Supervisor of Revenue Cycle and Reconciliation

4 weeks ago


Hackensack, New Jersey, United States Hackensack Meridian Health Full time
Job Summary

We are seeking a highly skilled and experienced Supervisor of Revenue Cycle and Reconciliation to join our team at Hackensack Meridian Health. As a key member of our Revenue Cycle team, you will be responsible for overseeing the day-to-day operations of the Cash Posting and Reconciliation Department, ensuring the timely and accurate processing of revenue cycle transactions.

Key Responsibilities
  • Supervise and manage the Cash Posting and Reconciliation team, ensuring the efficient and accurate processing of revenue cycle transactions.
  • Develop and implement testing scripts for Epic Reimbursement Contract Management, ensuring the integrity of data output.
  • Validate the timeliness of loading new contracts into Contract Management, ensuring compliance with regulatory requirements.
  • Ensure the efficient operation of the Reimbursement Contract Management system, identifying and resolving any issues that may impact revenue cycle operations.
  • Supervise the day-to-day activities of Cash Posting, Adjudication of accounts, Denial posting, Refund Processing, and Monthly reporting of Cash Receipt and posting to Finance.
  • Trend, analyze, and report issues on Managed Care Contracts, Contract Management, and other Payer-related topics to the weekly Managed Care and Supervisors meeting.
  • Approve or reject patient and insurance refunds within established guidelines.
  • Supervise all line personnel responsible for Cash Posting and Reconciliation and related functions.
  • Assist management in developing monitoring and control mechanisms to evaluate employee performance, ensuring efficiency, accuracy, and professional courtesy.
  • Monitor Collector's Workstation and Credit balance report to ensure timely and proper posting of transactions to patients' accounts.
  • Ensure established functional standards of productivity are met, reviewing staff performance and identifying underperforming areas.
  • Interview, select, orient, and train new employees, conducting ongoing counseling and education sessions.
  • Design and administer educational training for staff, ensuring they are fully trained and equipped to perform their duties.
  • Authorize vacation schedules, control of hours worked, and payroll reports, reviewing performance appraisals, personal development, safety, discipline, and other employee-related matters.
  • Communicate timely with management on progress, problems, and solutions or any significant factors affecting the Reconciliation department.
  • Maintain helpful and supportive relationships with staff within Finance and other departments to resolve issues and improve operations.
  • Ensure timely communication of Cash received and Cash posted with Finance, maintaining accurate records and reports.
  • Monitor and ensure the efficient operation of the departmental procedural systems, making enhancements to improve payment, adjustment, denial posting, and processing of credit balances.
  • Ensure that policies and procedures are communicated to staff, ensuring compliance with regulatory requirements.
Requirements
  • Bachelor's degree in Accounting, Business, or Healthcare Administration, or equivalent/relevant HMH experience at a minimum of 6 plus years.
  • Minimum of 4 years experience in Healthcare billing or health insurance claims environment, familiar with medical billing practices, concepts, and procedures.
  • Ability to work in a fast-paced business office, coordinating multiple projects with multiple deadlines or changing priorities.
  • Excellent analytical and critical thinking skills, strong attention to and recall for details.
  • Proficient with computer applications such as Microsoft Office Suite and/or Google Applications.
  • Highly organized, with excellent time management skills, strong written and verbal communication skills.


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