In this role, your primary duty is to mentor and provide direct oversight of day- to day supervise activities assigned to the R evenue C ycle T eam .
You work to ensure the team delivers world-class services in revenue cycle assessment, systemic issue identification , system/process solutions , revenue cycle integrity assessment, workflow processe s, billing and resolution of outstanding accounts receivable to improve clients' efficiency and achieve their revenue objectives . You are responsible for monitoring workload .
You follow established guidelines, processes, and procedures to achieve team goals. You also deliver customer work yourself and are recognized as highly skilled and proficient in your discipline, conducting complex work .
Core Responsibilities of the Role
- Supervising the work of the Revenue Cycle T eam by delegating work, monitoring progress, and evaluating work product for timeliness, quality, and compliance with policy and procedures
- Overseeing current customer contracts to make sure the team is meeting Tegria deliverables and sending status reports
- Coordinating and leading daily team activities
- Assisting with management decisions and activities
- Providing feedback about team members to management
- Develop ing new processes and improv ing existing processes in pursuit of team goals with emphasis on quality, efficiency, and speed.
- Following and enforcing guidelines, processes, and procedures to accomplish objectives and ensure compliance with company and regulatory requirements
- Helping to increase employee engagement through listening and mentoring
- Providing input to management on performance evaluations, bringing performance concerns to management attention , and participating in corrective actions
- Performing the work of revenue cycle analysts
- On-boarding and training new team members
- Monitoring key performance indicators in Revenue Cycle and working closely with management to improve clients' cash flow, reduce denials, and minimize bad debt .
- Maintain ing a strong working knowledge of all RCM processes
- Research ing and identify ing denial trends. Collaborat ing between department leadership to improve processes to resolve issues and reduce impact to the accounts receivable.
- Develop ing and coaching team members
- Recommend ing and implement ing coaching or corrective action
Additional Responsibilities
- Performing other duties as assigned
Required Qualifications
- Bachelor's degree in health information management or a ccounting, or related fields; or equivalent combination of education and experience
- 3 + years supervisory experience in medical billing including hospital billing and collections
- Able and willing to travel to client sites and office as needed
- Able and willing to work outside of normal hours
- Experience mentoring less experienced team members
- Extensive experience implementing, supporting, optimizing , and upgrading MEDITECH and/or other EMR
- Experience being evaluated against, and creating action plans based on financial goals and targets to create a profitable service line
- Complete understanding and in-depth working knowledge of healthcare revenue cycle ; Good working knowledge of medical terminology, billing guidelines, HIPAA and compliance ; Solid knowledge of third-party billing requirements and HIPAA 837/835 electronic language.
- Able to work independently and with wide latitude for independent judgement
- A ble to establish and monitor performance/productivity standards
- Able to balance workload of being a supervisor and individual contributor
- Has e xcellent judgement, understand ing when and what questions to ask to reach well informed decisions that minimize risk.
- Advanced skills in Microsoft Office and proficient with computer-based accounts receivable applications.
- Able to perform complex mathematical calculations for adjudication of accounts and applying complex contractual arrangements as determined by contracts negotiated within the customer contract.
- Has s strong collaboration and problem-solving skills.
- Able to a nalyze billing data and perform trending analysis to improve billing utilizing advanced Excel and Power Point for presentation.
- Possess e xcellent tim e management, organizational skills and prioritizing s kills to permit handling the workload
- Able to work with team members, customers, providers and medical facility staff tactfully and effectively.
- E xceptional verbal and written communication skills
- Strong attention to detail
- Strong commitment to ethical behavior and complying with laws and regulations involved in the job.
- Comfortable and accountable working in a remote work environment in which video conference calls and vir tua l shared workspaces and tools are common.
- Able to communicate tactfully and firmly with team members and stakeholders
- Must have a private, secure workspace available at home /remote office and access to internet with speed sufficient to perform the job
Desired Qualifications