Supervisor, Revenue Cycle

Responsibilities

• Supervises the day to day revenue cycle operations in order to maximize the collection of medical services payments and reimbursements from patients, insurance carriers, financial aide, and guarantors.
• Supports and adheres to the US Oncology Compliance Program, to include Code of Ethics and Business Standards, and US Oncology's Shared Values.
• Supervises the daily business functions of the patient visit from point of entry to accurate adjudication of the patients' accounts.
• Scope of responsibilities includes appointment scheduling, insurance eligibility processes; charge processing; claim submission and processing; payment processing; collections and accounts receivable management; denial management; reporting of results and analysis; concurrent and retrospective auditing; proper coding; credentialing; customer services relative to revenue cycle; training and development relative to revenue cycle; analytics, and all other revenue cycle management activities.
• Solves escalated and unique revenue cycle issues.
• Responsible for quality work, meeting deadlines, and adherence to the Practices Standard Operating Procedures (SOPs); regularly audits staffs work to ensure compliance.
• Monthly, prepares revenue cycle financial analysis, including aged accounts.
• Maintains oversight of business metrics in order to refine processes and improve.
• Guides individuals and teams toward priorities; clarifies roles and responsibilities of others; coordinates resources to meet objectives.
• Cascades goals down to staffs annual objectives.
• Champions new initiatives; acts as a catalyst of change and stimulates others to change; paves the way for needed changes; manages implementation effectively.
• Steps forward to address difficult issues; puts self on the line to deal with important problems; takes ownership and accountability.
• Develops, implements, and maintains the Practice's revenue cycle training materials.
• Conducts training of SOPs, systems, metrics, government regulations, and etc.
• Coordinates front office duties to include scheduling, check-in, and co-pay/co-insurance collection.
• Attracts high caliber people, accurately assesses strengths and development needs of employees; provides timely, specific feedback and helpful coaching; provides challenging assignments and opportunities for development.
• Responsible for interviewing, recommending hires, assessing performance, recommending salary changes, and progressive discipline.
• Enforces adherence to the Practice's and US Oncology policies.

Qualifications

• Associates degree in Finance, Business or equivalent OR four years revenue cycle experience required.
• Four years of medical revenue cycle work experience required with a consistent track record of achieving metrics.
• Two years experience managing, delegating, and following up on work priorities of others is strongly desired.
• Strong knowledge of medical insurance billing and collections with CPT, ICD9, and HCPC coding and medical terminology, as well as an overall understanding of managed care products (HMO, PPO, etc).
• Proficiency in Microsoft Office (Outlook, Excel, Word, and PowerPoint).