Revenue Supervisor

Laboratory Sciences of Arizona; United States; On-site; USD 75,000 - 105,000; Full time

Benefits offered by this job

Health benefits

Incentive programs

Total Rewards package

Comprehensive benefits

Job summary

Sonora Quest Laboratories/Laboratory Sciences of Arizona in Phoenix, Arizona, seeks a Revenue Cycle Manager to oversee back-end operations, including timely claim submissions, collections, reimbursements, and denial management, while driving performance to department goals.

The role leads staff, develops procedures, trains teams, and applies Six Sigma concepts to improve service levels and regulatory compliance across the organization.

Qualifications

• Bachelor’s Degree or equivalent professional experience.
• Three (3) years’ healthcare industry and/or third-party receivables and collections.
• Two (2) years of leadership experience in a supervisor role.
• Effective oral and written communication.
• Proficiency with Windows, Excel and Word.

Responsibilities

• Hires, trains and evaluates staff; manages workflow and resources within budget.
• Oversees claims, submissions, appeals and denials to meet performance goals.
• Develops SOPs and implements best practices; applies Six Sigma concepts.
• Reviews reimbursement, aging and collection reports to resolve issues.
• Promotes communication between reimbursement teams and payer relations.
• Ensures compliance with policies, procedures and regulatory obligations.

Skills

Verbal and written communication

Billing & insurance knowledge

Prioritization & multitasking

Windows proficiency

Excel proficiency

Word proficiency

Education

Bachelor’s degree or equivalent professional experience

Tools

Windows

Excel

Word

Job description

Primary City/State: Phoenix, Arizona

Department Name: Billing-Ref Lab

Work Shift: Day

Job Category: Revenue Cycle

• Your pay and benefits are important components of your journey at Sonora Quest Laboratories/Laboratory Sciences of Arizona.
• This opportunity includes the option to participate in a variety of health, financial, and security benefits.
• In addition, this position may be eligible for our Management or Sales Incentive Programs as part of your Total Rewards package.
• We are proud to offer a comprehensive benefit package for all benefit-eligible positions.

POSITION SUMMARY

This position will oversee back-end revenue cycle operations including monitoring of timely claim submissions, collections, reimbursements and will be responsible for the oversight of rejection processing for all insurance carriers and patient accounts, while meeting the performance standards and goals of the department. This position will guide the department to improve service levels through continuing education and by implementing innovative technology and collection techniques. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.

CORE FUNCTIONS

1. Hires, trains and conducts performance evaluations, and supervises the workflow for the designated staff. Provides leadership, coaching, recognition, staff development, and disciplinary actions. Establishes priorities, workloads, controls and work procedures, as well as determines resources needed.
2. Oversees the department ensuring all insurance claims, patient submissions, appeals and reimbursement denials are handled in a timely and professional manner in accordance with departmental policies, procedures and performance goals. Oversee audits on production standards and service quality and counsel staff accordingly. Provide trend reporting on weekly/monthly aging and collection issues for management. Schedules and manages the use of labor and resources within budgetary guidelines.
3. Provides instruction to staff on updated collection techniques and develops departmental best practices, as well as creates standard operating procedures for implementation; conducts annual review of all departmental standard operating procedures for accuracy. Utilizes Six Sigma concepts and drives tools and methodology usage in the department.
4. Reviews and analyzes reimbursement, aging and collection reports to ensure prompt resolution to escalated issues in accordance with departmental policies, procedures and generally accepted accounting principles as well as all applicable laws and regulations.
5. Promote effective communication between reimbursements team and third party and government payer relations via in-person meetings, phone calls and written correspondence.
6. Oversee the reimbursement, claims and collection process to ensure all compliance, contractual, regulatory and legal obligations are adhered to.

KNOWLEDGE/SKILLS/ABILITIES

• Ability to clearly and efficiently communicate complex issues using strong verbal and written aptitude.
• Extensive knowledge of billing, insurance, computer systems, and medical billing processes.
• Ability to prioritize and complete multiple tasks.

MINIMUM QUALIFICATIONS

• A strong knowledge of business and/or healthcare as normally obtained through a Bachelor’s Degree or equivalent professional experience.
• Three (3) years’ of experience in the healthcare industry and/or third-party receivables and collections.
• Two (2) years of previous leadership experience, as normally demonstrated through a lead, assistant supervisor, or supervisor job role.
• Must communicate effectively in oral and written formats.
• Proficient with Windows, Excel and Word; must demonstrate excellent employee relation skills and behaviors consistent with the values of the Integrated Laboratory.

PREFERRED QUALIFICATIONS

• Prior laboratory billing experience.
• Knowledge of commonly used medical billing terminology including ICD-10 coding, CPT and HCPCS coding.

EEO Statement: EEO/Disabled/Veterans

Our organization supports a drug-free work environment.

Privacy Policy: Privacy Policy

Make Great Friends and a Difference in Your Communities You’ll feel like you’re in the right place at Sonora Quest Laboratories/Laboratory Sciences of Arizona (SQL/LSA), doing great work on behalf of a healthy community. While many organizations tout "teamwork and camaraderie", there is no denying that our compassionate, collaborative culture is a cut above the rest. Our team members work together daily to create a work environment where everyone feels supported and empowered to be their best selves and do their best work. Grow your career and see for yourself how gratifying and satisfying being a part of our team can be. You Belong Here. Sonora Quest Laboratories is a proud partner of Banner Health. We are proud to offer a comprehensive benefit package for all benefit-eligible positions. Please visit our Benefits Guide for more information. EEO/Disabled/Veterans Laboratory Sciences of Arizona supports a drug-free work environment. Privacy Policy