

ACCOUNTS RECEIVABLE MANAGEMENT:
Assure staff compliance with established processes and procedures to ensure timely and maximum reimbursement of assigned receivables. Maintain account assignment criteria and appropriate actions for system documentation; Review routine audits performed by supervisors to improve internal operations and account quality; complete quality audit reports and meet with appropriate parties to reduce error/reject rates. Make necessary changes to workflows as a result of audits, productivity needs or other changes within UCLA Healthcare. Work with staff to maximize utilization of all system software and hardware capabilities·

RESOURCE MANAGEMENT:
Supervise and direct the activities of CCMC Collection staff for responsible payers in a manner that maximizes their collection and follow up efforts. Shift resources within the unit of internal and external staffing as necessary. Administer annual performance evaluations in a timely, consistent and meaningful forum. Communicate effectively with staff to keep them informed of changes within and outside of the department. Mentor and oversee training of employees as needed. Counsel employees and initiate disciplinary actions orally and in writing as appropriate per Human Resources Department. Interview and recruit new employees. Terminate employees as necessary while following HR protocols. Supervise and direct employees in other PBS units as needed. Explain and enforce departmental guidelines, policies and procedures·

COORDINATION/LIAISON DUTIES:
Maintain effective relationships with external vendors and outside agencies such as Outsourcing, Managed Care companies, etc. Act as a liaison with PAS and Contracting to resolve Managed Care and Contracting issues. Work with Financial Systems to maintain necessary tables, reports and productivity tools.

OTHER DUTIES:
Keep department abreast of Collections and refund regulations. Special projects as assigned.


Job Qualifications:

Previous managerial experience required. Knowledge of Admissions and Registration systems, HBOC or similar hospital A/R system, or similar billing system. Excellent interpersonal skills to interact with staff, managers, external contacts and hospital administration. Working knowledge of the patient billing and collection processes in a hospital environment, preferably in a heavily managed care teaching hospital/system. Working knowledge of third party payor contracts and managed care contract terms and conditions. Very good speech and written skills for updating documentation and miscellaneous correspondence. Basic knowledge of DRG, CPT, ASC and UP revenue coding. Ability to handle fluctuating worloads and strict deadlines. Ability to handle sensitive and confidential issues within a culturally diverse environment. Ability to delegate routine/normal problems, recommend solutions/actions or request assistance for more complex work independently to complete all assignments through self-effort and motivation of staff. Skill in using independent judgement when upper management is not available for assistance or guidance. Demonstrated ability in using personal computers, word processing, database, spreadsheet and other software programs (MS Word, Excel and Access). Ability to identify areas of process improvement, establishing guidelines and protocols to enforce such. Knowledge of HR and Personnel protocols, including recruitment, performance evaluations and disciplinary actions. Ability to conduct themselves in a professional manner at all times. Ability to work varying schedules and weekends as deemed necessary for continual departmental operations.