Cash Management Credit Balance Resolution Supervisor
Supervises day-to-day operations within the assigned department. The Cash Management Credit Balance Resolution Supervisor has the responsibility for overseeing all facets of credit resolution, including self-pay, commercial, and government insurance credits. Maintaining credit resolution outsourced vendor performance and collaborative relationships. Ensuring the accurate and timely processing of credits, active participation in system integration testing. Serves as a subject matter expert for credit resolution, actively staying abreast of best practices, and working towards achieving goals, optimizing revenue cycle performance, and ensuring the financial stability of the organization.
Essential Functions
Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on accounts. Oversees adjustments, insurance processing and verification, accuracy of billing and payment posting. Monitors workflow to ensure timely processing. Collaborates with department leadership team to evaluate service needs and volumes and adjust staffing levels accordingly. Assigns daily work schedules. Acts as a resource in the daily operations and activities of the department. Performs staff level duties as required.
Develops, implements and teaches new and evolving technologies. Communicates process and protocol to staff. Directs and coordinates training of new employees. Uses knowledge of insurance plans and contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and / or patient issues. Investigates and resolves claims submission, disputes or complaints to resolution, as needed. Resolves billing / insurance issues and ensures compliance with departmental and governmental policies.
Supports the department leadership team in problem solving to address issues relating to volume or workflow processes. Promotes effective working relations and works effectively as part of a department / unit team and interdepartmentally to facilitate that department's ability to meet its goals and objective. Ensures coordination of services with other departments to promote the highest level of efficiency and patient satisfaction.
Assists with Human Resource management functions including interviewing, selection, orientation, education / training, feedback, performance evaluation, and policy and procedure development. With the support of the leadership team, writes and may deliver corrective action and / or coaching. Assists in updating and maintaining personnel files. Maintains and monitors Kronos records for employees. Presents and documents staff meetings as required.
Oversees production and quality of staff performance to maintain efficiency and accuracy. Collaborates with the department leadership team to resolve process issues or create new work flows to improve performance. Ensures compliance with applicable regulatory guidelines and established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards.
Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards. Performs other duties as assigned.
Skills
Operations Management, Leadership, Human Resources, Regulatory Requirements, Workflow Process, Communication, Insurance Processing and Issues, Medical Terminology, Claims Processing, Collaboration, Time Management, Team Building
Qualifications
High School Diploma or Equivalent is required. Three (3) years of experience in back-end revenue cycle is required. One (1) year of team lead or supervisory experience required. Five (5) years of experience in back-end revenue cycle experiences preferred.
Physical Requirements
Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs. Frequent interactions with customers who require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately. Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use. Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items. Hybrid position, associate must be able to commute to the office to support clerical team when needed.
Location
Peaks Regional Office
Work City : Broomfield
Work State : Colorado
Scheduled Weekly Hours : 40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $25.02 - $39.41
We care about your well-being mind, body, and spirit which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Credit Supervisor • Broomfield, CO, US