Job description

Revenue Cycle Supervisor

Granger Medical Clinic has an immediate opening for a Revenue Cycle Supervisor at our West Jordan, Headquarters location.

Title: Revenue Cycle Supervisor – Payment Integrity Supervisor

Location: West Jordan, Utah

Department: Revenue Cycle

Employment Status: Non-Exempt

Position Status: Full Time

Overview:
Directly reports to the Revenue Cycle Claim and Payment Integrity Manager. Supervises daily functions of denial management team, addressing their individual needs, including escalated issues, denial management assistance, appeals support, claim adjustment identification while maintaining a cost-effective operation.

Knowledge and Skills:

• Oversees and helps support claim needs and functions such as processing and working Clearinghouse and Coding edits, for first pass clean claim submission.
• Working supervisory position with direct support to the team and departmental needs.
• Demonstrates a full understanding of LCD, NCD Policies and CCI Edits.
• Supervises and supports team members by directing workflow, hiring, training, and evaluating performance.
• Writes, generates, and evaluates a variety of reports for performance and quality audits.
• Detail oriented while maintaining a high level of efficiency and strong time management skills.
• Identifies trends and departmental issues, verbally communicates the issues, and proposes solutions to the manager.
• Follow all approved documented denial workflows and processes.
• Provides final adjustment review and approval, to all adjustment requests.
• Conducts monthly Quality Audits and reviews.
• Initiates Process Improvement opportunities and leads projects as needed.
• Orients new team members and provides training and support.
• Supervisory skills including interviewing, employee performance evaluations, disciplinary record of conversations.
• Demonstrates excellent character and strong leadership qualities with physical presence at HQ.

This job description is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.

Education and Experience:

• Three plus years’ experience in a lead or supervisor position.
• Strong analytical, problem solving, and management abilities.
• Advanced skills in Microsoft Office and Excel.
• Excellent verbal and written communication and human relation skills required.
• Knowledge of medical industry, insurance billing, CPT codes and ANSI payer remark codes.
• Familiarity with government or commercial billing requirements.
• Able to resolve various billing edits and denials within established timelines.
• Ability to interpret payer policies, CCI edits, denied claim requirements.
• Advanced multispecialty appeal knowledge.

Benefits:

• Paid vacation, sick leave, holidays, medical, dental, vision, FSA, Dependent Care FSA, Life, Disability, EAP, 401(k), and profit share.

Granger Medical Clinic provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Granger Medical Clinic complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation, and training.

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regards to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability status, genetic information and testing, Family & Medical Leave, protected veteran status, or any other characteristic protected by law.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Work Location: In person

smogtown13.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, smogtown13.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, smogtown13.com is the ideal place to find your next job.