Supervisor, Central Denials Unit

Guidehouse • Birmingham, AL

8d • Onsite

About The Position

The PFS Supervisor is an extension of a client’s business office staff. This position is responsible for overseeing the direct reports of the CDU unit, developing, implementing, managing, meeting or exceeding the Operational goals of our clients and Company. This includes billing, collecting and working closely with other areas to ensure timely submissions of claims to the non-government payers. Ensure all claims are billed and resolved in the Waystar billing system same day or within 24 hours. Pulling, reviewing, distributing and completing daily A/R reports and spreadsheets within the Metrix system. Work with each payer’s Provider Rep to resolve trends and issues, therefore reducing denials and increasing cash collections. Ensure all deadlines are met. Complete monthly productivity and quality audits of direct reports and provide one on one feedback. Enter staff’s time in the timekeeping system. This position will follow and ensure that client policies and procedures are followed and will also perform any and all job-related duties as assigned. Account Review and Follow-up Billing Coordinate and conduct interviewing of potential new hires and bring recommendations to Operations Manager Training of new team members Ongoing training and mentoring of team members. Complete monthly account reviews for each patient account representative on the project Ensure team member and project compliance with HIPAA standards. Receives and reviews client project reports generated from supervised team members. Monitor and ensure all staff member’s compliance with Company/Client standards. Monitor team member phone calls for adherence to client and Company/Client expectations. Monitor team member attendance and punctuality. Communicate team member non-compliance with Operations Manager Conduct disciplinary counseling including performance improvement plans as required. Complete annual evaluation of staff Take “supervisor” calls when a team member needs assistance with a patient. Complete all assigned projects in a timely manner. Assist all staff members with their questions in the absence of their Project Supervisor Meet or exceed revenue goal for project. Conduct weekly team meetings to ensure the on-going understanding of client and company expectations. Monitor and ensure team members meet or exceed established productivity goals. Reviews and approves monthly client invoices for accuracy. Identify and communicate trends and issues to Operations Manager & Client. Works with management in developing policies. Promote teamwork and a positive work environment. Any duties as assigned by leadership. Possible travel.

Requirements

• Bachelor’s Degree or equivalent experience
• Five years of prior relevant experience
• A minimum of two years of people management experience
• Knowledge and utilization of desktop applications to include Word and Excel is essential
• Ability to initiate and follow through on projects and work independently
• Strong written and verbal communication skills

Nice To Haves

• Prior supervisor, leadership, and management experience
• Prior experience with Metrix, SSI, Waystar, and HealthQuest
• Experience with spreadsheets, reporting, payer contracts, payer websites and sFax
• Critical thinking skills, both independent and team oriented, problem solver and excellent time management
• CPAR certification

Responsibilities

• Overseeing the direct reports of the CDU unit
• Developing, implementing, and managing operational goals for clients and the Company
• Ensuring timely submissions of claims to non-government payers
• Ensuring all claims are billed and resolved in the Waystar billing system same day or within 24 hours
• Pulling, reviewing, distributing, and completing daily A/R reports and spreadsheets within the Metrix system
• Working with payer Provider Representatives to resolve trends and issues, reducing denials and increasing cash collections
• Ensuring all deadlines are met
• Completing monthly productivity and quality audits of direct reports and providing one-on-one feedback
• Entering staff time in the timekeeping system
• Following and ensuring client policies and procedures are followed
• Performing any and all job-related duties as assigned
• Coordinating and conducting interviews of potential new hires and making recommendations to the Operations Manager
• Training new team members
• Providing ongoing training and mentoring of team members
• Completing monthly account reviews for each patient account representative
• Ensuring team member and project compliance with HIPAA standards
• Receiving and reviewing client project reports generated from supervised team members
• Monitoring and ensuring staff compliance with Company/Client standards
• Monitoring team member phone calls for adherence to client and Company/Client expectations
• Monitoring team member attendance and punctuality
• Communicating team member non-compliance to the Operations Manager
• Conducting disciplinary counseling, including performance improvement plans
• Completing annual evaluations of staff
• Taking "supervisor" calls when a team member needs assistance with a patient
• Completing all assigned projects in a timely manner
• Assisting staff members with questions in the absence of their Project Supervisor
• Meeting or exceeding revenue goals for the project
• Conducting weekly team meetings to ensure understanding of client and company expectations
• Monitoring and ensuring team members meet or exceed established productivity goals
• Reviewing and approving monthly client invoices for accuracy
• Identifying and communicating trends and issues to the Operations Manager & Client
• Working with management in developing policies
• Promoting teamwork and a positive work environment

Benefits

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program

What This Job Offers

• Job Type: Full-time
• Career Level: Manager