Supervisor Claims Analytics

Department:

13265 Enterprise Revenue Cycle - Enterprise Billing Compliance: HB

Full time

Yes

40

Mon - Fri

$35.50 - $53.25

Supervises the assigned functional area of billing related operations with the primary focus on ensuring timely, accurate, compliant, and efficient processing of claims to receive appropriate to reduce accounts receivables in compliance with Generally Accepted Accounting Principles (GAAP) to ensure protection of cash assets.

Responsible for operating within budget limitations and authorized staffing levels.

Assesses employee training needs and coordinates with the training department to ensure appropriate development.

Initiates and implements improvements to billing systems and processes, including pursuing and developing improve techniques and ensuring quality.

Ensures compliance with all federal, state, and local regulations regarding billing and claims and maintains up-to-date knowledge of changes in healthcare billing regulations and implements necessary changes within the department.

Functions as a liaison with providers, external departments related to the revenue cycle and insurance payors to resolve discrepancies, minimize receivables, and limit bad debt expenses.

Initiates and implements improvements to billing systems within the confines of federal and state collection laws and third-party payer requirements with respect to health coverage and reimbursement.

Conducts ongoing evaluation of department policies and procedures in order to maintain and improve department efficiency and performance.

Responsible for adhering to productivity and quality standards of department and reinforcing those standards with team members.

Performs human resources responsibilities for staff which includes coaching on performance, completing performance reviews and overall team member morale and engagement. Recommends team members for hiring, compensation changes, promotions, corrective actions decision and terminations.

Responsible for understanding and adhering to the Advocate Aurora Health Care Code of Ethical Conduct and for ensuring that personal actions, and the actions for the team members supervised, comply with the policies, regulations and laws applicable for Advocate Aurora Health business.

None Required.

High School Graduate

Typically requires 3 - 5 years of experience in Healthcare.

Billing

Experience:

3 to 5 years of experience in patient accounts, medical billing or collections within a healthcare setting and with billing procedures for various types of payers, including private insurance, Medicare, Medicaid and self-pay patients.

Supervisory

Experience:

3 to 5 years’ experience of supervisory experience in a billing or accounts receivable department with a proven ability to manage a team including training, mentoring, and performance management. Experience with healthcare regulations, such as HIPAA, and understanding compliance requirements in billing and collections. Hands-experience with patient billing software and electronic health records (EHR) systems.

PC skills in Microsoft Word, Excel, PowerPoint, and Teams.

Previous experience leading a patient accounting team.

Strong oral and written communication skills to train and supervise staff and to communicate effectively and collaboratively with other department supervisors, external organizations, and top management. Ability to effectively address difficult and controversial issues.

Excellent organizational, analytical, and problem-solving skills.

Demonstrated proficiency, knowledge, and regulations of revenue cycle processes and health care patient accounting practices and procedures.

Demonstrated ability to manage multiple projects simultaneously and supervise patient accounting functions.

Demonstrated ability to develop and implement procedural and quality improvements within patient accounting environments.

General knowledge of business, finance, human management, and operations.