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Supervisor, Revenue Cycle Operations


Position
Summary:
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.

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