Supervisor, Revenue Cycle Operations

Manages the day to day work flows of the accounts receivable/denial management team, ensuring the reduction of AR days, growth in net collections, reduction in percent of AR greater than 120 days and an increase in cash collected.
Position Responsibilities: Essential
o Prioritize team workload based on aging reports, account balance, and priority accounts under the direction of the Manager, Revenue Cycle Operations.
o Distribute work and/or assign projects as requested by management.
o Account research by contacting and responding to request from billing vendor and payers for verification of patient claim status and/or demographic information.
o Train new Patient Account Specialists on established AR processes.
o Investigative skills. Pursues non-payment from third party payors until resolved.
o Strong knowledge of third party payor rules and guidelines, especially State Medicaid plans.
o Ensure all Protected Health Information is kept in a secure location at all times.
o Ensure team meets established quality/productivity standards.
o Collects and forwards updates to billing vendor as needed to include removal of patients from collections, submission of insurance claims, and payments to be posted.
o Responds to RAI's from billing vendor and instructs on next steps.
o Resolve claim errors, demographic issues, duplicates, and no coverage errors in work queues.
o Participate in meetings, committees, projects, as assigned.
o Perform other duties as assigned.
Essential Skills/Credentials/Experience/Education
o Supervisory/team lead experience required.
o Knowledge of billing procedures, health plans and claims processing.
o Five to seven years hands on experience in charge entry, registration, and customer service.
o Strong organizational skills and attention to detail.
o A collaborative "team player" who has strong relationship building skills. Must be able to relate well to individuals at various levels.
o Strong computer skills, proficient in Word, Excel, and Medical Billing Software (EPIC, Allscripts, McKesson, etc).
o Professional phone etiquette and excellent customer service skills.
o Five to seven years of medical billing/accounts receivable experience to include strong knowledge of full revenue cycle: charge entry, medical billing, follow up, and collections.
o Understanding of medical terminology to include knowledge of ICD-9 and CPT.
o A minimum of a High School Diploma or equivalent.
Preferred Skills/Credentials/Experience/Education
o Experience billing Medicaid, Managed Care, BCBS and Commercial accounts preferred.
o Preferred multi-state, multi-location billing experience.
o 2 year degree from an accredited college or university, 4 year degree preferred or equivalent combination of education and work experience.
Mental and Physical Demands (per ADA guidelines)
Physical Demands:
o Sitting for long periods of time. Occupation requires this activity more than 66% of the time (2.6+ hrs/day)
Travel Demands:
o May require occasional travel to offsite meetings.

Don't Be Fooled

The fraudster will send a check to the victim who has accepted a job. The check can be for multiple reasons such as signing bonus, supplies, etc. The victim will be instructed to deposit the check and use the money for any of these reasons and then instructed to send the remaining funds to the fraudster. The check will bounce and the victim is left responsible.

More Jobs

Supervisor Revenue Cycle
Charleston, SC Roper St. Francis Health Care
BUSINESS ANALYST - Revenue Cycle Management (2...
Florence, SC McLeod Health
RN Supervisor - Operating Room (20190795)
Florence, SC McLeod Health
Registered Nurse/House Supervisor
Columbia, SC PruittHealth
Greenville, SC Bon Secours Health System