EMS Account Services Supervisor

City of Springfield

EMS ACCOUNT SERVICES SUPERVISOR

Pay Grade: 33

FLSA Status: Exempt

Bargaining Unit: Nonunion

Benefits Summary

GENERAL DUTIES AND RESPONSIBILITIES

Under the general supervision of the Deputy Chief, Emergency Medical Services, administers the EMS Account Services sub-program and supervises assigned staff, to ensure that maximum reimbursement is received on all patient accounts. Performs related duties as required.

Essential Duties

1. Supervises the EMS Account Services sub-program of the Emergency Medical Services Division; coordinates the work of assigned staff to ensure that all daily tasks are completed; provides the necessary assistance with complex or more difficult patient accounts.

2. Develops, implements, and modifies EMS billing policies, procedures, and work rules; monitors and checks for compliance with laws, rules, and regulations.

3. Ensures that all appropriate agencies are billed, and all monies are collected in a timely manner; monitors adjustments, write-offs, and refunds for procedural accuracy; makes recommendations to attorneys regarding collections, assignment, and litigation; negotiates the settlements of patient accounts involved with third party agencies, including Medicare, Medicaid, private insurance carriers, and patient representatives; completes follow-up as necessary.

4. Supervises the recruiting, hiring, work assignment and evaluation, disciplining, and coaching of Account Services employees; encourages continuing education, and provides work-related training, to include customer service skill training.

5. Implements, adjusts, and monitors the necessary financial control systems; serves as a liaison with software vendors and the Information Services Department for the Account Services computer system.

6. Reviews the payment schedules for Accounts Receivable, agency remittance advices, and other reports, and makes adjustments as necessary.

7. Prepares financial management reports in accordance with accepted principles of accounting; completes reports on collection rates and performance, and outstanding receivables; performs a financial analysis that includes cash flow and revenue projections for existing services, and proposed services, programs, or contracts; recommends user fee and billing service fee schedules and rates; prepares and manages budget for the Account Services sub-program.

8. Develops, reviews, evaluates, negotiates, and recommends specifications and proposals for contracts, that may include account services for other agencies, contracts with managed care organizations, and contracts to purchase equipment, materials, or services; administers contracts with vendors and contract agencies.

9. Represents the Department in transactions with other agencies to include contract agencies, third party payers, hospitals, medical provider groups, collection agencies, other ambulance providers, and industry representatives; works with contract agencies to resolve billing system problems.

10. Monitors, analyzes, and prepares departmental positions on proposed or pending legislation, rules, and regulations; joins with other provider and constituency groups to obtain favorable legislation, regulations, and rules; prepares and delivers information and/or written responses, and may present testimony or presentations before legislative, administrative, or governing bodies, to include the City Council.

QUALIFICATION REQUIREMENTS

General Knowledge, Skills, and Abilities

Thorough knowledge of supervisory and program management principles and techniques; thorough knowledge of healthcare accounts receivable, third party reimbursement, and general accounts receivable practices and procedures; considerable knowledge of generally accepted principles of budgeting, accounting, and financial analyses, as they relate to EMS billing, collections, and accounts receivable operations; considerable knowledge of policies, procedures, regulations, laws, and statutes relating to all aspects of medical accounts receivable program management; knowledge of automated financial recordkeeping and control systems; ability to successfully apply supervisory and program management principles and techniques; ability to prioritize multiple tasks, shift attention, and maintain focus; ability to process the more difficult, sensitive, or complicated accounts; ability to serve as an effective liaison for the EMS Account Services program; ability to prepare, monitor, and adjust the Account Services program budget; ability to understand, interpret, and explain laws, regulations, policies, and procedures; ability to utilize spreadsheet and database systems sufficiently to perform the assigned duties; ability to work independently and as a team member; ability to resolve problems and/or complaints in a consistent, fair manner; ability to improve accounts receivable performance; ability to utilize tact and professionalism in dealing with a wide range of people; ability to communicate effectively in oral, written, and electronic formats; ability to travel as required.

Experience and Training

Completion, or equivalent, of a two year college degree program, with coursework in finance, accounting, business administration, health care administration, or a related field, plus related work experience, typically five years of progressively responsible experience in healthcare-related, collections, or accounts receivable operations, to include two years of supervisory experience. Additional education may be substituted for up to half of the non-supervisory experience, or any combination of experience and training that provides the required knowledge, skills, and abilities.

Licenses and Certifications

A valid Oregon driver's license at the time of appointment.

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