Revenue Cycle Supervisor

The description below reflects the general duties considered necessary to describe the principle functions of the job as identified, and shall not be considered as a detailed description of all work requirements that may be necessary to complete the job requirements.

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Ensures that claims, denials, and appeals are efficiently processed and reported on a regular schedule

Ensures that identified claim categories are prioritized to resolve billing-related issues

Manage staff to minimize bad debt, improve cash flow, and effectively manage accounts receivables

Stays apprised of coding and revenue trends; and is responsible for claim coding education to billing staff

Communicates professionally with various payers as needed

Participates in Joint Committee Meetings with contracted payers to identify and resolve billing, claims payment, claim denial issues

Develops, evaluates, implements and revises Departmental policy and procedures related to billing, reimbursement activities, and improvement strategies

Conducts monthly analysis of Medicare/Medicaid/Third Party Payers

Review and resolve issues related to claim generation and rejected/denied billings

Commit to highest level of business and patient confidentiality possible adhering to all HIPAA and security guidelines when accessing and sharing patient information

Keeps abreast of all reimbursement billing procedures of third-party and private insurance payers and government regulations

Maintains appropriate internal controls over accounts receivables

Monitors accounts sent for collection and reimbursement from insurance companies and other third-party vendors

Reviews, monitors and evaluates third-party reimbursement and researches variances

All other relevant duties as assigned

QUALIFICATIONS:

Associates or B.S. Accounting/Finance, Healthcare Administration, or related field.

4+ years of on the job experience required.

Understanding of hospital reimbursement and facility claims submission, collection and analysis (DRG, APC, Managed Care contracting)

Hospital denials and appeals management experience

Experience with managed care contracts, reimbursement and administrative terms and terminology

High degree of proficiency utilizing and/or configuring hospital patient accounting, claims scrubber and contract management

Excellent communication and interpersonal skills

Experience working with Epic and ability to prepare Epic Revenue Cycle Reports

Knowledge and experience with Excel