Authorization Supervisor

Company:

Compassus

Position Summary

The Revenue Cycle Supervisor is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Revenue Cycle Supervisor prepares weekly/monthly reports and reconciliation in a timely and manner and performing Revenue Cycle Reviews. Additionally, s/he is responsible for the overall direction, coordination, and evaluation of the Revenue Cycle team.

Position Specific Responsibilities

• Performs all episode realignments and payor changes to completion, collaborating with all necessary team members to ensure these are completed timely and billing is completed.
• Researches and resolves accounts and identifies gaps between current and former payor requirements and existing billing documentation. Ensures account bills correctly for open and future invoices.
• Gathers, analyzes, and reports documentation for verbal, written, and expedited member and provider complaints, grievances, and appeals.
• Prepares and reports documentation supporting verbal and written provider claims and pre-authorization appeals.
• Provides appeals assistance for patients with denied medical treatment or services which includes advocating for patients in the appeals process. Answers customer calls about denied appeals, providing them with additional information when necessary. Efficiently manages patient complaints with respect of billing and collections.
• Ensures policies and best practices are up to industry standards and government regulations. Utilizes best practices for writing technical documents when creating SOPs and other documentation.
• Ensures on a daily, weekly, and monthly basis that key performance indicators are met or exceeded through system issue monitoring.
• Compiles and presents reports as needed on metrics and trends within their respective areas.
• Performs other duties as assigned.

Education and/or Experience

• Bachelor's degree highly preferred.
• Minimum of five (5) years of progressive, relevant experience and/or training required; preferably in home health, hospice, palliative, or infusion.
• Knowledge of Commercial, Third-Party Insurance Accounts, including but not limited to Medicaid, Managed Care, HMO, PPO, Auto and Work Comp rules and guidelines governing collection activities preferred.
• Proven commitment to exceling in collections, dedication to company standards, and growth

Skills

• Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.
• Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.
• Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces integrated healthcare at home philosophy. Strong analytical, organizational, and time management skills. Ability to learn quickly, build and maintain long-term relationships, and work with minimal supervision.

Certifications, Licenses, and Registrations

• Lean Six Sigma certification; or knowledge and training in Continuous Process Improvement highly desired.

Physical Demands and Work Environment: The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 25 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to positions in our organization.

At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Compensation range: $55,000 to $70,000

Compassus offers a comprehensive benefits package including, Medical, Dental, Vision, 401k and much more.

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Build a Rewarding Career with Compassus
At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others.

Your Career Journey Matters
We’re dedicated to helping you grow and succeed. Whether you’re pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive.

The Compassus Advantage
• Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter.
• Career Development: Access leadership pathways, mentorship, and personalized professional development.
• Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care.
• Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being.
• Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication.
• A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion.

Ready to Join?
At Compassus, your career is more than a job—it’s an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.