Revenue Cycle Supervisor
1 week ago
Overview:
Employment Type: Full Time
On-Site Position
Benefits: M/D/V, Life Ins., 401(k), PTO, Paid Holidays
Evansville, IN
JOB SCOPE: Supervises the day to day revenue cycle operations in order to maximize the collection of medical services payments and reimbursements from patients, insurance carriers, financial aide, and guarantors. Supports and adheres to The US Oncology Compliance Program, to include Code of Ethics and Business Standards, and The US Oncology's Shared Values.
The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes Come join our team in the fight against cancer
About US Oncology
The US Oncology Network is one of the nations largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care. For more information, visit We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Supervises the daily business functions of the patient visit from point of entry to accurate adjudication of the patients' accounts.
- Scope of responsibilities includes appointment scheduling, insurance eligibility processes; charge processing; claim submission and processing; payment processing; collections and accounts receivable management; denial management; reporting of results and analysis; concurrent and retrospective auditing; proper coding; credentialing; customer services relative to revenue cycle; training and development relative to revenue cycle; analytics, and all other revenue cycle management activities.
- Resolves escalated and unique revenue cycle issues.
- Responsible for quality work, meeting deadlines, and adherence to the Practices Standard Operating Procedures (SOPs); regularly audits staffs work to ensure compliance.
- Monthly, prepares revenue cycle financial analysis, including aged accounts. Monitors and assesses business metrics in order to refine processes and improve efficiencies.
- Guides individuals and teams toward priorities; clarifies roles and responsibilities of others; coordinates resources to meet objectives. Cascades goals down to staffs annual objectives.
- Champions new initiatives; acts as a catalyst of change and stimulates others to change; paves the way for needed changes; manages implementation effectively.
- Steps forward to address difficult issues; puts self on the line to deal with important problems; takes ownership and accountability.
- Develops, implements, and maintains the Practice's revenue cycle training materials.
- Conducts training of SOPs, systems, metrics, government regulations, and etc.
- Responsible for the overall coordination of front office duties to include scheduling, check-in, and co-pay/co-insurance collection.
- Attracts high caliber people, accurately assesses strengths and development needs of employees; provides timely, specific feedback and helpful coaching; provides challenging assignments and opportunities for development. Responsible for interviewing, recommending hires, assessing performance, recommending salary changes, and progressive discipline.
- Enforces adherence to the Practice's and US Oncology policies.
- Other duties as requested or assigned.
MINIMUM QUALIFICATIONS:
- Associates degree in Finance, Business or equivalent OR four years revenue cycle experience required.
- High School Diploma or GED Required
- At least four (4) years of medical revenue cycle work experience required with a consistent track record of achieving metrics.
- Two years experience managing, delegating, and following up on work priorities of others is strongly desired.
- Individual must have strong knowledge of medical insurance billing and collections with CPT, ICD9, and HCPC coding and medical terminology, as well as an overall understanding of managed care products (HMO, PPO, etc).
- Proficiency in Microsoft Office (Outlook, Excel, Word, and PowerPoint).
PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.
WORK ENVIRONMENT: The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.
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