What are the responsibilities and job description for the Revenue Cycle Supervisor position at St. Barnabas?
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.
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Ensures that claims, denials, and appeals are efficiently processed and reported on a regular schedule |
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Ensures that identified claim categories are prioritized to resolve billing-related issues |
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Manage staff to minimize bad debt, improve cash flow, and effectively manage accounts receivables |
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Stays apprised of coding and revenue trends; and is responsible for claim coding education to billing staff |
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Communicates professionally with various payers as needed |
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Participates in Joint Committee Meetings with contracted payers to identify and resolve billing, claims payment, claim denial issues |
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Develops, evaluates, implements and revises Departmental policy and procedures related to billing, reimbursement activities, and improvement strategies |
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Conducts monthly analysis of Medicare/Medicaid/Third Party Payers |
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Review and resolve issues related to claim generation and rejected/denied billings |
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Commit to highest level of business and patient confidentiality possible adhering to all HIPAA and security guidelines when accessing and sharing patient information |
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Keeps abreast of all reimbursement billing procedures of third-party and private insurance payers and government regulations |
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Maintains appropriate internal controls over accounts receivables |
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Monitors accounts sent for collection and reimbursement from insurance companies and other third-party vendors |
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Reviews, monitors and evaluates third-party reimbursement and researches variances |
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All other relevant duties as assigned |
Qualifications:
QUALIFICATIONS:
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