Operations Supervisor, Day 1 Denials - Internal

What is Aspirion?

Aspirion Health Resources is an industry-leading provider of complex claims management services. We specialize in Motor Vehicle Accidents, Worker’s Compensation, Veterans Administration and Tricare, Complex Denials, Out-of-State Medicaid, and Eligibility and Enrollment Services. Our employees work in an environment that is both challenging and rewarding. We ask a lot out of our team members and in return we offer flexibility, autonomy, and endless opportunities for advancement. As we are committed to growth within the complex claims industry, we offer the same growth to our employees.

What do we need?

We are seeking experienced Operations Supervisor for our growing healthcare revenue recovery company. Reporting directly to the Director of Operations, will be responsible for the day-to-day functions of his/her assigned team and client(s). Ensuring that assigned inventory is kept current and being followed up on based on client contract, company policy and to maximize monthly revenue.

Job Responsibilities

• Oversee the daily operations of assigned Operations team of Revenue Recovery Specialists
• Work directly with Director, Sr VP of Operations and Human Resources regarding staffing and staff issues/concerns.
• Work closely with other departments including Partner and Payer Relations, Clinical Team , and DCD to ensure client expectations are met/exceeded and issues communicated by the client(s) is being resolved timely and accurately
• Participate in client meetings as requested.
• Facilitate and participate in internal leadership meetings
• Work closely with clinical team to ensure URN/URA and Coding accounts are routed appropriately.
• Utilize reports to assist with managing inventory
  • Review staff members’ caseloads daily to ensure equality of inventory and adjust assignments as needed to meet company goals and metrics.
  • Review high dollar inventory regularly to ensure accounts are worked, timely, efficiently and is moving in the right direction to payment/resolution
  • Conduct a monthly review of aged accounts (depending on program type)
  • Ensure payments are properly posted for each client
  • Review accounts for closure
• Identify and report hospital and payer trends
• Complete staff evaluations timely providing details related to performance and identify goals in coordination with Director of Operations.

• Assist in staff development and training for all team members including:
  • identifying training opportunities, preparing training materials, and conducting training sessions.
  • Mentoring staff members as opportunities arise
• Maintain excellent verbal and written communication skills to always portray positive, respectful and collaborative communication.
• Manage time off and PTO requests in payroll system and on shared calendars.
• Follow established procedures and protocols to perform job duties while adhering to regulations and policies set forth by the company
• Provide mentoring and guidance with team members
• Monitor productivity and quality of work completed by staff and discuss findings with team members.
• Identify and report issues impacting productivity including identification of staffing needs.
• Conduct team meetings including completing agenda and meting minutes.
• Provide incentive ideas to maintain motivation
• Complete other projects and tasks, as needed and/or requested.

Requirements

• Preferred 2+ years’ experience in healthcare revenue cycle management, appeals /denials or related field.
• Supervisor/Management experience a plus including managing staff in a remote work environment.
• Minimum of 6 months experience as a DRS 2 or above level at Aspirion.
• Must have effective coaching & mentoring skills
• Must have strong written and verbal communication skills with the ability to communicate with all levels of staff and management.
• Have effective time management skills and ability to multi-task effectively.
• Must have strong critical thinking and problem-solving skills with attention to detail
• Understand the importance and benefits of data quality
• Able to work independently
• Must be able to interact and effectively work with teams at every level of an organization
• Must have strong computer skills being proficient in Microsoft Office 365 programs, and experience working in various client systems and payer portals.
• Ability to work in a fast-paced environment while remaining calm and profess