Credits/Refunds Supervisor - REMOTE

Overview

Provides staff supervision and support to team leads and credits team members. Compiles and produces daily, weekly and monthly reports related to team performance, credits trending, and progress on action plans to meet KPIs.  

 

At this time, US Anesthesia Partners does not hire candidates residing in New York, California, Hawaii, or Alaska.

Job Highlights

ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):

• Create credits trending and analysis reports to monitor credits inflow, root cause analysis, and resource planning to ensure credit balance aging goals are met.
• Regularly track and monitor productivity and accuracy of staff members. Maintain reports with daily, weekly, monthly and YTD data. Incorporate data into weekly 1:1s, goal setting, quarterly bonus calculations, and annual performance review process.
• Ensure team is aware of the standards of performance expectations, both productivity, quality, and attendance.
• Perform coaching and performance management, as necessary.
• Work with vendor partners that support credit balance workflows through at least weekly touchpoints to review metrics, productivity, and progress on goals.
• Ensure the accurate and efficient review and resolution of credit balances to achieve and maintain credit balance goals.
• In conjunction with credits manager and team leads, provide training and on-going education for all staff members, both individually and in weekly huddles, as well as assist with annual reviews.
• Encourages employees to improve their skills and to expand their expertise, assist with development plans for team members, as needed, to promote growth.
• Assist credits team members with difficult situations regarding workflow, policies and daily job functions of the department. Help with problem solving and resolution to obstacles to support the team.
• Ensure all USAP compliance expectations are enforced and documented policies and procedures are followed.
• Firm understanding of Government and commercial refund requirements, rules & regulations.
• Firm understanding of Government and commercial correspondence/refund requests, rules & regulations.
• Identifies and helps develop strategies to resolve problems impacting an efficient revenue cycle.
• Participates in efforts to develop and refine pathways (in partnership with Education and Training Teams) that will be used across USAP regional billing offices.
• Acts as an effective liaison with management and staff in other departments as needed to address problem areas and assist with resolution.
• Maintain HIPAA compliance.
• Delegate work as necessary to stay current with priority tasks.
• Performs other duties as assigned.

REPORTING TO THIS POSITION:  Team Leads and associates in the Credits/Refunds department.

Qualifications

JOB REQUIREMENTS (Knowledge, Skills and Abilities):

• Excellent Verbal and Written communication skills
• Ability to prioritize work in a fast-paced environment
• Strong analytical skills: ability to gather, analyze and report on information from multiple sources (i.e., Billing System, Power Bi)
• Skilled in calculating charges, payments and adjustments per established guidelines
• In-depth knowledge of patient accounting systems and the ability to adapt prior knowledge to current software
• In-depth knowledge of financial class setup and payer setup
• Strong knowledge of EOB’s and adjustment codes.
• Must have strong computer skills with knowledge of Microsoft Office products, including excel.
• Must have a pleasant disposition and high tolerance level for diverse views and opinions
• Ability to work independently with minimal supervision and with the staff.
• Ability to create a vision for the team, motivate diverse personalities within the departments
• Ability to organize and manage projects within specified parameters.
• Ability to work in fast paced environment.
• Ability to read, write, and speak English

EDUCATION/TRAINING/EXPERIENCE:

• A minimum of a high school diploma is required. Associate or bachelor’s degree in a business or health related field highly preferred 
• Prefer a minimum of 2 years of experience in an anesthesia but related experience will be considered 
• A minimum of two to three years prior supervisory experience in medical billing and collections preferred

PHYSICAL REQUIREMENTS:

• Requires prolonged sitting, computer-based work.
• Must possess sufficient eye-hand coordination/manual dexterity to operate a keyboard, photocopier, telephone