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Position Classification Description

Position Class Code / Title: B6001 / Supv,Med Billing
Recruitment Tier: Tier 1
FLSA: Exempt
Grade: 12

This is a description of a Staff Position Classification. It is not an announcement of a position opening. To view descriptions of current openings, please go to UNMJobs and Search Postings to view positions that are currently accepting applications.

The following statements are intended to describe, in broad terms, the general functions and responsibility levels characteristic of positions assigned to this classification. They should not be viewed as an exhaustive list of the specific duties and prerequisites applicable to individual positions that have been so classified.

Summary

Under general supervision, manages the overall patient billing, cash receipting, patient accounts, credit and collection, and related activities for an integrated patient care component. Supervises and coordinates staff engaged in billing and associated tasks, and develops budgets, operating policies, and procedures for the unit.

Duties and Responsibilities

  1. Oversees all facets of the daily operations of the organizational unit, ensuring compliance with the University, state, and federal laws, policies, and regulations.
  2. Oversees the supervision of personnel, which includes work allocation, training, promotion, enforcement of internal procedures and controls, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.
  3. Develops and implements mechanisms and controls to ensure appropriate billing and payment cycles, and accurate and timely billing, in accordance with established internal and third party payor requirements.
  4. Establishes and implements appropriate billing procedures, and procedures for follow-up on third-party approvals and collection of overdue patient accounts.
  5. Maintains appropriate internal controls over accounts receivables/cash receipts, and monitors charge posting, billing, and collection operations for compliance with established policies, regulations, procedures, and standards.
  6. Establishes fees for technical and/or professional services, as appropriate, in accordance with prescribed guidelines and parameters.
  7. Reviews medical records and resolves problems concerning the recording or provision of services rendered which impact on ability to collect charges and/or the willingness of patients to pay as required.
  8. Confers with patients or patient representatives regarding delinquent accounts, and determines appropriate action, to include assignment to collection agencies, special adjustments, and/or writeoffs.
  9. Prepares and maintains required records, files, and reports on billing and collection activities.
  10. Participates in the development of annual operating budgets and provides fiscal direction to the unit.
  11. Represents the organization at various community and/or business meetings, committees, and task forces; promotes existing and new programs and/or policies.
  12. Performs miscellaneous job-related duties as assigned.

Minimum Job Requirements

  • High school diploma or GED; at least 5 years of experience directly related to the duties and responsibilities specified.
  • Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.

Knowledge, Skills and Abilities Required

  • Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
  • Ability to develop and maintain recordkeeping systems and procedures.
  • Knowledge of cash management principles and/or procedures.
  • Skill in the use of personal computers and related software applications.
  • Records maintenance skills.
  • Skill in organizing resources and establishing priorities.
  • Knowledge of appropriate billing and payment cycles for medical accounts.
  • Knowledge of operational characteristics and procedural requirements of third party medical insurance payors.
  • Knowledge of health care billing procedures, documentation, and standards.
  • Ability to make evaluative judgments.
  • Ability to supervise and train employees, to include organizing, prioritizing, and scheduling work assignments.
  • Ability to analyze medical records and identify billable services.
  • Knowledge of costing and pricing methodology.
  • Ability to foster a cooperative work environment.
  • Knowledge of credit and collection principles, processes, regulations, and standards.
  • Employee development and performance management skills.
  • Knowledge of budget preparation, cost estimating, monitoring, and fiscal management principles and procedures.
  • Knowledge of procedural requirements and ethical standards for the follow-up of overdue accounts.
  • Knowledge of faculty and/or staff hiring procedures.

Working Conditions and Physical Effort

  • No or very limited physical effort required.
  • No or very limited exposure to physical risk.
  • Work is normally performed in a typical interior/office work environment.

The University of New Mexico provides all training required by OSHA to ensure employee safety.

Revised Date: 03/20/2017