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Revenue Cycle Operations Supervisor

2 months ago

Butler, Pennsylvania, United States LanceSoft Full time

Position Type: Long Term Assignment

Work Arrangement: Initially 30 days onsite followed by a Hybrid model

Overview:

The Revenue Cycle Operations Supervisor is tasked with a comprehensive understanding of billing, collections, contracts, and regulatory compliance, alongside effective project management. This role acts as the primary management liaison to external payors and internal stakeholders, focusing on resolving reimbursement challenges while educating staff on billing protocols and related matters.

Key Responsibilities:

  • Lead and facilitate all monthly meetings with external and internal payors to address billing, claims, payments, and receivables issues.
  • Collaborate with peers across various billing departments to identify and resolve common challenges.
  • Conduct audits of accounts receivable and partner with the Revenue Cycle Manager to communicate findings and develop actionable plans.
  • Supervise the Credentialing/Enrollment Coordinator and Business Operations Analyst, ensuring productivity and accountability in their roles.
  • Develop analytical strategies and critical thinking approaches to enhance operational efficiency.
  • Assist in maintaining the EPIC fee schedule and support the Director and Revenue Cycle Manager in departmental operations.

Job Functions:

  • Conduct regular revenue cycle assessments and implement process improvement recommendations.
  • Structure and oversee revenue cycle audits on a scheduled basis, utilizing standard reports to identify trends and issues.
  • Direct the Business Operations Analyst in both routine and ad hoc reporting tasks.
  • Prepare comprehensive reports documenting findings from revenue cycle assessments, highlighting opportunities for improvement and responsible parties.
  • Employ project management methodologies to enhance revenue cycle processes.
  • Engage with clinical and administrative leaders to interpret revenue cycle assessments collaboratively.

Billing Office Liaison:

  • Generate status reports for each division.
  • Work closely with the Patient Revenue Cycle representative to address concerns impacting clean claims submission and cash collections.
  • Maintain a log of ongoing issues and communicate updates to the Revenue Cycle Manager.
  • Drive enhancements to the EPIC system to streamline accounts receivable management.
  • Support billing staff in resolving issues promptly and effectively.

Qualifications:

  • Strong analytical and computer skills, with advanced proficiency in Microsoft Office Suite, particularly Excel and PowerPoint.
  • Ability to manage data effectively and identify creative solutions to complex problems.
  • Excellent verbal and written communication skills, along with strong interpersonal abilities.
  • Experience in handling confidential information and managing multiple priorities.
  • Bachelor's Degree in Business or Healthcare is required.
  • A minimum of seven years of experience in physician/hospital billing within an academic environment is preferred.

This position offers an opportunity to lead and innovate within the revenue cycle management domain, ensuring optimal operational efficiency and compliance.