Physician Revenue Cycle Supervisor

Overview

Catholic Health is one of Long Island’s finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island.

At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes – to every patient, every time.

We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island s Top Workplace!

Under the direction of the Manager of Revenue Realization, the Supervisor will provide assistance with all areas of the revenue realization department, which includes: claims reconciliation and insurance follow up. The supervisor will review accounts, identifying trends and recommend solutions to get account issues and/or disputes resolved. Troubleshoots complex claim and cash remittance issues for appropriateness and resolution. Provides technical guidance and assistance to the physician billing representatives.

• Hours must be worked during standard business hours 8-4, 9-5
• Must be able to work independently in an 80% remote working environment and ability to report to Melville office 1 x per week on scheduled days or as needed.

• Coordinates the daily activities of the A/R operation ensuring that aging accounts are reviewed and resolved, collector work files are completed on a daily basis and appropriate actions are taken by support staff to ensure timely and correct claim payments.
• Develops, documents and implements processes, procedures and controls to identify and address discrepancies associated with third party payments and denials received.
• Coordinates and works closely with appropriate CH personnel to ensure that proper pre-certifications, authorizations and referrals have been obtained and terms and conditions of CH managed care contracts are adhered to by support staff and contracted parties.
• Resolves routine questions and problems posed by support staff, referring more complex issues to higher levels of management.
• Keeps abreast of all billing and reimbursement regulations and standards to ensure compliance with any published or anticipated changes issued by governmental agencies and/or third party payors and shares knowledge with staff through verbal and written communication.
• Coordinate and work closely with claims team to ensure claims are sent daily, reconciliation process is completed and all errors are resolved timely.
• Assists in development of and participates in ongoing staff educational programs.
• Participates in special projects as directed by the Manager of Revenue Realization.
• Keeps the Manager of Revenue Realization informed as to the status of the operations.
• Track and meet with employees regarding individual productivity standards
• Complete and review with team members Initial/Annual Reviews and Increases
• Take part in and sometimes lead disciplinary discussions with team members.
• Performs related duties as assigned and unrelated duties as requested.

POSITION REQUIREMENTS AND

QUALIFICATIONS:

High School diploma or equivalent required. Bachelor’s Degree preferred.

• Needs to work independently and take initiative.
• Must be able to perform a variety of duties, ranging from direct involvement in various procedures to coordination of activities of many subordinates.
• Must have excellent computer, time management, organizational and analytical skills with proficiency in Excel and Microsoft Office Suite as well as A/R systems and associated applications required.
• Must have CPT, ICD9/ICD
  10 knowledge and medical terminology.
• Proficiency in Epic application preferred.

• Three to five years of physician Accounts Receivable experience of which one to two years must have been devoted to follow-up or billing responsibilities.
• Minimum of one-year prior supervisory experience is required.

USD $72,000.00 - USD $85,000.00 /Yr.

This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits.

At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.