Supervisor, Revenue Cycle - Somers Point, United States - Shore Medical Center

Description

General Summary:
The Revenue Cycle Supervisor is responsible for the direct supervision of staff within the Revenue Cycle Department and assists in developing departmental workflows and procedures, all while facilitating excellent customer service and ensuring departmental compliance


Responsibilities:

Supervise and coach staff as needed, evaluates work and current results, monitors staff time and recommends and implements corrective actions Research and identify denial trends and collaborate with insurance carrier, charge entry, and others to resolve issues and reduce impact to the account receivables.

Document, communicate and provide training on all findings to the department after review with Revenue Cycle Manager.

Assist in the training of all new employees to ensure knowledge and skills essential for effective job performance are acquired.

Provide continuous training and education to all staff related to new department policies, changes in coding rules, changes in insurance requirements/regulations etc.

Monitor performance of assigned Revenue Cycle Staff to ensure that each employee is meeting standards and that department goals are being met.

Assist Revenue Cycle Manager in hiring activities, evaluating employee performance and disciplinary actions/terminations when necessary following Shore Physicians Group policies.

Act as the escalation point for issues from the staff and report all issues to the Revenue Cycle Manager in a timely manner.

All duties and task need to be completed in a timely manner or to set deadlines. Compliance with all attendance Shore Physicians Group#s policies.

Any other assigned task by Revenue Cycle Manager Supervise and support the Credentialing Specialist Appropriately prioritize and coordinate team tasks, workflow, systems and procedures in accordance with department practices and goals.

Authorized to give signature approval for refunds, write-offs, charge corrections, timecard system, and time-off requests.

This position works independently, but is expected to keep the Revenue Cycle Manager informed of all issues, changes and updates.

Responsible for coding and processing medical claims. Responsible to maintain and complete Athena financial duties. Requisition refunds to payors and patients. Revise deposits from all locations.

Minimum Requirements # 5 years previous Management/Supervisory experience in a medical billing environment, Bachelor#s degree preferred Credentialing experience Must have Athena EMR Financial experience.

Knowledge of medical terminology, medical insurance, and payor credentialing and contracting.

Working knowledge of AMA and CMS coding guidelines, government and commercial payer regulations, insurance contract analysis, and denial resolution is required.

Must have experience and strong understanding of medical coding, billing, appealing denials, and collection of physician accounts receivable.

Must have proven leadership ability in the coordination of workflow for a staff of at 10+ personnel in a high volume, high complex environment.

Strong Collections knowledge. Strong knowledge of Provider credentialing with insurances.

Must have high level verbal and written communication skills with the ability to professionally interact at all levels within the organization and with external partners/contacts.

Strong PC skills, including Microsoft Office and Excel are required.

Why Join Us?# At Shore Physicians Group, we work hard and take pride in accomplishing our mission statement of #Treating People Well#.

We are looking for employees who strive to be the best in their field and enjoy exchanging knowledge in an interactive environment.

# Shore Physicians Group offers a professional, enjoyable work environment and generous benefits including:
# 401(k) 401(k) matching Medical/Dental/Vision insurance Life insurance Paid time off Tuition reimbursement Certification reimbursement Referral incentive program Local community employee discounts Free Parking Additional information To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. This job description should not be construed as an exhaustive statement of duties, responsibilities or requirements, but a general description of the job. Nothing contained herein restricts the company#s rights to assign or reassign duties and responsibilities to this job at any time. Shore Physicians Group is an Equal Opportunity Employer. All applicants will receive consideration for employment without regard to sex, affectional or sexual orientation, gender, gender identity, orientation or expression; marital status, domestic partnership status, civil union status, pregnancy, race, creed, ancestry, color, ethnicity, national origin, age, disability, religion, genetic information, or veteran status or any other basis prohibited by law.


General Summary:

The Revenue Cycle Supervisor is responsible for the direct supervision of staff within the Revenue Cycle Department and assists in developing departmental workflows and procedures, all while facilitating excellent customer service and ensuring departmental compliance.

Responsibilities:

• Supervise and coach staff as needed, evaluates work and current results, monitors staff time and recommends and implements corrective actions
• Research and identify denial trends and collaborate with insurance carrier, charge entry, and others to resolve issues and reduce impact to the account receivables. Document, communicate and provide training on all findings to the department after review with Revenue Cycle Manager.

• Assist in the training of all new employees to ensure knowledge and skills essential for effective job performance are acquired.

  Provide continuous training and education to all staff related to new department policies, changes in coding rules, changes in insurance requirements/regulations etc.

• Monitor performance of assigned Revenue Cycle Staff to ensure that each employee is meeting standards and that department goals are being met.

• Assist Revenue Cycle Manager in hiring activities, evaluating employee performance and disciplinary actions/terminations when necessary following Shore Physicians Group policies.

• Act as the escalation point for issues from the staff and report all issues to the Revenue Cycle Manager in a timely manner.

• All duties and task need to be completed in a timely manner or to set deadlines.
• Compliance with all attendance Shore Physicians Group's policies.
• Any other assigned task by Revenue Cycle Manager
• Supervise and support the Credentialing Specialist
• Appropriately prioritize and coordinate team tasks, workflow, systems and procedures in accordance with department practices and goals.
• Authorized to give signature approval for refunds, write-offs, charge corrections, timecard system, and time-off requests.

• This position works independently, but is expected to keep the Revenue Cycle Manager informed of all issues, changes and updates.

• Responsible for coding and processing medical claims.
• Responsible to maintain and complete Athena financial duties.
• Requisition refunds to payors and patients.
• Revise deposits from all locations.

Minimum Requirements

• 5 years previous Management/Supervisory experience in a medical billing environment, Bachelor's degree preferred
• Credentialing experience
• Must have Athena EMR Financial experience.
• Knowledge of medical terminology, medical insurance, and payor credentialing and contracting.

• Working knowledge of AMA and CMS coding guidelines, government and commercial payer regulations, insurance contract analysis, and denial resolution is required.

  Must have experience and strong understanding of medical coding, billing, appealing denials, and collection of physician accounts receivable.

• Must have proven leadership ability in the coordination of workflow for a staff of at 10+ personnel in a high volume, high complex environment.

• Strong Collections knowledge.
• Strong knowledge of Provider credentialing with insurances.

• Must have high level verbal and written communication skills with the ability to professionally interact at all levels within the organization and with external partners/contacts.

• Strong PC skills, including Microsoft Office and Excel are required.

Why Join Us?

At Shore Physicians Group, we work hard and take pride in accomplishing our mission statement of "Treating People Well".

We are looking for employees who strive to be the best in their field and enjoy exchanging knowledge in an interactive environment.

Shore Physicians Group offers a professional, enjoyable work environment and generous benefits including:

• 401(k)
• 401(k)

matching

• Medical/Dental/Vision insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Certification reimbursement
• Referral incentive program
• Local community employee discounts
• Free Parking

Additional information

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required.
• This job description should not be construed as an exhaustive statement of duties, responsibilities or requirements, but a general description of the job. Nothing contained herein restricts the company's rights to assign or reassign duties and responsibilities to this job at any time.
• Shore Physicians Group is an Equal Opportunity Employer. All applicants will receive consideration for employment without regard to sex, affectional or sexual orientation, gender, gender identity, orientation or expression; marital status, domestic partnership status, civil union status, pregnancy, race, creed, ancestry, color, ethnicity, national origin, age, disability, religion, genetic information, or veteran status or any other basis prohibited by law.