Description

Who We Are

As the only independent and physician-led faculty practice plan of the University of Tennessee Health Science Center, University Clinical Health (UCH) offers best-in-class clinical care through a network of 175 providers across 19 specialties to meet the healthcare needs of the Mid-South community. UCH is a not-for-profit, non-tax-supported group practice and is here to serve the community while providing medical excellence to our patients.

Position Summary:

This position is responsible for the superivision, direction and training of assigned Accounts Receivable Workgroup. This position is responsible overseeing the day-to-day operations for EDI rejections and insurance follow up. 

Key Results Areas (KRAs):

• Actively participates in the development and ongoing review for productivity and quality standards for all workgroups.
• Oversees day-to-day operations for EDI rejection resolution and outstanding A/R to ensure maximum reimbursement with minimal write-off adjustments. 
• Identify and escalate trending third-party rejections as needed. 
• Maintains relationships with internal and external clientele. 
• EHR/PM expertise and ability to create technical solutions to resolve breakdowns
• Creates and revise policies and procedures for the departmental area
• Supports staff with additional tasks as needed.
• Assists in process improvement efforts.
• Supervises departmental staff schedules ensuring effective staffing support levels.
• Ensures staff is trained on work processes, and is cross-trained.
• Ensures staff is engaged and demonstrates professionalism.
• Ensures UCH policies and procedures are implemented and followed.
• Serves as an effective resource for staff.

Requirements

Core Competencies 

• Strong analytical, oral, written communication skills.
• Familiarity with health insurance and other third-party billing practices and guidelines.
• Proficient in Microsoft Word, Excel, Access, Outlook.
• Knowledge of basic medical coding and third-party operating procedures and practices.
• Previous supervisory experience preferred. 

Education & Experience:

• High school diploma or equivalent required. 
• 3 – 5 years of experience in a medical office working with insurance claims processing involving CPT, HCPCS, ICD-10CM, and CMS regulations preferred. 
• Familiarity with CMS1500 and UB04 claim form completion required.
• NextGen and/or Epic experience preferred.
• Previous A/R third-party supervisory experience preferred. 
• Previous supervisory experience preferred.

Effective November 1, 2021, UCH requires all employees to be fully vaccinated against COVID-19 (or have an approved medical or religious exemption from UCH). Please note that a job offer is contingent on submitting proof of COVID-19 vaccination or UCH approval of a medical or religious exemption request. Employees with approved exemptions will be required to undergo weekly COVID-19 testing at an assigned UCH testing location and time. 

EOE-University Clinical Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, genetic information, or any other characteristic protected by federal, state, or local laws. University Clinical Health is a VEVRAA Federal Contractor – priority referral Protected Veterans requested.