Revenue Cycle Supervisor-Behavioral Health
Behavioral Health Network, Inc.

Job Info

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Join our team of competent and compassionate professionals as a Revenue Cycle Supervisor in the billing program at Behavioral Health Network!

The goal of this role is to improve the efficiency, quality, and financial outcome of the third-party Revenue Cycle within BHN! *100% remote role! Eastern Standard Time Zone

• Perform advanced, highly complex levels of technical and analytical reporting
• Directly oversee third party Billing Representatives
• Review outstanding aging on a regular basis to identify trends and assign workloads to staff as necessary.
• Ensures adequate staff coverage to meet department needs in addition to hiring and terminating staff in conjunction with Billing Operations Manager. Performs recruitment and personnel evaluations as necessary for direct reports.
• Forecasts expected revenue, reconciles forecasted earnings with payment receipts, reports, organizes, and analyzes requested data to internal and external department staff. Presents data collected and escalates topics to higher level management when necessary.
• Meets regularly with all direct staff and provides guidance and direction to all day to day claims work in relation to claim submission, denial management, and outstanding AR.
• Ensures integrity and timeliness of payments are received by all pay sources, identifies and researches deficiencies and inconsistencies for escalation and resolution.
• Builds and utilizes analytic reports from clearinghouse to direct denial management and assist team with working receivables efficiently. Reviews denials and outstanding aged receivables to identify and assign workloads to Billing Representatives based on various data points on a daily/weekly/monthly basis.
  
• Participates as an active team member in regards to development of new programs/coding within the Electronic Health Records systems. Confirms billing and payments for new programs or new coding/guidelines are in compliance with direction published by pay sources.
  
• Acts as a liaison between the Billing department and program staff, vendors, and payer representatives. Establishes and maintains relationships to improve dialogue and processes.

What are we looking for in a Revenue Cycle Supervisor?

• Associates degree or 3-5 years prior health care revenue cycle analyst experience preferred
• 2-3 years management experience.
• Ability to resolve conflict and delegate tasks within scope of work.
• Ability to schedule, meet and maintain daily and monthly routines, as well as preserve the integrity of the EHR
• Identify team goals and evaluate progress, in addition to coaching team members to achieve these goals
• Extensive knowledge of medical insurance and an overall understanding of managed care products (HMO, PPO, ACO, etc.) as well as billing and collections with CPT, ICD-10, and HCPC coding and medical terminology.
• Understanding and ability to read and edit 5010 HIPAA transaction standards including, but not limited to, 837, 999, 277, and 835 file types.
• Proficient in Microsoft Office products with strong skills in Excel (VLOOKUPs, pivot tables, formulas, etc.).
• Extremely detail-oriented with strong analytical and problem solving skills
• Possess analytical and problem solving skills

If you are interested in this opportunity, please visit our website at

www.bhnworks.org
and click on "Browse All Jobs" to apply!

BHN maintains its commitment to social justice and diversity and strongly encourages diverse candidates to apply.

Lead, Head, Manager, Management, Leadership, revenue cycle supervisor

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