Supervisor Patient Account Revenue Cycle

Essential Functions

• Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on accounts. Oversees adjustments, insurance processing and verification, accuracy of billing and payment posting. Monitors workflow to ensure timely processing. Collaborates with department leadership team to evaluate service needs and volumes and adjust staffing levels accordingly. Assigns daily work schedules. Acts as a resource in the daily operations and activities of the department. Performs staff level duties as required.
• Develops, implements and teaches new and evolving technologies. Communicates process and protocol to staff. Directs and coordinates training of new employees. Uses knowledge of insurance plans and contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. Investigates and resolves claims submission, disputes or complaints to resolution, as needed. Resolves billing/insurance issues and ensures compliance with departmental and governmental policies.
• Supports the department leadership team in problem solving to address issues relating to volume or workflow processes. Promotes effective working relations and works effectively as part of a department/unit team and interdepartmentally to facilitate that department’s ability to meet its goals and objective. Ensures coordination of services with other departments to promote the highest level of efficiency and patient satisfaction.
• Assists with Human Resource management functions including interviewing, selection, orientation, education/training, feedback, performance evaluation, and policy and procedure development. With the support of the leadership team, writes and may deliver corrective action and/or coaching. Assists in updating and maintaining personnel files. Maintains and monitors Kronos records for employees. Presents and documents staff meetings as required.
• Oversees production and quality of staff performance to maintain efficiency and accuracy. Collaborates with the department leadership team to resolve process issues or create new work flows to improve performance. Ensures compliance with applicable regulatory guidelines and established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards.
• Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.
• Performs other duties as assigned.

Skills

• Operations Management
• Leadership
• Human Resources
• Regulatory Requirements
• Workflow Process
• Communication
• Insurance Processing and Issues
• Medical Terminology
• Claims Processing
• Collaboration
• Time Management
• Team Building