Supervisor Patient Account Revenue Cycle

Intermountain Health • Jacobus, PA

1d • $25 - $39 • Hybrid

About The Position

Essential Functions• Oversees the day-to-day revenue cycle functions including claims processing, denials, payments,customer service, and follow up on accounts. Oversees adjustments, insurance processing andverification, accuracy of billing and payment posting. Monitors workflow to ensure timely processing.Collaborates with department leadership team to evaluate service needs and volumes and adjust staffinglevels accordingly. Assigns daily work schedules. Acts as a resource in the daily operations and activitiesof the department. Performs staff level duties as required.• Develops, implements and teaches new and evolving technologies. Communicates process and protocolto staff. Directs and coordinates training of new employees. Uses knowledge of insurance plans andcontractual arrangements affecting payments, to research incomplete, incorrect or outstanding claimsand/or patient issues. Investigates and resolves claims submission, disputes or complaints to resolution,as needed. Resolves billing/insurance issues and ensures compliance with departmental and governmental policies.• Supports the department leadership team in problem solving to address issues relating to volume orworkflow processes. Promotes effective working relations and works effectively as part of adepartment/unit team and interdepartmentally to facilitate that department’s ability to meet its goals andobjective. Ensures coordination of services with other departments to promote the highest level of efficiency and patient satisfaction.• Assists with Human Resource management functions including interviewing, selection, orientation,education/training, feedback, performance evaluation, and policy and procedure development. With thesupport of the leadership team, writes and may deliver corrective action and/or coaching. Assists inupdating and maintaining personnel files. Maintains and monitors Kronos records for employees. Presentsand documents staff meetings as required.• Oversees production and quality of staff performance to maintain efficiency and accuracy. Collaborateswith the department leadership team to resolve process issues or create new work flows to improve performance. Ensures compliance with applicable regulatory guidelines and established departmentalpolicies and procedures, objectives, quality assurance program, safety, environmental and infectioncontrol standards.• Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.• Performs other duties as assigned.Skills• Operations Management• Leadership• Human Resources• Regulatory Requirements• Workflow Process• Communication• Insurance Processing and Issues• Medical Terminology• Claims Processing• Collaboration• Time Management• Team Building Essential Functions Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on accounts. Oversees adjustments, insurance processing and verification, accuracy of billing and payment posting. Monitors workflow to ensure timely processing. Collaborates with department leadership team to evaluate service needs and volumes and adjust staffing levels accordingly. Assigns daily work schedules. Acts as a resource in the daily operations and activities of the department. Performs staff level duties as required. Develops, implements and teaches new and evolving technologies. Communicates process and protocol to staff. Directs and coordinates training of new employees. Uses knowledge of insurance plans and contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. Investigates and resolves claims submission, disputes or complaints to resolution, as needed. Resolves billing/insurance issues and ensures compliance with departmental and governmental policies. Supports the department leadership team in problem solving to address issues relating to volume or workflow processes. Promotes effective working relations and works effectively as part of a department/unit team and interdepartmentally to facilitate that department’s ability to meet its goals and objective. Ensures coordination of services with other departments to promote the highest level of efficiency and patient satisfaction. Assists with Human Resource management functions including interviewing, selection, orientation, education/training, feedback, performance evaluation, and policy and procedure development. With the support of the leadership team, writes and may deliver corrective action and/or coaching. Assists in updating and maintaining personnel files. Maintains and monitors Kronos records for employees. Presents and documents staff meetings as required. Oversees production and quality of staff performance to maintain efficiency and accuracy. Collaborates with the department leadership team to resolve process issues or create new work flows to improve performance. Ensures compliance with applicable regulatory guidelines and established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards. Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards. Performs other duties as assigned. Skills Operations Management Leadership Human Resources Regulatory Requirements Workflow Process Communication Insurance Processing and Issues Medical Terminology Claims Processing Collaboration Time Management Team Building

Requirements

• High School Diploma or Equivalent is required.
• Three (3) years of experience in back-end revenue cycle is required
• One (1) year of team lead or supervisory experience required
• Operations Management
• Leadership
• Human Resources
• Regulatory Requirements
• Workflow Process
• Communication
• Insurance Processing and Issues
• Medical Terminology
• Claims Processing
• Collaboration
• Time Management
• Team Building

Nice To Haves

• Five (5) years of experience in back-end revenue cycle experiences preferred

Responsibilities

• Oversees the day-to-day revenue cycle functions including claims processing, denials, payments,customer service, and follow up on accounts.
• Oversees adjustments, insurance processing andverification, accuracy of billing and payment posting.
• Monitors workflow to ensure timely processing.
• Collaborates with department leadership team to evaluate service needs and volumes and adjust staffinglevels accordingly.
• Assigns daily work schedules.
• Acts as a resource in the daily operations and activitiesof the department.
• Performs staff level duties as required.
• Develops, implements and teaches new and evolving technologies.
• Communicates process and protocolto staff.
• Directs and coordinates training of new employees.
• Uses knowledge of insurance plans andcontractual arrangements affecting payments, to research incomplete, incorrect or outstanding claimsand/or patient issues.
• Investigates and resolves claims submission, disputes or complaints to resolution,as needed.
• Resolves billing/insurance issues and ensures compliance with departmental and governmental policies.
• Supports the department leadership team in problem solving to address issues relating to volume orworkflow processes.
• Promotes effective working relations and works effectively as part of adepartment/unit team and interdepartmentally to facilitate that department’s ability to meet its goals andobjective.
• Ensures coordination of services with other departments to promote the highest level of efficiency and patient satisfaction.
• Assists with Human Resource management functions including interviewing, selection, orientation,education/training, feedback, performance evaluation, and policy and procedure development.
• With thesupport of the leadership team, writes and may deliver corrective action and/or coaching.
• Assists inupdating and maintaining personnel files.
• Maintains and monitors Kronos records for employees.
• Presentsand documents staff meetings as required.
• Oversees production and quality of staff performance to maintain efficiency and accuracy.
• Collaborateswith the department leadership team to resolve process issues or create new work flows to improve performance.
• Ensures compliance with applicable regulatory guidelines and established departmentalpolicies and procedures, objectives, quality assurance program, safety, environmental and infectioncontrol standards.
• Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.
• Performs other duties as assigned.

Benefits

• We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
• Learn more about our comprehensive benefits package here.
• Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution.
• The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates.
• Caregivers are eligible to participate in PEAK on day 1 of employment.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 11-50 employees