Revenue Cycle Supervisor

PHMC is proud to be a leader in public health. PHMC requires that all employees are fully COVID-19 vaccinated by the first day of employment. We will offer the Covid-19 vaccination at no cost, via our Health Centers.

MISSION STATEMENT :

Our Mission is to be the premier regional provider of integrated, community-based healthcare by combining evidence-based clinical practices, outstanding patient service, innovative care partnerships, and team-driven excellence, within a healthy fiscal environment.

SUMMARY JOB DESCRIPTION :

The Revenue Cycle Supervisor is an integral part of the revenue cycle team and reports directly to the Revenue Cycle Manager. She / he has experience in billing and coding including ICD-10, CPT-4, and HCPCS. Primary responsibilities include ensuring claims are processed and reconciled in EPIC OCHIN. The Revenue Cycle Supervisor coordinates the staff and daily operations in the assigned workflow EMR system. Mentors and develops skills of direct reports. Participates in evaluation and implementing quality controls and performance improvement.

Compliant with all regulatory and compliance related to Medicare, Medicaid, and Commercial Insurance Billing and Accounts Receivable protocol.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Promotes Revenue Cycle department goals by selecting, motivating, and training capable team members.

Effectivity manages the team through streamlined improvement initiatives to ensure the team is highly effective for the providers.

Leads the activities of assigned Revenue Cycle team members by communicating and providing guidance

toward achieving department objectives.

Supervises, hires, trains, disciplines, and evaluates staff; ensures performance appraisals are completed in a

timely manner.

Routinely audits work output to ensure compliance with unit expectations and processes.

Trains new employees on department policies, procedures, processes, and applicable information systems.

Informs staff of changes in policies, procedures, processes, systems, and regulatory laws and requirements.

Partners with Revenue Cycle Manager to deliver corrective action, as necessary; mentors and develops

skills of direct reports.

Remain current on all reimbursement terms / conditions, departmental procedures and applicable payer, FQHC regulations related to claims submission

Plans and prioritizes schedules, assigns, and monitors work to optimize operations service.

Implements operating policies and procedures related to unit; analyzes, recommends, implements, and monitors approved work-flow changes.

Gathers department metrics and prepares reports for management review; maintains attendance, payroll records and processing of time-off requests.

Recommends procedural and system changes to improve processes, operational quality and efficiency, , job aides, training resources, and workflow; actively participates in process improvement projects.

Performs related duties as required. All responsibilities noted here are considered essential functions of the job under Revenue Cycle Department.

PHMC COMPLIANCE RESPONSIBILITIES :

Understands and adhere s to PHMC compliance standards as they appear in the PHMC : Code of Conduct, Whistle Blowers and Conflict of Interest Policies.

Keeps abreast of all pertinent federal, state and PHMC regulations, laws, and policies as they presently exist and as they change' or are modified.

Comply with HIPAA and Confidentiality Policies and Procedures as they apply to the job.

Comply with Department of Public Health (DPH), The Joint Commission and other accreditation and regulatory agencies standards.

Adhere to all PHMC Policies and Procedures.

Knowledge and adherence to Infection Control and Environment of Care Guidelines and Procedures as described in the annual education module.

JOB REQUIREMENTS :

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below must be representative of the knowledge, skills, minimum education, training, licensure, experience, and / or ability required. Reasonable accommodations may be made to enable individuals.

SKILLS :

Expert knowledge of the Electronic Medical Records including the Practice Management System are

required.

Advanced knowledge of Excel is preferred.

Strong oral and written communication skills.

Ability to foster an environment that nurtures collaboration, teamwork, and mutual respect

Knowledge of billing requirements of Medicare, Medicaid insurances, Commercial payers, and government

entities.

EXPERIENCE :

Minimum of four (4) years of billing experience in a medical setting, FQHC preferred.

Minimum of two (2) years of Supervisor experience in medical setting, FQHC preferred.

Certified Professional Coder (CPC) and / or Certified Professional Biller (CPB) preferred.

Experience with O C H IN EPIC EMR

EDUCATION :

High School Diploma or GED required

Associate or Bachelors Degree preferred.

PHYSICAL DEMANDS :

Position requires standing 2 / 3 of the time, walking 2 / 3 of the time. requires sitting under 1 / 3 of the time, use of hands to finger, handle or feel 2 / 3 of the time, reach with hands and arms, under 1 / 3 of the time, stoop, kneel, crouch or crawl under 1 / 3 of the time talk or hear over 2 / 3 of the time. Position requires lifting up to 10 lbs. up to 1 / 3 of the time.

WORK ENVIRONMENT :

Moderate noise (examples : business office with computers and printers, light traffic). Exposure to blood borne pathogens that requires use of personal protective equipment.

AGE / PATIENT POPULATIONS SERVED :

Neonate (birth – 28 days) Infant (29 days – less than 1 year)

Pediatric (1 - 12 yrs.)

Adolescent (13-17 yrs.)

Adult (18 – 64 yrs.)

Geriatric (65 yrs. & older)

Nonage Specific Task (N / A)

Population

Bariatric Patients : BMI greater than 40, or

greater than 35 with weight related comorbidities

Patient with exceptional communication needs

Patient with developmental delays

Patient at the end of life

Patient under isolation precautions

All Populations

SALARY :

Based on education and experience.

PHMC is an EOE and an E-Verify Employer