Supervisor Position - Revenue Cycle

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Supervisor Position - Revenue Cycle (TPN) - Full Time Days','Full-time','Director/Manager/Supervisor','Days','Days','80','80','Occasional','Occasional','NEBRASKA-LINCOLN-THE PHYSICIAN NETWORK','','!*!CHI Health is a regional health network with a unified mission: nurturing the healing ministry of the Church while creating healthier communities. Headquartered in Omaha, the combined organization consists of 15 hospitals, two stand-alone behavioral health facilities and more than 150 employed physician practice locations in Nebraska and southwestern Iowa. More than 12,000 employees comprise the workforce of this network that includes 2,820 licensed beds and serves as the primary teaching partner of Creighton University’s health sciences schools. In fiscal year 2014, the organization provided a combined $149.3 million in quantified community benefit including services for the poor, free clinics, education and research. With locations stretching from Kearney, Neb. to Missouri Valley, Iowa, the health network is the largest in Nebraska and serves residents of Nebraska and southwest Iowa. For more information, visit online at CHIhealth.com. JOB DESCRIPTION POSITION SUMMARY This job is responsible for planning, supervising and evaluating the daily operations of the assigned business office/revenue cycle function(s) in accordance with established business objectives and applicable regulatory requirements. An incumbent continuously monitors work queue/task list volumes and productivity as well as the accuracy and timeliness of work results to ensure compliance with internal policies/procedures and customer satisfaction standards. Work is also strongly focused on developing and maintaining strong relationships with clinic leadership/staff and providers to foster effective two-way communication/feedback and provide guidance/training to improve revenue cycle processes and results.
Work also includes:
1) supervising assigned staff (e.g. hiring, training, scheduling and evaluating) engaged in one or more revenue cycle functions, including claims processing, clinic customer service, charge capture, cash posting, refunds/credits, insurance follow-up and/or related activities in accordance with established operating standards;
2) serving as critical conduit/liaison with various internal departments/external payers to coordinate and/or troubleshoot various revenue cycle-related issues;
3) applying solid critical thinking skills to troubleshooting, problem-solving, resolving errors/problems and appropriate escalation of issues to higher-level management; and
4) identifying opportunities to streamline current operations, implementing approved procedural/process changes, and maintaining/updating guidelines, tools and related materials specific to assigned revenue cycle function.
Work is performed in accordance with established standards/guidelines and requires knowledge of applicable regulatory requirements sufficient to ensure compliant operations and to exercise judgment and critical thinking in addressing operational and/or regulatory issues. Also requires expertise in supervising and evaluating the work of support staff. An incumbent works with higher level management on major operational or business decisions prior to implementation. Minimal local travel is required. Uses and discloses patient protected health information:
1) Only as it applies to job functions,
2) in amounts minimally necessary for intended purpose, and
3) in a confidential manner. LEADERSHIP ACCOUNTABILITIES
Has the authority to interview, hire, orient, terminate, promote, train and conduct performance evaluations.
Assigns day-to-day work activities; directs the functional and technical job performance of team members.
Allocates and directs staffing needs to meet patient, unit/department and organizational needs and collaborates with others to ensure overall staffing needs are met.
Manages performance including: setting goals, clarifying job expectations, monitoring performance progress, providing feedback, recognizing performance, developing skills and addressing performance issues related to work and our Commitments using corrective action.
Essential Job Responsibilities Implements and enforces quality control/quality assurance and productivity standards; ensures that applicable standards, systems and procedures are understood and followed; monitors and audits related documentation to ensure conformance with established standards relating to timeliness and accuracy; prepares periodic productivity reports and program updates for review of higher-level authority.
Researches inquiries, complaints and requests by internal/external customers and takes appropriate steps to resolve errors or issues; communicates resolution to all interested parties.
Participates in the development of, and implements, new/revised guidelines, procedures, processes and/or training materials in support of assigned function/work unit to facilitate regulatory compliance and maximize revenues; ensures that employees understand and apply internal guidelines appropriately. ','!*!Required Education and Licensure High School Diploma/GED Required Minimum Experience Four years related work experience that demonstrates attainment of the requisite job knowledge/abilities, including one year lead or supervisory capability. Supervisor of Coding Denials must have 2 years coding experience Bona Fide Occupational Qualifications (BFOQs) N/A Preferred Qualifications Associate Degree in Business, Finance, Accounting, or related area is preferred. (An equivalent of education and/or experience will also be considered) Supervisor of Coding Denials Certification AHIMA, CPC, or CCS-P Minimum Knowledge, Skills, and Abilities Knowledge of policies, standards, procedures, processes, work flow, KPIs and regulatory/reporting requirements applicable to the assigned revenue cycle function (e.g. cash management/refunds/credits/posting, clinic customer service, claims processing and/or insurance follow-up, etc.). Knowledge of general concepts and practices that relate to the healthcare field, and specific policies, standards, procedures and practices that pertain to the assigned function. Knowledge of the regulatory/reporting requirements that pertain to the assigned revenue cycle function. Knowledge of standards, practices and requirements relating to employee supervision, evaluation and performance management. Knowledge of clinic operations as they relate to the assigned revenue cycle function. Knowledge of medical insurance, payer contract, CPT and ICD codes. Knowledge of sources and availability of information relevant to the assigned function. Knowledge of the operation and application of automated systems applicable to the assigned function. Ability to effectively oversee daily operations of the assigned revenue cycle function, identify compliance/productivity deficiencies and recommend timely corrective action. Ability to keep abreast of trends, developments and changing regulatory requirements that impact matters within designated scope of responsibility. Ability to troubleshoot, understand and/or adapt moderately complex oral and/or written instructions/guidelines to diverse or dissimilar situations. Ability to maintain confidentiality of medical records, and to use discretion with confidential data and sensitive information. Ability to demonstrate attention to detail and critical thinking skills within the context of the assigned function, with a commitment to accuracy. Ability to effectively prioritize and execute tasks while under pressure. Ability to demonstrate effective supervisory skills, including developing clear performance expectations, hiring, training/coaching/counseling, conflict management, resolving performance problems and group facilitation. Ability to understand financial and/or operational/productivity reports or related metrics and to recognize opportunities to increase efficiency, enhance productivity, reduce costs/expenses and/or maximize revenues. Ability to make decisions based on available information and within the scope of authority of the position. Ability to establish and maintain effective working relationships as required by the duties of the position. Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency. ','We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.','2017-R0142833','CHI Health','Supervisor Position - Revenue Cycle (TPN) - Full Time Days

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