Revenue Integrity Supervisor

Kenaitze Indian TribeKenai, AK
9d

About The Position

Revenue Cycle Integrity Supervisor is responsible for the day-to-day performance of the revenue cycle process. The Supervisor is responsible for guiding and coordinating the work for the group of employees towards established goals and objectives. The Revenue Integrity Supervisor has an in depth understanding of the processes of their team and can actively troubleshoot issues The Supervisor serves as a subject matter expert for new employees and can serve as subject matter experts to other groups at the direction of the Manager. It is the intent of this job description to highlight the essential functions of the position; however, it is not an all-inclusive list. The incumbent may be called upon and required to follow or perform other duties and tasks requested by his/her supervisor, consistent with the purpose of the position, department and/or the Kenaitze Indian Tribe's objectives.

Requirements

  • Associates degree in Finance, Accounting, Business Management, Health Care Administration or related field or a combination of education and experience in a related field may be substituted for a degree
  • Three (3) years of revenue cycle experience
  • One (1) year of experience or demonstrated proficiency as a supervisor
  • Proficiency with Microsoft Suite, or obtain training within 90 days of hire
  • Conducts business in a service-oriented manner that is attentive, pleasant, respectful and kind when dealing with un'ina, visitors, co-workers and others
  • Ability to multi-task, work independently, and meet deadlines
  • Strong understanding of revenue cycle management and regulatory agencies
  • Experience in Federal and State regulatory associated to billing and coding
  • Electronic Health Record (EHR) experience
  • This position is a Covered Position subject to all requirements of the Alaska Barrier Crimes Act (ABCA) and to the Indian Child Protection and Family Violence Prevention Act, (ICPA). ABCA and ICPA requirements apply and must be complied with at all times in order to remain in the position.

Nice To Haves

  • Knowledge and experience working with cultural diversities

Responsibilities

  • Supervising, training, and evaluating revenue cycle staff, ensuring they meet performance standards and department goals
  • Identifying areas for improvement in billing, and collections processes
  • Monitoring and managing claims process, including submission, follow-up and denial management in order to optimize the revenue cycle process
  • Investigating and resolving claim denials, collaborating with insurance carriers and other departments to reduce denials and expedite reimbursement
  • Oversees and verifies provider enrollment with Medicare, Medicaid, and contracted insurances
  • Maintains clear communication with staff, management, and other departments to address issues, share information, and streamline processes
  • Ability to analyze data and identify trends to improve revenue cycle
  • Knowledge of healthcare regulations and compliance requirements
  • Ensures compliance with Tribal, federal, state, and local employment laws and regulations, Tribal policies and TERO ordinance
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