Operations Supervisor

Job Description

Job Description

We are hiring in the following States :

AZ, CA, CO, CT, FL, GA, HI, IL, MA, ME, MN, MO, NV, OK, PA, TN, TX, VA, WA

This is a remote position. Candidates who meet the minimum qualifications will be required to complete a video prescreen to move forward in the hiring process.

Salary Range : $48,000 to $55,000

Benefits : PTO, 401K, medical, dental, vision, life insurance, paid holidays, and more

Job Overview

Supervise the daily operations of a non-exempt account resolution staff. Oversees the development, implementation, and achievement of operational goals for clients and the company.

This role ensures adherence to client policies and procedures and performs all assigned job-related duties.

Job Duties and Responsibilities

• Facilitate interviewing of potential ARS candidates.
• Ensure team member compliance with HIPAA, State and Federal Laws and Guidelines
• Continuous training and mentoring of team members
• Ensure team members comply with productivity standards while maintaining quality levels.
• Review quality audits with team members weekly and coach for improvement where needed.
• Review team member’s performance daily and provide coaching to team member if not meeting key metrics.
• Escalate employee deficiency to manager if coaching attempts have failed.
• Report and discuss team member and team progress with Operations Manager.
• Carry out disciplinary counseling and implement Employee Success Plans, as needed.
• Promote teamwork and a positive work environment.
• Responsible for team member payroll accuracy and approval.
• Complete performance evaluation of staff.
• Responsible for researching, analyzing, and reviewing claim errors and rejections for trends and improvements.
• Stay current with payer updates and process changes to guarantee precise claims resolution efforts.
• Ensure adjustments are accurate and comply with client P&P.
• Identify payer specific issues and communicate to team and manager.
• Lead and contribute to daily shift briefings.
• Research problem accounts as presented.
• Escalate client IPO issues to manager if not resolved internally.
• Work with management to develop policies.
• Possible limited travel.
• Participate in client payor / internal meetings as requested.
• Complete all assigned projects in a timely manner.
• Perform other duties as required.

Qualifications

• High School diploma or equivalent.
• Minimum 1 year of supervisory experience within the last six (6) months with a healthcare provider or an outsourcing company, working with health insurance companies securing payment for medical claims, billing hospital and professional claims (HCFA1500 and UB04), and filing appeals with health insurance companies.
• Minimum 2 years of experience in medical billing or follow up with hospital (UB04) physician / non-physician using claim form HCFA 1500.
• Nextgen system experience

Knowledge, Skills, and Abilities

• Knowledge of healthcare revenue cycle administration : CMS rules, HIPAA, etc.
• Knowledge of GoToMeeting / Zoom, HFMA Certifications - CRCR and CSPR, etc.
• Skilled in analytics.
• Skilled in time management, continuous performance improvement techniques, management, leadership, written and verbal communication, basic math, computers, problem solving, interpersonal communication, Microsoft Office, decision making, and ethics.
• Ability to initiate and follow through on projects and work independently.
• Ability to take initiative and learn new software applications.
• Ability to mentor and develop team members.
• Ability to bring a positive outlook and pleasant demeanor to the job.
• Ability and willingness to learn and grow.
• Ability to receive and implement feedback towards continual performance improvement.
• Ability to interact professionally in work and with colleagues.
• Ability to be punctual, dependable, and adapt easily to change.
• Ability to demonstrate accountability, responsibility, and revenue cycle accomplishments

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