Must have a solid understanding of health care pricing and reimbursement.
Three to five years of auditing and training experience highly preferred.
Previous management experience preferred.
Ability to learn and navigate computer systems including the online training modules, the employee timesheet and the performance appraisal system. Job specific systems are also required.
Must be able to read, speak, and write fluent English.
Physical Requirements
Sitting - Approximately 100% of shift.
Standing - Not a requirement.
Walking - Not a requirement.
Lifting - Not a requirement.
Twisting - Not a requirement.
Bending - Infrequent.
Squat/Kneel - Not a requirement
WORK ENVIRONMENT
May come in contact with hazardous chemicals or treatment modalities.
The possibility exists of exposure to communicable disease due to working in a healthcare environment.
Involvement in patient care may result in unavoidable work-related illnesses.
This document does not create an employment contract, implied or otherwise, other than an "at will" employment relationship with the Waverly Health Center.
Benefits
Health insuranceDental insurance
Additional Information
FTE/Scheduled Weekly Hours:
1.00 / 40 / 1st Shift (United States of America) PRIMARY FUNCTIONS
Reviews and trains staff in appropriate billing and documentation methods to ensure compliance and to maximize reimbursement.
ESSENTIAL DUTIES AND RESPONSIBILITIES
1. Supervise end-to-end revenue cycle functions including charge capture, billing, collections, and financial assistance programs. Ensure the department is organized to effectively and consistently meet the needs of patients, providers, and other customers. Assist patients with questions regarding billing statements, charges and financial responsibilities.
2. Monitor accounts receivable and ensure timely and appropriate follow-up on outstanding balances to optimize cash flow.
3. Review and analyze denials, underpayments and reimbursement trends. Identify root causes and implement corrective actions to improve revenue cycle performance.
4. Ensure accurate payer configuration and reimbursement methodologies are maintained within the system.
5. Maintain and update the chargemaster, including establishing appropriate CPT and revenue codes, as well as price setting.
6. Work collaboratively with clinical departments to improve charge capture processes. Identify workflow gaps and work to implement process improvements.
7. Maintain knowledge of applicable rules and regulations as they relate to the coding, billing and charge processes.
SUPERVISOR RESPONSIBILITIES
1. Cost Awareness: Contributes to the development of departmental budget. Ensures that budgetary concerns are communicated to Manager as needed.
2. Employee Performance: Identifies performance expectations and ensures that employees understand and are held accountable to those expectations. Assesses employee performance in a timely manner and works with employees to resolve performance issues. Takes timely and appropriate disciplinary actions. Acknowledges employee accomplishments.
3. Organizational Policies: Communicates and enforces Waverly Health Center policies. With the Manager develops policies and procedures essential to the operation of the department in compliance with regulatory requirements.
4. Staffing: Creates and maintains departmental job descriptions with department Manager. Collaborates with Manager to build a team with diverse skills and strengths by selecting the best candidate for each position. Develops effective staffing patterns to meet departmental needs.
Waverlyhealthcenter · Waverly, IA