Support Services Supervisor

Tenet Healthcare Corporation•Frisco, TX

About The Position

Responsible for first level management of non-government support activities in the National Insurance Center (NIC). This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!

Requirements

Intermediate Microsoft Office (Word, Excel)
Intermediate knowledge of ICD9/CPT4 codes and payor requirements
Working knowledge of National Uniformed Billing Code, CPT/HCPC, ICD-9 and UB-04
Intermediate knowledge of HIPAA guidelines
Intermediate writing skills
Ability to multi-task
Strong leadership and organizational skills
4 year college degree in Business or Healthcare Administration preferred
3 -5 years experience providing leadership and management direction related to areas in the Revenue Cycle , Billing, AR collections or Dispute Commercial processes within a multi-facility environment
Must be able to work in sitting position, use computer and answer telephone
Ability to travel
Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
Must complete billing and reimbursement training within 30 days of hire or each refresher year date (1/31). The passing score for completion is 80%.

Nice To Haves

Experience as a Patient Accounts Supervisor preferred
Experience with business process redesign desirable

Responsibilities

Ensures that all Mail is processed, appropriately, ensures certified and express mail are prioritized for daily production.
Ensures compliance with state and federal law regulations for Managed Care and other third party payors.
Develops or approves recommendations to change policies and procedures; ensures timely and accurate implementation.
Implements strategies for improving the TAT in processing mail, EDI reports, and DCM/CRC print.
Ensures all EDI reports are worked timely to optimize cash flow; Escalates and reports all trends that affect cash flow. Meets production standard of completing all EDI reports within 1 day of receipt.
Ensures DCM/CRC CID’s are worked and completed in a timely and efficient manner, meeting production goals of zero days by end of week.
Ensures hard copy billing is processed, efficiently and timely meeting production goals of 1 day unprocessed by end of week.
Completes QA on all areas of responsibility, documents and provides employee training as required.
Provides back up supervision for billing supervisor as needed for meetings, PTO, coverage.