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Supv Revenue Cycle

Rush University Medical Center

This is a Contract position in Chicago, IL posted July 28, 2019.

Job Title: Supv Revenue Cycle Department: PB Billing/Collections Shift: 1st Specialty: Job Number: 2019-1049 Date Posted: 04/04/2019 Position Type: Finance/Accounting Job Qualifications: Supervisor, Revenue Cycle Position Highlights: The Supervisor, Revenue Cycle, is responsible for monitoring and assessing performance of Financial Services Representative staff to ensure timely and accurate handling of hospital or professional accounts receivable.

The incumbent will coordinate the team to enable timely and effective follow-up on all third¡Vparty payers and monitor work queue activity to ensure team members are actively reviewing assigned accounts.

The Supervisor, Revenue Cycle will serve as a coach and positive role model for staff and colleagues by establishing/maintaining a work environment that fosters positive morale; ensures compliance with all established policies, procedures and legal guidelines; maintains a safe workplace in accordance with policies; manages resources effectively and responsibly.

This position is directly responsible to the Manager, Revenue Cycle and exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.

Position Responsibilities: Supervise, coach and mentor coding staff, to include: recruitment, onboarding, training, monitoring productivity, quality reviews, completing performance evaluations and, when necessary, corrective action.

Coordinate and approve staff requests for time off, verify/edit time and attendance records for Manager.

Evaluate staff schedules and assignments to ensure timely review of accounts.

Monitor department work queues to ensure volume is at or below established target.

Re-prioritize workloads when necessary.

Work with 3rd party vendors on outsourced assignments, answer questions, support training.

Coordinate recovery efforts for claim denials.

Assist staff in the development of claim appeal letters.

Work with Hospital Departments, Physician Offices and/or Physicians to obtain medical documentation to complete appeals.

Manage and help resolve all accounts residing in assigned Epic WQs and work with departments to make sure accounts are resolved timely.

Responsible for monitoring and resolving Escalation WQs.

Organize and monitor special projects.

Collaborates with Rush Health, Utilization Management, Patient Access and any other department as needed on reimbursement issues, and escalate issues when appropriate.

Demonstrates detailed knowledge of managed care contracts and various payer medical policies.

Ability to build payer relationships, attend payer meetings, and manage each payer relationship Measures staff performance of quality and productivity and gives timely feedback to team members.

Assist in problem solving by researching payer medical policies and coding/compliance regulations.

Evaluate workflows and operational policies; make recommendations to improve staff and operational efficiency.

Maintain strong knowledge of industry coding and compliance requirements/updates, including Medicare and Medicaid regulatory requirements.

Participate on system committees as designated.

Miscellaneous duties as assigned.

Position Qualifications Include: High school graduate degree/GED Minimum of 4 years of revenue cycle experience.

Working knowledge of computers and Microsoft office experience required, including Excel, Word, and PowerPoint.

Bachelor’s Degree preferred 2 years of experience in supervisory role preferred HFMA CRCR Certification preferred Epic proficiency or certification preferred Knowledge of insurance company’s practices, regarding reimbursement and healthcare.

Strong communication/problem-solving skills.

Able to self-motivate, motivate others and work under pressure.

Ability to communicate effectively with health care practitioners and co-workers.

Ability to work with a high degree of independence.

Must possess strong analytical skills, written and oral communication skills, and problem-solving skills.

Must have the ability to meet deadlines and display time management capacities.

Exhibits professionalism, coachability, and collegiality.

Company Highlights: Ranked among the top academic medical centers in the country, Rush University Medical Center is an outstanding place to enhance your career.

Everything we do centers on one goal: improving patient care.

Rush is an academic health system comprising Rush University Medical Center, Rush Copley Medical Center and Rush Oak Park Hospital.

Leading academic medical center, acute care hospital w/ 664 licensed beds.

Ranked among the top 20 best places to work in healthcare by Indeed.

Rush is an equal opportunity employer.

We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

Supervisor, Revenue Cycle Position Highlights: The Supervisor, Revenue Cycle, is responsible for monitoring and assessing performance of Financial Services Representative staff to ensure timely and accurate handling of hospital or professional accounts receivable.

The incumbent will coordinate the team to enable timely and effective follow-up on all third¡Vparty payers and monitor work queue activity to ensure team members are actively reviewing assigned accounts.

The Supervisor, Revenue Cycle will serve as a coach and positive role model for staff and colleagues by establishing/maintaining a work environment that fosters positive morale; ensures compliance with all established policies, procedures and legal guidelines; maintains a safe workplace in accordance with policies; manages resources effectively and responsibly.

This position is directly responsible to the Manager, Revenue Cycle and exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.

Position Responsibilities: Supervise, coach and mentor coding staff, to include: recruitment, onboarding, training, monitoring productivity, quality reviews, completing performance evaluations and, when necessary, corrective action.

Coordinate and approve staff requests for time off, verify/edit time and attendance records for Manager.

Evaluate staff schedules and assignments to ensure timely review of accounts.

Monitor department work queues to ensure volume is at or below established target.

Re-prioritize workloads when necessary.

Work with 3rd party vendors on outsourced assignments, answer questions, support training.

Coordinate recovery efforts for claim denials.

Assist staff in the development of claim appeal letters.

Work with Hospital Departments, Physician Offices and/or Physicians to obtain medical documentation to complete appeals.

Manage and help resolve all accounts residing in assigned Epic WQs and work with departments to make sure accounts are resolved timely.

Responsible for monitoring and resolving Escalation WQs.

Organize and monitor special projects.

Collaborates with Rush Health, Utilization Management, Patient Access and any other department as needed on reimbursement issues, and escalate issues when appropriate.

Demonstrates detailed knowledge of managed care contracts and various payer medical policies.

Ability to build payer relationships, attend payer meetings, and manage each payer relationship Measures staff performance of quality and productivity and gives timely feedback to team members.

Assist in problem solving by researching payer medical policies and coding/compliance regulations.

Evaluate workflows and operational policies; make recommendations to improve staff and operational efficiency.

Maintain strong knowledge of industry coding and compliance requirements/updates, including Medicare and Medicaid regulatory requirements.

Participate on system committees as designated.

Miscellaneous duties as assigned.

Position Qualifications Include: High school graduate degree/GED Minimum of 4 years of revenue cycle experience.

Working knowledge of computers and Microsoft office experience required, including Excel, Word, and PowerPoint.

Bachelor’s Degree preferred 2 years of experience in supervisory role preferred HFMA CRCR Certification preferred Epic proficiency or certification preferred Knowledge of insurance company’s practices, regarding reimbursement and healthcare.

Strong communication/problem-solving skills.

Able to self-motivate, motivate others and work under pressure.

Ability to communicate effectively with health care practitioners and co-workers.

Ability to work with a high degree of independence.

Must possess strong analytical skills, written and oral communication skills, and problem-solving skills.

Must have the ability to meet deadlines and display time management capacities.

Exhibits professionalism, coachability, and collegiality.

Company Highlights: Ranked among the top academic medical centers in the country, Rush University Medical Center is an outstanding place to enhance your career.

Everything we do centers on one goal: improving patient care.

Rush is an academic health system comprising Rush University Medical Center, Rush Copley Medical Center and Rush Oak Park Hospital.

Leading academic medical center, acute care hospital w/ 664 licensed beds.

Ranked among the top 20 best places to work in healthcare by Indeed.

Rush is an equal opportunity employer.

We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.