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2 weeks ago
The Revenue Cycle Supervisor at St. Barnabas is responsible for ensuring the efficient processing and reporting of claims, denials, and appeals. This role requires strong leadership and communication skills to manage staff and prioritize claim categories to resolve billing-related issues.
Key Responsibilities- Manage staff to minimize bad debt, improve cash flow, and effectively manage accounts receivables
- Stay up-to-date on coding and revenue trends, and provide claim coding education to billing staff
- Communicate professionally with various payers as needed
- Participate in Joint Committee Meetings with contracted payers to identify and resolve billing, claims payment, and claim denial issues
- Develop, evaluate, implement, and revise Departmental policy and procedures related to billing, reimbursement activities, and improvement strategies
- Conduct monthly analysis of Medicare/Medicaid/Third Party Payers
- Review and resolve issues related to claim generation and rejected/denied billings
- Commit to the highest level of business and patient confidentiality possible, adhering to all HIPAA and security guidelines when accessing and sharing patient information
- Maintain appropriate internal controls over accounts receivables
- Monitor accounts sent for collection and reimbursement from insurance companies and other third-party vendors
- Reviews, monitors, and evaluates third-party reimbursement and researches variances
- Associates or B.S. in Accounting/Finance, Healthcare Administration, or related field
- 4+ years of on-the-job experience required
- Understanding of hospital reimbursement and facility claims submission, collection, and analysis (DRG, APC, Managed Care contracting)
- Hospital denials and appeals management experience
- Experience with managed care contracts, reimbursement, and administrative terms and terminology
- High degree of proficiency utilizing and/or configuring hospital patient accounting, claims scrubber, and contract management
- Excellent communication and interpersonal skills
- Experience working with Epic and ability to prepare Epic Revenue Cycle Reports
- Knowledge and experience with Excel
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