Supervisor, Revenue Cycle

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Director/Manager/Supervisor
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2020-R0284706 Requisition #
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JOB DESCRIPTION POSITION SUMMARY

This job is responsible for planning, supervising and evaluating the daily operations of the assigned business office/revenue cycle function(s) in accordance with established business objectives and applicable regulatory requirements. An incumbent continuously monitors work queue/task list volumes and productivity as well as the accuracy and timeliness of work results to ensure compliance with internal policies/procedures and customer satisfaction standards. Work is also strongly focused on developing and maintaining strong relationships with clinic leadership/staff and providers to foster effective two-way communication/feedback and provide guidance/training to improve revenue cycle processes and results.
Work also includes: 1) supervising assigned staff (e.g. hiring, training, scheduling and evaluating) engaged in one or more revenue cycle functions, including claims processing, clinic customer service, charge capture, cash posting, refunds/credits, insurance follow-up and/or related activities in accordance with established operating standards; 2) serving as critical conduit/liaison with various internal departments/external payers to coordinate and/or troubleshoot various revenue cycle-related issues; 3) applying solid critical thinking skills to troubleshooting, problem-solving, resolving errors/problems and appropriate escalation of issues to higher-level management; and 4) identifying opportunities to streamline current operations, implementing approved procedural/process changes, and maintaining/updating guidelines, tools and related materials specific to assigned revenue cycle function.
Work is performed in accordance with established standards/guidelines and requires knowledge of applicable regulatory requirements sufficient to ensure compliant operations and to exercise judgment and critical thinking in addressing operational and/or regulatory issues. Also requires expertise in supervising and evaluating the work of support staff. An incumbent works with higher level management on major operational or business decisions prior to implementation.

LEADERSHIP ACCOUNTABILITIES

Has the authority to interview, hire, orient, terminate, promote, train and conduct performance evaluations.
Assigns day-to-day work activities; directs the functional and technical job performance of team members.
Allocates and directs staffing needs to meet patient, unit/department and organizational needs and collaborates with others to ensure overall staffing needs are met.
Manages performance including: setting goals, clarifying job expectations, monitoring performance progress, providing feedback, recognizing performance, developing skills and addressing performance issues related to work and our Commitments using corrective action.

ESSENTIAL JOB RESPONSIBILITIES

Supervises and evaluates the daily operations of assigned support functions (including claims processing, clinic customer service, charge capture,cash posting, refunds/credits, insurance follow-up, etc.) to ensure that all activities are conducted in a timely and cost-effective manner and in accordance with professional standards, budget constraints, internal policies/standards/procedures and/or applicable legal/regulatory requirements.
Implements and enforces quality control/quality assurance and productivity standards; ensures that applicable standards, systems and procedures are understood and followed; monitors and audits related documentation to ensure conformance with established standards relating to timeliness and accuracy; prepares periodic productivity reports and program updates for review of higher-level authority.
Researches inquiries, complaints and requests by internal/external customers and takes appropriate steps to resolve errors or issues; communicates resolution to all interested parties.
Participates in the development of, and implements, new/revised guidelines, procedures, processes and/or training materials in support of assigned function/work unit to facilitate regulatory compliance and maximize revenues; ensures that employees understand and apply internal guidelines appropriately.
Reviews and approves voided transactions, adjustments, corrections, write-offs and other revenue cycle actions that are outside the parameters of standard procedures.
Schedules, supervises and evaluates the work of assigned revenue cycle staff in accordance with established standards and procedures; assists in identifying adequate staffing levels for appropriate coverage to meet budgetary and operational objectives.

MINIMUM QUALIFICATIONS


Required Education and Licensure
High School Diploma/GED

Required Minimum Experience
Four years related work experience that demonstrates attainment of the requisite job knowledge/abilities, including one year lead or supervisory capability.
Supervisor of Coding Denials must have 2 years coding experience

Preferred Qualifications
Associate Degree in Business, Finance, Accounting, or related area is preferred. (An equivalent of education and/or experience will also be considered)
Supervisor of Coding Denials Certification AHIMA, CPC, or CCS-P

Nicotine Policy

CHI Health (Nebraska) has implemented a nicotine free work policy and will consider only qualified nicotine free candidates. As of March 1, 2019, cotinine (nicotine) will be added to the list of substances screened for during the post offer, pre-employment testing for all external job candidates offered employment. A positive result for cotinine (nicotine) will eliminate eligibility for employment consideration.

About Us

CHI Health is a regional health network with a unified mission: nurturing the healing ministry of the Church while creating healthier communities. Headquartered in Omaha, the combined organization consists of 14 hospitals, two stand-alone behavioral health facilities, a free standing emergency department, more than 150 employed physician practice locations and more than 12,000 employees in Nebraska and southwestern Iowa.

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Equal Opportunity Employment


Consistent with our Core Values, Catholic Health Initiatives employers are EEO/AA/M/F/Vets/Disabled Employers. Qualified applications will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identification, protected veteran status, disability or any other legally protected characteristic

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