Note: The job is a remote job and is open to candidates in USA. OCHIN is a nonprofit health care innovation organization and trusted partner to a national provider network. The Supervisor, Revenue Operations oversees billing, collections, cash posting, and revenue cycle operations, while leading staff, supporting client relationships, resolving workflow issues, and ensuring compliance with regulatory and organizational requirements.
Responsibilities
- Provide efficient and effective account receivable services on behalf of our member clients to maximize their reimbursement and support OCHIN revenue cycle performance indicators for financial health
- Direct a team of billers and work with them to provide superior revenue cycle management to OBS clients
- Responsible for day-to-day operations in the, specifically with respect to the supervision of staff responsible for timely and accurate professional billing
- Ensures the activities of the billing operations are conducted in a manner that is consistent with overall department protocol and follow federal, state and payer regulations, and meets all deadlines including End of Month close processes
- Obtains and increases revenue by resolving claim and technical issues; maintaining customer relations; resolving problems
- Subscribe to all national payor bulletins, staying connected with industry changes and report to client, team, and technical analysts on impacts to workflows, request applicable changes to support revenue cycle
- Interface with customers and establish relationships that promote the timely and efficient resolution of transactions and other issues
- Hire, develop, motivate, and coach a group of individuals dedicated to providing excellent customer service to all stakeholders
- Oversee issues that arise with personnel, systems, and clients
- Manage billing staff, and provide continuous education, motivation, training, and leadership
- Coach staff in problem solving, effective communication strategies, and conflict resolution and career path opportunities
- Performs quality review of staff based on established metrics, and ensure staff has adequate information and training to perform assigned tasks
- Use emotional intelligence to have successful difficult conversations
- Other duties as assigned
Skills
- Candidates must be legally authorized to work in the United States on a permanent basis at the time of application
- This position is not eligible for employment visa sponsorship now or in the future
- Minimum of 5 years' experience working in healthcare/healthcare IT
- Minimum 5 years of PB/revenue cycle billing/coding experience is required
- Minimum of three (3) years of REMOTE supervisor/manager experience is required
- High school diploma, GED is required
- Experience using payor portals required
- Experience with Acute Care EHR software, EPIC, is required, PB
- Must be a self-motivated team player with significant experience in physician office or medical practice revenue cycle management including coding, charge capture, time of service collection, insurance eligibility and benefits verification, claims, submission and management and accounts receivable management, including familiarity with ICD-10, CPT, and/or HCPCS Coding Systems as well as claim forms such as CMS-1500 and UB-04
- Understand external rules and regulations as they relate to healthcare billing and collections e.g. Medicare, Medicaid, state laws, Health Insurance Portability and Accountability Act (HIPAA), etc
- High level of research and root cause analysis and problem-solving capabilities, superior attention to detail
- Extensive analytical skills and the ability to clearly communicate decisions, procedures, and processes to a diverse group of people
- Demonstrate creativity and a willingness to change and adapt as needed
- Follow up on assignments, show initiative, be self-motivated, and have a strong work ethic
- Proven experience creating, analyzing, and explaining complex reports
- Demonstrate independent judgment and self-sufficiency in effective problem solving
- Proficiency with MS Suites & Visio with Advanced knowledge experience in Excel
- Proven ability to quickly master new applications
- Excellent communication skills, written, verbal, and listening, as well as demonstrated business writing skills, are required
- Bachelor's or associate degree in business or relevant area of study highly preferred
- Previous FQHC/RHC experience is preferred
- Coding experience or CPC - Certified Professional Coder helpful
Benefits
- This position requires a virtual home-office environment, working remotely.
- OCHIN is a 100% remote organization; employees work remotely from home.
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