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Supervisor, Revenue Cycle, Preadmission - Highland Hills Job in Cleveland, Ohio US
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Job Summary

Company
University Hospitals Health System
Location
Cleveland, OH
Industries
Government and Military
Job Type
Full Time
Employee
Years of Experience
2+ to 5 Years
Job Reference Code
43681848

Supervisor, Revenue Cycle, Preadmission - Highland Hills

About the Job

Description

PositionSummary:
 

Supervises day to day     operations of the assigned patient accounts area to ensure the productive     and timely submission and resolution of insurance and/or patient claims     for all hospital and physician services. Serves as subject matter expert     and primary go to person for staff level questions and education.

 

EssentialDuties:
 

Directlyoversees staff members, and is responsible for ensuring their work outputis satisfactory and their concerns are resolved.  This includes conductingroutine staff audits for productivity and tracking results
Communicatesproductivity standards, performs routine audits and measures employeeperformance accordingly
Leads work flow efforts for     assigned area; analyzing, reassigning and adjusting based on work needs
Responsible for all hiring and relatedpersonnel decisions, completing routine performance review evaluations,training, scheduling, and process documentation in collaboration with Manager
Meets regularly with direct reports to reviewaccomplishments and set goals
Processes payroll and approves time offrequests for direct reports
Maintains strict confidentiality in regard topatient's personal, medical and financial information
Acts as a role model for professionalismthrough appropriate conduct and demeanor at all times
Identifies problem areas and develops plan ofaction to ensure benchmark standards are obtained and maintained
Generates and analyzes reports for AR reviewand resolution; continually monitoring fluctuations in department goals/metrics
Maintainsknowledge of industry and payer regulations and system software

Providesescalated customer support service
 Actsas a liaison for both internal and external customers providing assistance inclaims submission and resolution
Contactspatient, guarantors, and/or third-party organizations to secure information;prepares and maintains patient billing records to assist in the adjudication ofclaims

Analyzes, assists and resolves     problem claims
Participates in and leads payer     and or departmental meetings
Responsible for providing     feedback, suggestions and process improvement recommendations to manager     and above
Performs and initiates special     projects
Performs other duties as     assigned

 

*This rolemay encounter Protected Health Information (PHI) as part of regularresponsibilities.  UH employees must abide by all requirements to safelyand securely maintain PHI for our patients.  Annual training, the UH Codeof Conduct and UH policies and procedures are in place to address appropriateuse of PHI in the workplace.  

Qualifications
 

Experience & Knowledge:

o3-5 years of patient or hospital billing / accounting experience required. 
oCollection, billing and / or follow-up experience required
oSupervisory experience preferred.
oMust have a strong working knowledge of claims submission & processing (UB-04s/HCFA1500) and third party payers.
oWorking knowledge of ICD-9, ICD-10, CPT, CCI, DRG, NCD/LCD preferred.
oKnowledge of medical terminology preferred.
oMust be detail-oriented and organized, with good analytical and problem solving ability. 
oNotable client service, communication, presentation and relationship building skills required. 
oAbility to function independently and as a team player in a fast-paced environment required. 
oMust have strong written and verbal communication skills.
oHigh tolerance level for dealing in a potentially stressful environment.

Special Skills & Equipment Knowledge:

oDemonstrated ability to use PCs, Microsoft Office suite (including Word, Excel and Outlook), and general office equipment (i.e. printers, copy machine, FAX machine, etc.) required.
oKnowledge of medical billing software required.

Education:

oHigh school diploma or equivalent required.
oBachelor's degree in Business or healthcare preferred.

Credentials, Licensure or Certification (i.e. RN, RRT):

CCS-P or CPC Preferred N/A

Equal Opportunity Employer – minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity
 

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