Revenue Cycle Credit Supervisor

Central Service Office, Seattle, Washington, United States of America

Job Description

Description

Proliance Surgeons is one of the largest surgical practices in the country, with over 450 providers including over 200 board-certified physicians providing treatment at more than 100 care centers in Washington State.

At Proliance, our patients come from all walks of life and so do we. We hire, develop and engage great people from a wide variety of backgrounds and encourage growth and development to make our organization a great place to work. We draw on the differences in who we are, what we’ve experienced, and how we think to create Exceptional Outcomes , Personally Delivered .

We are proud to offer a comprehensive and competitive benefit and pay package including health coverage, 401k with match and profit share, PTO and more!

Position Summary

The role of the Revenue Cycle Credit Supervisor is a valued member of our Revenue Cycle team. As a Revenue Cycle Credit Supervisor, you are responsible for timely and accurate resolution of daily refund requests, credit balance audits, and the management of complex credit/debit balance scenarios. The Revenue Cycle supervisor will be responsible for understanding payor contracts, payor offset policies and recoupment procedures. This position will work remotely and report directly to the Revenue Cycle Director.

Key Duties and Responsibilities

• Overall responsible for day-to-day supervision and processes of the credit balance team.
• Daily review and timely approval of refunds and adjustments initiated by credit balance team.
• Manage complex credit balance process.
• Conduct audits to validate accuracy and adherence to policy and procedures.
• Recommends process improvements and/or solutions for deficiencies in workflows and processes completed by credit balance team.
• Reports on root causes of credits and provides trends on patterns in overpayments to Revenue Cycle Director.
• Monitors and ensures credits are processed in accordance with state and government guidelines.
• Responsible for weekly/monthly status reporting to Revenue Cycle Director.
• Develops, implements and revises departmental policies and procedures.
• Monitor payer offset policies and keep up to date with overpayment and recoupment policies and procedures.
• Schedule, assign and prioritize workload within the department.
• Develops, monitors, coaches, and manages staff ensuring the development of employees through orientation, training, communication of rules and constructive discipline.
• Meets regularly with credit balance team.
• Completes all required projects and reports in a timely fashion per the direction of the Revenue Cycle Director.
• Other revenue cycle duties as assigned.

Education/Experience

• Bachelor’s degree in business administration, Health Service Administration (or related field) preferred, or a minimum 3+ years direct healthcare financial management experience.
• High School Diploma or GED required.
• Nextgen and Amkai experience preferred.
• Prior experience at Proliance Surgeons preferred.

Knowledge, Skills and Abilities

• Complete understanding and in-depth knowledge of credits, billing, collections, denial management workflow and associated processes at an intermediate level or above.
• Ability to serve as both a hands-on supervisor and a high performing individual contributor.
• Excellent judgement, understanding what s/he does not know and what questions to ask to reach well informed decisions that minimize risk.
• Ability to establish and monitor performance/productivity standards.
• Self-motivated team player able to multi-task and prioritize.
• Detail oriented.
• Professional etiquette.
• Excellent organization and interpersonal communication skills.
• Great interpersonal skills; demonstrating patience, composure, and cooperation; working well with all patients, physicians, and staff.
• Understanding of and adherence to all safety, risk management and precautionary procedures, including the consistent respect for confidentiality (HIPAA).
• Using time efficiently, with meticulous attention to detail, accuracy, and completion.
• Ability to manage multiple factors for the best result.
• Resourcefulness in addressing first level problems and tenacity to see things through to solution.
• Ability to remove oneself personally from given situations, remaining objective.
• Able to adapt to change, delays or unexpected events while maintaining a positive mindset.
• Clear oral and written communication.
• Ability to provide feedback to improve performance.
• Self-motivated; able to work following specific guidelines and in accordance with detailed instructions; measure self against standard of excellence, overcome obstacles and challenges with little supervision.

Work Environment/Physical Demands

The work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.

Work may be performed in an office and clinical environment. Requires corrected vision and hearing to normal range. While performing the duties of this job, the associate is regularly required to talk or hear. The associate is required to sit for long periods of time, stand and walk, bend and stretch. Use of telephone and computer is required. Manual dexterity required for use of computer keyboard. Occasionally lifts and carries items weighing up to 40 pounds. May require working under stressful conditions or working irregular hours.

Comments

This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change the duties at any time.