Revenue Cycle Supervisor - St. Barnabas : Job Details

The description below reflects the general duties considered necessary to describe the principle functions of the job as identified, and shall not be considered as a detailed description of all work requirements that may be necessary to complete the job requirements.**Ensures that claims, denials, and appeals are efficiently processed and reported on a regular scheduleEnsures that identified claim categories are prioritized to resolve billing-related issuesManage staff to minimize bad debt, improve cash flow, and effectively manage accounts receivablesStays apprised of coding and revenue trends; and is responsible for claim coding education to billing staffCommunicates professionally with various payers as neededParticipates in Joint Committee Meetings with contracted payers to identify and resolve billing, claims payment, claim denial issuesDevelops, evaluates, implements and revises Departmental policy and procedures related to billing, reimbursement activities, and improvement strategiesConducts monthly analysis of Medicare/Medicaid/Third Party PayersReview and resolve issues related to claim generation and rejected/denied billingsCommit to highest level of business and patient confidentiality possible adhering to all HIPAA and security guidelines when accessing and sharing patient informationKeeps abreast of all reimbursement billing procedures of third-party and private insurance payers and government regulationsMaintains appropriate internal controls over accounts receivablesMonitors accounts sent for collection and reimbursement from insurance companies and other third-party vendorsReviews, monitors and evaluates third-party reimbursement and researches variancesAll other relevant duties as assignedQUALIFICATIONS: Associates or B.S. Accounting/Finance, Healthcare Administration, or related field.

4+ years of on the job experience required.

Understanding of hospital reimbursement and facility claims submission, collection and analysis (DRG, APC, Managed Care contracting)

Hospital denials and appeals management experience

Experience with managed care contracts, reimbursement and administrative terms and terminology

High degree of proficiency utilizing and/or configuring hospital patient accounting, claims scrubber and contract management

Excellent communication and interpersonal skills

Experience working with Epic and ability to prepare Epic Revenue Cycle Reports

Knowledge and experience with Excel