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Supervisor, Revenue Cycle

Company: N/A

Location: Nashville, TN

Pay: N/A

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Phone: n/a
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Job Description

*PPS office location has moved to Antioch, TN


Summary:  Leads daily activities for a team of Accounts Receivable Analysts and performs follow-up on open insurance items. Monitors and researches claims denied by insurance carriers to determine the cause of the rejection and if appropriate, re-submit open claims for payment consideration.  Is familiar with PPS Key Matrix and the Clinics over performances.

 

Essential Duties and Responsibilities:  Include the following. Other duties may be assigned.


Effectively leads, coaches, trains and counsels team members as necessary


Monitors employee performance for compliance with PPS/CHS policies and guidelines


Schedules staff according to operational needs


Establishes and monitors team goals based on Manager Holds Trends and other key matrix”


Monitors Accounts Receivable trending data and works with other departments and facilities to resolve issues


Prepares monthly practice performance summaries and trending reports in preparation for review with clinic leadership


Initiates monthly and weekly communications with facilities related to their Accounts Receivable


Reviews and prepares divisional Accounts Receivable outcomes


Reviews work completed by staff for accuracy and completeness


Handles escalated AR functions related to daily operations


Supervisory Responsibilities:  Directly supervises employees. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

 

Competencies:  To perform the job successfully, an individual should demonstrate the following competencies:

Analytical - Collects and researches data; Uses intuition and experience to complement data; Designs work flows and procedures

Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs

Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Keeps emotions under control; Remains open to others' ideas and tries new things

Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings

Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Presents numerical data effectively; Able to read and interpret written information

Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed

Leadership - Inspires and motivates others to perform well; Accepts feedback from others; Gives appropriate recognition to others

Supervising People - Includes staff in planning, decision-making, facilitating and process improvement; Makes self available to staff; Provides regular performance feedback; Develops subordinates' skills and encourages growth; Improves processes, products and services; Continually works to improve supervisory skills.

Quality Management - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance

Diversity - Diversity - Shows respect and sensitivity for cultural differences; Promotes a harassment-free environment

Ethics - Treats people with respect; Works with integrity and ethically

Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time

Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Organizes or schedules other people and their tasks; Develops realistic action plans

Professionalism - Approaches others in a tactful manner; Treats others with respect and consideration regardless of their status or position; Follows through on commitments

Quality - Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness

Quantity – Completes work in a timely manner; Strives to increase productivity

Safety and Security - Observes safety and security procedures; Reports potentially unsafe conditions

Adaptability - Adapts to changes in the work environment; Able to deal with frequent change, delays, or unexpected events

Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Completes tasks on time or notifies appropriate person with an alternate plan

Initiative - Undertakes self-development activities; Asks for and offers help when needed

Innovation - Meets challenges with resourcefulness; Generates suggestions for improving work

Attendance/Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent

 


Job Requirements

Qualifications:  To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Preferred Education and/or Experience:  Bachelor’s degree in Accounting, Health care management or Business; 6 months leadership or supervisory experience; at least 5 years of revenue cycle management with a general knowledge of ICD9 and CPT coding; or equivalent combination of education and experience.


Language Skills:  Ability to read and interpret documents such as company policy and procedure, operating instructions, and procedure manuals.  Ability to write routine reports and correspondence.  Ability to speak effectively before groups and to physicians, practice managers, clinic staff, and other employees of the organization.  Ability to effectively communicate with insurance carrier staff and vendor staff.

 

Reasoning Ability:  Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.


Computer Skills:  To perform this job successfully, an individual must have a working knowledge of practice management systems and Microsoft Office applications including Excel, Word and PowerPoint.


Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 


Work Environment:  The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  The noise level in the work environment is usually moderate.