Supervisor, Revenue Cycle

Supervises day to day operations of the assigned patient accounts area to ensure the productive and timely submission and resolution of insurance and/or patient claims for all hospital and physician services. Serves as subject matter expert and primary go to person for staff level questions and education.

• Directly oversees staff members, and is responsible for ensuring their work output is satisfactory and their concerns are resolved. This includes conducting routine staff audits for productivity and tracking results. 20%
• Communicates productivity standards, performs routine audits and measures employee performance accordingly 5%
• Leads work flow efforts for assigned area; analyzing, reassigning and adjusting based on work needs. 5%
• Maintains strict confidentiality in regard to patient’s personal, medical and financial information.
• Acts as a role model for professionalism through appropriate conduct and demeanor at all times.
• Identifies problem areas and develops plan of action to ensure benchmark standards are obtained and maintained. 15%
• Generates and analyzes reports for AR review and resolution; continually monitoring fluctuations in department goals/metrics. 15%
• Maintains knowledge of industry and payer regulations and system software.
• Acts as a liaison for both internal and external customers providing assistance in claims submission and resolution. 5%
• Contacts patient, guarantors, and/or third-party organizations to secure information; prepares and maintains patient billing records to assist in the adjudication of claims. 5%
• Analyzes, assists and resolves problem claims.5%
• Participates in and leads payer and or departmental meetings. 5%

• Responsible for all hiring and related personnel decisions, completing routine performance review evaluations, training, scheduling, and process documentation in collaboration with Manager. 2.5%
• Meets regularly with direct reports to review accomplishments and set goals. 2.5%
• Processes payroll and approves time off requests for direct reports. 2.5%
• Provides escalated customer support service.2.5%
• Responsible for providing feedback, suggestions and process improvement recommendations to manager and above. 2.5%
• Performs and initiates special projects.2.5%
• Performs other duties as assigned.
• Complies with all policies and standards.
• For specific duties and responsibilities, refer to documentation provided by the department during orientation.
• Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

• High School Equivalent / GED (Required) and
• Bachelor's Degree in Business or healthcare (Preferred)

• 3+ years of patient or hospital billing / accounting experience. (Required) and
• Collection, billing and / or follow-up experience (Required) and
• Supervisory experience. (Preferred)

• Must have a strong working knowledge of claims submission & processing (UB-04s/HCFA1500) and third party payers. (Required proficiency)
• Working knowledge of ICD-9, ICD-10, CPT, CCI, DRG, NCD/LCD. (Preferred proficiency)
• Knowledge of medical terminology. (Preferred proficiency)
• Detail-oriented and organized, with good analytical and problem solving ability. (Required proficiency)
• Notable client service, communication, presentation and relationship building skills. (Required proficiency)
• Ability to function independently