SummarySupervises the day-to-day operations of charge capture staff including monitoring workflow, delegating work, especially as it relates to issues concerning charge capture for professional services rendered in multi-specialty medical practice. Completes human resource functions including interviewing, hiring, disciplinary actions, performance evaluations and staff development. Keeping direct contact with the Practice Services Manager II daily as needed.
This is a primarily remote position, with occasional onsite presence required as needed.Primary Responsibilities - Prioritize and supervise daily charge capture operational functions for MCP, CSG and/or CP multiple specialty areas. Investigate and resolve charge capture concerns and issues in collaboration with charge capture manager, CPS administration, physicians as well as departmental and internal staff. Supervisor has on average 26 to 35+ direct reports.
- Provides coverage and support to the Charge Capture Manager for MCP, CSG and/or CP.
- Act as a leader/mentor to Supervisor I leader team.
- Acts as the Epic PB Resolute expert resource for charge capture and related revenue cycle issues.
- Acts as resource person for charge capture, not only within his/her scope of supervision but across CPS and MCW/Community Physicians.
- Develop or revise operational protocols or processes to improve lag time, quality and or quantity of work.
- Recruitment and onboarding of new charge capture staff, recommendation for promotions for existing team members, initiate and carry out corrective actions as necessary following department protocol and legal guidelines, establish performance guidelines/standards.
- Monitor governmental regulations and changes in healthcare industry to ensure compliance of charge capture processes.
- Investigates and resolves issues in collaboration with the charge capture team, CPS teams, departmental and clinical staff as well as physicians.
- Perform coaching and mentoring of staff. Ensure appropriate on-going training and performance reviews are completed.
- Resolves problems, issues and concerns in collaboration with payors, physicians, administration and staff by collecting and compiling information to resolve individual problems and identify patterns and trends. Maintains knowledge of diverse contracts, government regulations and third-party policies and the impact they have on operational efficiency.
- Analyzes statistical data utilizing various financial reports to evaluate the efficiency of billing and collection to aid in managing accounts receivable. Evaluates procedures for accuracy and efficiency and oversee maintenance of current team protocols. Prepares reports for managers documenting findings and recommending solutions.
- Perform other duties as assigned.
Knowledge - Skills - Abilities - Ability to interact with people effectively.
- Strong knowledge of medical billing and collections revenue cycle as it specifically relates to medical coding, reimbursement, contracting and processing payments.
- Knowledge of human resource management practices, including supervision, training/mentoring, hiring and disciplinary procedures.
- Skill in planning, organizing, delegating and supervising.
- Strong written and oral communication skills.
- Understanding of medical billing concepts and coding conventions.
- Ability to take initiative and to exercise independent judgment, decision making and problem solving skills.
- Proficient in Excel and Word.
Qualifications Appropriate experience may be substituted for education on an equivalent basis.
Minimum Required Education: Bachelor's degree
Minimum Required Experience: 7 years
Required Certification/Licensure(s): Coding certification (CPC, CCS-P) and/or Health Information Management credential (RHIT, RHIA).
Preferred Experience: Strong preference for experience in a multi-specialty professional billing coding and charge capture and overall knowledge of entire revenue cycle; previous supervisory and/or lead experience preferred.
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Physical Requirements Work requires occasionally lifting moderate weight materials, standing, or walking continuously.
Work Environment Occasional exposure to dust, noise, temperature changes, or contact with water or other liquids. Work is performed in an environmentally controlled environment.
Sensory Acuity Ability to detect and translate speech or other communication required. May occasionally require the ability to distinguish colors and perceive relative distances between objects.
Why MCW?- Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options
- 403B Retirement Package
- Competitive Vacation and Paid Holidays offered
- Tuition Reimbursement
- Paid Parental Leave
- Employee & Family Assistance Program (EFAP)
- Pet Insurance
- On campus Fitness Facility, offering onsite classes
- Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.
For a brief overview of our benefits see: Benefits Overview
For a full list of positions see: MCW Careers
