Overview
Operations Supervisor (Remote Opportunity). This role supervises the daily operations of a non-exempt account resolution staff, ensures adherence to client policies and procedures, and supports the achievement of operational goals for clients and the company. The position is remote and requires meeting minimum qualifications, including a video prescreen as part of the hiring process.
Location and Employment Type
Remote position; states hired include AR, AZ, CA, CO, CT, FL, GA, HI, IA, IL, ME, MN, MO, NC, NE, NV, OK, PA, SD, TN, TX, VA, WA, WI. Employment type: Full-time.
Responsibilities
- Supervise the daily operations of the account resolution team.
- Develop, implement, and achieve operational goals for clients and the company.
- Ensure team compliance with HIPAA, state and federal laws and guidelines.
- Provide continuous training and mentoring of team members.
- Maintain productivity standards while ensuring quality.
- Review quality audits weekly and coach for improvement; review performance daily and coach as needed.
- Escalate deficiencies to management when coaching is unsuccessful.
- Report progress to the Operations Manager and participate in client meetings as requested.
- Administer disciplinary counseling and Employee Success Plans as needed.
- Foster teamwork and a positive work environment.
- Oversee payroll accuracy and performance evaluations for staff.
- Research, analyze, and review claim errors and denials for trends and improvements.
- Stay current with payer updates and process changes to ensure precise claims resolution.
- Ensure adjustments comply with client policies and procedures.
- Identify payer-specific issues and communicate with team and management.
- Lead daily shift briefings and participate in problem account research.
- Train new hires on client and Currance workflows; help develop policies with management.
- Possible limited travel.
- Complete projects in a timely manner and uphold a culture of integrity and compliance.
- Other duties as required.
Qualifications
- High School diploma or equivalent.
- Minimum 1 year of supervisory experience within the last six months with a healthcare provider or outsourcing company, working with health insurance companies, securing payment for medical claims, and filing appeals (HCFA1500 and UB04).
- Minimum 2 years of experience in medical billing or follow up with hospital (UB04) physician/non-physician using HCFA 1500.
Knowledge, Skills, and Abilities
- Knowledge of healthcare revenue cycle administration: CMS rules, HIPAA, etc.
- Knowledge of GoToMeeting/Zoom; HFMA Certifications (CRCR and CSPR) is a plus.
- Analytical skills; strong time management and performance improvement abilities.
- Excellent written and verbal communication, problem solving, and ethics.
- Ability to mentor and develop team members; self-motivated with ability to work independently.
- Positive attitude, punctuality, dependability, and adaptability to change.
- Willingness to learn and grow and to receive feedback for improvement.
Compensation and Benefits
Our overall compensation package is competitive and determined by experience and knowledge of revenue cycle operations. Benefits include paid time off, 401(k), health insurance (medical, dental, vision), life insurance, paid holidays, training and development opportunities, wellness focus, and support for work-life balance.
Please note: We are seeking candidates with hospital billing experience in collections and HB billing experience in high-dollar collections, adjustments, and denials management.
All management personnel are responsible for fostering a culture of integrity and compliance within their teams, including supporting and upholding the organization\'s compliance policies and applicable regulatory requirements.
Job postings may show as active when listed; consider this description current as of the posting date. Referrals may increase interview chances.