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Healthcare Revenue Cycle and Credentialing Supervisor
2 months ago
Join a dynamic organization dedicated to making a significant difference in the lives of individuals within the community. CareStar, Inc. is currently in search of a Healthcare Revenue Cycle and Credentialing Supervisor to be a part of our Finance Department.
The Healthcare Revenue Cycle and Credentialing Supervisor will take charge of formulating, organizing, and executing both current and future strategies aimed at optimizing billing processes, managing payments, reducing bad debt, enhancing cash flow, and overseeing the overall health of the company’s Medicaid receivables.
Key Responsibilities
- Manage and refine billing and collections processes, ensuring efficient month-end closing for the billing team.
- Develop and implement quality assurance measures for all Medicaid, Commercial, and Medicare billing operations.
- Generate forecasts and reports essential for budget development and management; analyze monthly reports to aid in forecasting.
- Evaluate the success of collection efforts and ensure billing is completed within the established departmental policy timeframe.
- Compile and prepare various management reports to analyze trends and provide actionable recommendations.
- Oversee the credentialing process to guarantee that all staff and contractors possess the necessary licenses, certifications, and continuing education units (CEUs).
- Maintain a comprehensive database of credentialed personnel to facilitate timely identification of recredentialing needs.
- Monitor and enhance the efficiency of process completion and other operational metrics to achieve set objectives.
- Adhere to company policies and procedures while maintaining confidentiality regarding patient information.
Any unauthorized disclosure of confidential information will be treated as a serious violation of company policy.
Follow the Acceptable Use Policy while utilizing any information systems owned or controlled by CareStar, Inc.
Qualifications
- Bachelor's Degree in Accounting, Finance, or a related field, along with a minimum of 3 years of experience in healthcare billing.
- Demonstrated ability to perform strategic planning and prioritize tasks within the Billing Department.
- Familiarity with CMS 1500 billing, clearinghouses, denial management, and appeals processes.
- Certification as a Procedural Coder (CPC) is advantageous.
- Proven leadership skills with a focus on enhancing process efficiencies and employing analytics for problem-solving in healthcare billing.
- Knowledge of medical terminology and insurance claim adjudication.
Company Overview
CareStar was established with the mission to enhance communities by improving lives. We are recognized as an industry leader in Long-Term Care Case Management, Assessment, Population Health Management, and Innovative Software Development Solutions.
Benefits
- Competitive salary based on experience and qualifications.
- Comprehensive benefits package including medical, dental, vision, and life insurance.
- 401(k) plan with a generous company matching contribution.
- Numerous professional development opportunities, including company-sponsored certifications.
- Paid time off and holidays.
Join a team that values your contributions and challenges you to grow professionally.
