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Supervisor - Revenue Cycle Denials

Company: Carle Health
Location: Champaign
Posted on: January 23, 2023

Job Description:

















Position Summary:




Reports to the Manager of Revenue Cycle Denials. Is accountable and responsible for the daily operations and all staff who are assigned to area of supervision within the Revenue Cycle Denials AR and oversight of associated portfolios. Provides leadership, recommendations, administrative support and direction in the management of accounts receivable for their specific region. Analyzes the business office operations to ensure effective and efficient revenue cycle management. Accountable for personnel related duties that include interviewing, job performance, evaluations, disciplinary actions, payroll reporting, and enforcing required rules and regulations. Assists in management of resources to meet budgetary, productivity, quality and customer service requirements. Manages resources to ensure timely follow up and collections of outstanding receivables.









Qualifications:




EDUCATIONAL REQUIREMENTS
Associate's Degree in Business, Finance, Accounting or related field

EXPERIENCE REQUIREMENTS
3 years experience in healthcare revenue cycle operations, preferably in the business office.Proficiency in designated platform(s) within the first 18 months.

SKILLS AND KNOWLEDGE
Must demonstrate tact and diplomacy in interpersonal interactions, in addition to maintaining composure in confrontational situations. Requires strong oral and written communication skills, analytical and problem resolution skills, and customer service skills. Ability to multitask and adhere to work plans and timelines. Ability to remain comfortable and composed while working under pressure in various situations. Ability to lead teams and manage resources to successfully complete specific projects, goals, objectives, and initiatives. Ability to analyze financial data and apply the analysis towards effective decision making. Must keep up to date on all regulatory requirements. Requires knowledge of supervising and training personnel, coordinating activities of subordinates in billing and collection, third party reimbursement methods, multi-billing systems, and computer applications. Collaborates and coordinates with all third parties that have been hired to assist in the management of the accounts receivable.









Essential Functions:




  • Oversee daily department flow; ensures appropriate staffing and optimal productivity and quality levels of the staff compared against pre-determined performance standards to facilitate effective accounts receivable management.
  • Maintains ongoing knowledge of all job functions performed in the areas being supervised as well as maintains a thorough working knowledge of all of the systems utilized to perform the work in the areas being supervised.
  • Proficient within associated system applications for assigned portfolios, including but not limited to Epic, Meditech, and Mediquant.Maintains working knowledge of CPT, ICD, HCPCS code sets as well as HIPAA transaction code sets and payer rules and regulations.
  • Works in conjunction with Manager to ensure effective clinical and financial operations through partnership with other internal departments.In collaboration with Manager of Revenue Cycle Denials, providers input and follows annual budget for department.
  • Creates and manages staff schedules, completes time card review and approval and manages paid leave requests from staff.Ensures staff members are adequately trained and are competent to perform all required job tasks.
  • Communicates effectively with internal and external customers.Maintains appropriate internal controls and safeguards over revenue cycle activities.
  • Recommends or initiates personnel actions for hires, promotions, transfers, discharges, and disciplinary measures. Initiates and completes staff performance evaluations and annual reviews.Acts as a resource and mentor to others.Supports Manager by interpreting and analyzing financial data to identify and monitor performance and establish benchmarks for the department.
  • Kronos/time keeping responsibilities for all staff.Serves as the first point of contact for system analyst for issues related to system performance and enhancement across Revenue Cycle.
  • In collaboration with Manager, conducts regularly scheduled meetings with staff, facilities and collaborates on initiatives with department, enterprise wide and with external entities. In addition, assists employees in solving work related matters.
  • Endorses and performs all required tasks associated with the Carle Experience such as, but not limited to, regular rounding with staff and completion of all reports needed to have meaningful and productive monthly meetings with supervisor.
  • Handles quality assurance/compliance matters and escalated account issues as required and expected per policy and Code of Conduct.Participates in appropriate continuing education and certification activities.Ensures outstanding accounts receivable performance by maximizing cash, minimizing bad debts and preventing aging of the portfolio beyond the acceptable time frame.
  • Prepares and analyzes management summary reports and communicates findings to the appropriate parties including comprehensive end of month analysis on associated business lines.
  • Creates, updates, and maintains all departmental policies and procedures to ensure best practices are enforced and adhered to.
  • Collaborates with internal management teams in order to identify best practice and process flows within associated business lines.Partner with Accounting and Systems as necessary to ensure accurate tracking, capturing, and reporting of revenue for assigned portfolios.
  • Identifies opportunities for system enhancements and assists with the implementation (in conjunction with Revenue Cycle Systems) and the monitoring of the process once completed.All other duties as assigned.









    We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. - For more information: human.resources@carle.com.



    Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted.























Keywords: Carle Health, Champaign , Supervisor - Revenue Cycle Denials, Other , Champaign, Illinois

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