Healthcare Revenue Cycle and Credentialing Supervisor

2 weeks ago


Cincinnati, Ohio, United States CareStar Full time

Healthcare Revenue Cycle and Credentialing Supervisor

Are you ready to make a significant impact in the healthcare sector? CareStar, Inc. is on the lookout for a dedicated Healthcare Revenue Cycle and Credentialing Supervisor to join our Finance Department. This role is pivotal in shaping and executing strategies that enhance billing efficiency, streamline payment processes, and bolster the financial health of our Medicaid receivables.

POSITION OVERVIEW

We seek a proactive individual who will:

  • Manage and optimize billing and collections workflows, ensuring timely month-end reporting.
  • Design and enforce quality assurance protocols for Medicaid, Commercial, and Medicare billing operations.
  • Generate forecasts and reports essential for budget development and management; analyze monthly data to support forecasting efforts.
  • Evaluate collection strategies and ensure adherence to departmental policies.
  • Compile comprehensive status reports for management to identify trends and provide actionable recommendations.
  • Oversee the credentialing process, ensuring all staff and contractors possess the necessary licenses, certifications, and continuing education units.
  • Maintain an organized database of credentialed personnel to facilitate timely recredentialing.
  • Monitor and enhance operational metrics to achieve established performance goals.
  • Uphold the CareStar Rule in all job functions.
  • Comply with CareStar Policies and Procedures, ensuring confidentiality regarding patient information.
  • Adhere to the Acceptable Use Policy while utilizing CareStar's information systems.

QUALIFICATIONS

A Bachelor’s Degree in Accounting, Finance, or a related field is required, along with a minimum of 3 years of experience in healthcare billing. The ideal candidate will demonstrate:

  • Strategic planning and prioritization skills within the Billing Department.
  • Familiarity with CMS 1500 billing, clearinghouses, denial management, and appeals processes.
  • Certification as a Procedural Coder (CPC) is advantageous.
  • A proven track record of leadership, particularly in enhancing process efficiencies and applying analytics to resolve issues in healthcare billing.
  • Knowledge of medical terminology and insurance claim adjudication.

ABOUT CARESTAR

Founded in 1988, CareStar is committed to improving communities by enhancing lives. We are recognized as a leader in Long-Term Care Case Management, Assessment, Population Health Management, and Innovative Software Development Solutions.

WHY WORK WITH US?

We offer a competitive salary commensurate with experience, education, and expertise, along with a comprehensive benefits package that includes medical, dental, vision, and life insurance. Our 401(k) plan features a generous company matching contribution. We provide numerous professional development opportunities, including company-sponsored certifications to help you advance your career. Enjoy paid vacations and holidays as part of our commitment to work-life balance.

Become part of a team that values your contributions and challenges you to grow. If you find this opportunity aligns with your career aspirations, we encourage you to explore a future with CareStar.



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