Revenue Cycle Management Supervisor - Facility

Can be Remote!

ESSENTIAL FUNCTIONS

Responsible for supervising, directing, and developing patient account and insurance follow-up representatives.

Assist staff with timely identification of denial trends and work with team to initiate workflows to resolve future denials.

Maintain positive leadership and gives frequent performance feedback and encourages two-way participation and ideas.

Perform quality auditing on live and retrospective auditing of inbound and outbound phone calls.

Performs monthly billing audits to ensure timely and accurate claims submission and insurance follow-up activities.

Coaches established employees when needs are identified, holding employees accountable for results through coaching and development of action plans.

Performance management of personnel including reviews, corrective action, mentoring, and development plans and performance improvement plans.

Assist in interviewing, hiring, and training of new staff members.

Monitor and manage the productivity and performance of assigned employees including reporting daily/weekly/monthly department metrics to Senior Management.

Responsible for handling escalated patient phone calls regarding billing and payment issues.

Acts as a resource to the department taking inbound phone calls to provide coverage for breaks and lunches.

Review patient accounts for accurate customer service, supporting documents, and correct collections activity.

Support and comply with all company policies and procedures and comply with Medicare and Medicaid regulations.

Conducts regularly scheduled staff meetings.

Must be able to meet deadlines given by Senior Management.

Research and resolve discrepancies in a timely manner.

Works with sensitive and confidential materials and must be able to exercise discretion.

Review and assist with processing refunds, turning accounts to collections and financial assistance applications.

Responsible for accurate and timely application of transactions including adjustments and write-offs.

Communicate effectively with other internal departments and with outside vendors, such as, phone system, collection agency and credit card processor.

EDUCATION

High school diploma/GED or equivalent working knowledge.

EXPERIENCE

Requires 2 or more years’ experience acting as a team lead or in a supervisor role in a revenue cycle department in a healthcare environment.

Previous supervisory experience and strong leadership skills with an ability to motivate with a positive attitude that impacts others in a positive way.

REQUIREMENTS

Must have a full understanding of the Revenue Cycle Management process to include Collections, Billing, and Coding

Excellent critical thinking, troubleshooting, and analytical skills

Excellent interpersonal skills including conflict management

Experience working in Microsoft products – Word, Outlook, and Excel (advanced formulas, pivot table)

Well organized and able to meet deadlines

Excellent attention to details

KNOWLEDGE

Knowledge in patient billing, healthcare administration, healthcare insurance requirements, and medical terminology and coding.

Knowledge of business office methods and policies regarding productivity/workload analysis and scheduling procedures.

Knowledge of government regulatory requirements and commercial contracts.

SKILLS

Skilled in defusing difficult situations while remaining calm and exhibiting professionalism and courtesy.

Skilled in establishing metrics and clear objectives including performance management.

Skill in effectively managing multiple projects simultaneously.

ABILITIES

Ability to multi-task and work well under pressure

Ability to analyze problems and interpret information and to prioritize and reprioritize, as necessary. Ability to work independently, and as part of a team.

Ability to work in a fast-paced environment

ENVIRONMENTAL WORKING CONDITIONS

Normal office environment. Extended work hours at or near month end to meet department objectives may be necessary.

PHYSICAL/MENTAL DEMANDS

Requires sitting and standing associated with a normal office environment. Some bending and stretching required. Manual dexterity using a calculator and computer keyboard.

ORGANIZATIONAL REQUIREMENTS

HOPCo Mission, Vision and Values must be acknowledged and adhered to

List additional organization requirements such as training conducted by organization

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.