Revenue Cycle Supervisor

Compassus; Brentwood (TN); Vor Ort; USD 80.000 - 110.000; Vollzeit

Benefits dieser Stelle

Tuition reimbursement

Wellness programs

Flexible time off

Competitive pay

Zusammenfassung

Compassus is seeking a Revenue Cycle Supervisor to lead the Revenue Cycle team, model Compassus values, and promote the company philosophy across departments and stakeholders. The role includes preparing reports, conducting Revenue Cycle Reviews, and ensuring timely completion of tasks while upholding ethical standards.

Responsibilities include managing realignments, payor changes, and billing accuracy, analyzing documentation for complaints and appeals, and ensuring KPIs are met through system

Qualifikationen

• Bachelor's degree highly preferred.
• Minimum of five (5) years of progressive, relevant experience and/or training required; preferably in home health, hospice, palliative, or infusion.
• Knowledge of Commercial, Third-Party Insurance Accounts, including Medicaid, Managed Care, HMO, PPO, Auto and Work Comp rules governing collection activities.

Aufgaben

• Performs episode realignments and payor changes to completion, coordinating with team to ensure timely billing.
• Researches and resolves accounts; identifies gaps between payor requirements and billing documentation.
• Ensures bills are correct for open and future invoices.
• Compiles and reports documentation for verbal, written, and expedited member and provider complaints, grievances, and appeals.
• Provides appeals assistance for patients with denied medical treatment or services.

Kenntnisse

Math skills

Language skills

Analytical thinking

Ausbildung

Bachelor's degree

Jobbeschreibung

Company: Compassus

Position Summary

The Revenue Cycle Supervisor is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Revenue Cycle Supervisor prepares weekly/monthly reports and reconciliation in a timely and manner and performing Revenue Cycle Reviews. Additionally, s/he is responsible for the overall direction, coordination, and evaluation of the Revenue Cycle team.

Position Specific Responsibilities

• Performs all episode realignments and payor changes to completion, collaborating with all necessary team members to ensure these are completed timely and billing is completed.
• Researches and resolves accounts and identifies gaps between current and former payor requirements and existing billing documentation.
• Ensures account bills correctly for open and future invoices.
• Gathers, analyzes, and reports documentation for verbal, written, and expedited member and provider complaints, grievances, and appeals.
• Prepares and reports documentation supporting verbal and written provider claims and pre-authorization appeals.
• Provides appeals assistance for patients with denied medical treatment or services which includes advocating for patients in the appeals process.
• Answers customer calls about denied appeals, providing them with additional information when necessary.
• Efficiently manages patient complaints with respect of billing and collections.
• Ensures policies and best practices are up to industry standards and government regulations.
• Utilizes best practices for writing technical documents when creating SOPs and other documentation.
• Ensures on a daily, weekly, and monthly basis that key performance indicators are met or exceeded through system issue monitoring.
• Compiles and presents reports as needed on metrics and trends within their respective areas.
• Performs other duties as assigned.

Education and/or Experience

Bachelor's degree highly preferred.

Minimum of five (5) years of progressive, relevant experience and/or training required; preferably in home health, hospice, palliative, or infusion.

Knowledge of Commercial, Third-Party Insurance Accounts, including but not limited to Medicaid, Managed Care, HMO, PPO, Auto and Work Comp rules and guidelines governing collection activities preferred.

Proven commitment to exceling in collections, dedication to company standards, and growth.

Skills

Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.

Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.

Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces integrated healthcare at home philosophy. Strong analytical, organizational, and time management skills. Ability to learn quickly, build and maintain long-term relationships, and work with minimal supervision.

Certifications, Licenses, and Registrations

Lean Six Sigma certification; or knowledge and training in Continuous Process Improvement highly desired.

Physical Demands and Work Environment

The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 25 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus.

This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to positions in our organization.

At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Build a Rewarding Career with Compassus

At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others. Your Career Journey Matters We’re dedicated to helping you grow and succeed. Whether you’re pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive.

The Compassus Advantage

• Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter.
• Career Development: Access leadership pathways, mentorship, and personalized professional development.
• Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care.
• Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being.
• Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication.
• A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion.

Compassus provides a continuum of integrated home-based services including home health, home infusion, palliative and hospice care. Thousands of teammates and hundreds of access points nationwide provide high-quality care and manage patients’ advanced illnesses in partnership with health systems and long-term care partners.

The Compassus Care for who I am culture reflects its unique care delivery model, which focuses on each person as an individual as well as a patient, to improve their quality of life in a meaningful way. Learn more at compassus.com or follow @Compassus on Facebook, LinkedIn, Instagram or Twitter.