Supervisor Revenue Cycle - Insurance Verification

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses.

City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix.

Our dedicated and compassionate employees are driven by a common mission : To deliver the cures of tomorrow to the people who need them today.

This position seeks an experienced and collaborative leader to supervise the daily operations of registration and insurance verification.

Provides staff training, coaching and support, team meetings, employee motivation, issue identification, assessment and resolution, ensure conformity to department procedures and technical support to achieve desired outcomes and compliance.

Experience with EPIC to create work queues and workflows and provides input to Manager and completes performance evaluation.

Review monthly denials related to insurance verification under the guidance of manager take appropriate actions to eliminate insurance benefit related denials.

Create / develop / enforce new and review current policies, procedures, and operational guidelines to improve Eligibility and Benefit workflows.

Works with staff and payors to secure professional reimbursement and avoid insurance / registration denials. Spot audit benefit documentation to provide continuous written and verbal feedback to staff and management regarding audit outcomes.

Performs and interprets monthly productivity reports, quality assurance reviews and conducts research necessary to update reference materials.

As a successful candidate, you will :

• Provide supervision, direction, and expertise to Leads.
• Develop, implement, and enforce policies and procedures to ensure quality and accuracy of
• collection function
• Performs annual employee performance appraisals of Leads.Provides significant input on performance appraisals, hiring / selection, termination, and promotion of staff and Leads.
• In partnership with the Manager and Director of Revenue Cycle, recruits, on-boards, and trains new employees. Actively takes steps to retain qualified collectors.
• Ensures that staff and Leads keep abreast of all new changes in billing guidelines set forth by the regulatory agencies and conducts monthly employee performance incentive bonus review.
• Provide technical expertise and inputs to members of the Revenue Cycle and Operations management teams to improve quality of billing operation and appeal process and assure organization's compliance to billing guidelines set forth by CMS and Medi-Cal.
• Assures compliance with all regulatory bodies, including OSHPD, CMS, etc.
• Acts as an internal consultant for all issues related to practice management software or other systems used by Billing and Collections staff.
• Ensures billing accuracy, maintaining continuous compliance with billing guidelines set forth by CMS and Medi-Cal.

Qualifications

Your qualifications should include :

• High School Diploma.
• Minimum of 5 years revenue cycle experience.
• 3+ years in leadership capacity in a revenue cycle.
• Preferably : Bachelor’s Degree in healthcare, business, or related field.

City of Hope is an equal opportunity employer. To learn more about our commitment to diversity, equity, and inclusion, please click here.

To learn more about our Comprehensive Benefits, please CLICK HERE.