Location: Aurora, Illinois
Business Unit: Rush Medical Center
Hospital: Rush Copley Medical Center
Department: Revenue Cycle Enterprise Services
Work Type: Full Time (Total FTE between 0.9 and 1.0)
Shift: Shift 1
Work Schedule: 8 Hr. (8:00:00 AM - 4:30:00 PM)
Pay Range: $29.36 - $47.79 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
This position supervises revenue cycle activities of the Payment Exceptions and Recovery Team to ensure consistent financial & operational performance and the attainment of specific and measurable departmental standards and goals. The Supervisor is responsible for monitoring and improving all Underpayment and Credit Balance revenue cycle metrics and measures and is responsible for identifying areas of opportunity to ensure stated goals are met. The Supervisor is responsible for monitoring and enhancing the daily work of the staff. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
Other information:
Required Job Qualifications:
• Five years of experience in billing, collections, reimbursement, insurance, technology support, or customer service.
• Strong knowledge of inpatient and outpatient reimbursement methodology and interpretation of payer policies.
• Excellent verbal and written communication skills due to direct interaction with senior management.
• Strong time management and organizational skills with the ability to effectively multi-task and meet deadlines.
• Strong problem solving and financial analytical skills.
• High degree of accuracy for analyses and processes.
• Strong customer service focus.
• Ability to assist in the implementation of major projects.
• Ability to interact professionally with all levels of employees.
• Aptitude for improving professional knowledge and technical skills through development efforts.
• Ability to motivate, mentor and develop talent.
• High level of integrity.
• Ability to assert professional leadership in team meetings, providing staff with necessary documentation and pertinent summaries to improve productivity and reduce error rates.
Preferred Job Qualifications:
• Bachelor's Degree in Business, finance or related discipline. Equivalent work experience may be considered in lieu of degree.
• Professional certification (CPA, HFMA, Epic system or similar).
Physical Demands:
Competencies:
Disclaimer: The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.
Responsibilities:
1. Supervises Underpayment and Refund Account Specialists by monitoring day-to-day functions and processes.
2. Works to develop staff skill set by providing exemplary work and guiding staff in optimizing daily workflows.
3. Monitors and assists manager's objectives in improving revenue cycle metrics and measures, including but not limited to: underpayment cash collections, underpayment overturn rate, credit balance accounts receivables (AR), and days in credit balance
4. Assists in the preparation of and is an active leader in regularly scheduled department meetings focused on trends impacting performance.
5. Lead team efforts to identify, track, and escalate payment discrepancy trends by detailing the root cause, outcome, and solution to minimize long term impact and assist in assessing and implementing new processes.
6. Stays abreast of network, reimbursement and payer contract language changes impacting the day-to-day functions and processes of the revenue cycle.
7. Analyzes and approves insurance and patient refunds requests by validating the payer allowed amounts are calculated in adherence to our contract.
8. Demonstrates communication skills in a clear, concise, articulated and professional manner in both verbal and written capacities.
9. The supervisor will be responsible for more advanced daily operational work and their performance should be viewed as the standard for the staff to follow.
10. Collaborates with other revenue cycle leaders and key stakeholder on relevant activities and ensures interdependencies between specific area of functional oversight and other areas within revenue cycle have appropriate hand-offs.
11. Identifies opportunity to leverage technology whenever possible to streamline and automate processes and ensure that automated solutions and applications (Epic and non-Epic) support functional objectives.
12. These opportunities should be effectively communicated to the manager.
13. Enforces employee standards and ensures the quality and accuracy of staff¡¦s and overall department¡¦s work.
14. Including the development, implementation, and routine communication of metrics and coaching to monitor staff productivity & quality.
15. Stays abreast of industry & regulatory changes impacting functional area and revenue cycle and identifies potential impact and required changes.
16. Strives to promote best practices within functional area and within revenue cycle.
