Revenue Cycle Supervisor Position Available In Lee, Florida

Revenue Cycle Supervisor Florida Heart Associates Fort Myers, FL Job Details Full-time Estimated:

$40.1K – $48.4K a year 21 hours ago Benefits Health savings account Paid holidays Disability insurance Health insurance Dental insurance 401(k) Paid time off Employee assistance program Vision insurance 401(k) matching Life insurance Retirement plan Qualifications Microsoft Word Revenue cycle management Accounts receivable Microsoft Excel Medical collection Insurance prior authorization Management Medicare Paylocity Insurance verification ICD coding Prior authorization management Research Mid-level Microsoft Office High school diploma or

GED ICD-10

Supervising experience Medicare regulations Private practice healthcare experience Medical billing Payment posting in medical billing systems CPT coding EMR systems Medicaid regulations 1 year Medical claim denial management Medical terminology Communication skills Full Job Description Florida Heart Associates is a leading provider of cardiovascular care, bringing together a dedicated team of physicians, advanced care providers, and nurses to treat all types of heart conditions. Our commitment to compassionate and innovative heart care is reflected in our accreditation by external agencies, ensuring compliance with the highest standards in medical practice. The Revenue Cycle Supervisor is responsible for overseeing the efficient operation of the

Revenue Cycle Department:

authorizations/referrals, accounts receivable, payment posting, patient collections, and coding. This role will serve as a resource to all revenue cycle staff, providers, clinical and clerical staff, and will foster staff learning and development. This position will collaborate internally and with external vendors to develop policies, streamline processes, and ensure quality and productivity standards are met. The Revenue Cycle Supervisor is responsible for overseeing authorization and referral processes to confirm accuracy and timeliness; communicate approvals and delays with all departments related to the patient’s care. The positionwill review aged accounts for anomaly; work with insurance company representatives and internal team to resolve open accounts and ensure a positive cash flow; oversee appeals and respond to patient inquiries escalated to management. Supervises patient communication to collect past due balances via statements, letters, phone calls, and monthly payment plans. Supervisor will be responsible for payroll, training, employee reviews, constructive feedback, disciplinary action up to and including termination. This position supports the Director of Revenue Cycle Management, and will assist with departmental and/or company projects according to regulatory requirements and business need Located in the attractive Southwest Florida Gulf Coast area, Florida Heart Associates is a fully accredited, modern medical center dedicated to meeting the cardiac needs of Southwest Florida. We perform diagnostic cardiac testing, in addition to peripheral vascular procedures. We also support an in-house cardiac PET imaging system, stress testing, ECHO, and management of arrhythmia equipment.

Florida Heart Associates offers:

Health, dental, vision plan insurance options Company paid life insurance and LTD Accident Insurance Aflac choices (short-term disability, cancer, hospitalization, and accident plans) Identity Theft Insurance 401(k) with company match Generous Paid Time Off 7 paid holidays Employee Assistance Program (EAP) Perks and discounts – theme park tickets, travel, & more

EDUCATION

High school diploma or equivalent.

EXPERIENCE

Minimum three years in healthcare office setting. Working experience with medical insurance benefits and aged accounts receivable required; minimum three years preferred. One to two years of payment posting experience. Minimum two years of experience with insurance referrals/authorizations preferred. Three to five years of supervisory experience in the healthcare industry highly preferred.

DUTIES INCLUDE BUT NOT LIMITED TO

Supervise and coordinate all activities of the Authorization/Referrals Department, Accounts Receivable Specialists, Patient Financial Counselors, and Payment Posters. Participate and provide feedback as needed for all revenue cycle responsibilities and concerns. Serve as a resource to all revenue cycle staff, providers, clinical and administrative positions. Accountable for the productivity and accuracy of the department, overseeing department performance, duties and responsibilities Ensures associates are appropriately trained, meets goals and objectives, and are proficient in task completion. Makes recommendations for any changes/modification within the department to the Director of Revenue Cycle Management. Assist in developing standard policies and procedures, and has a clear understanding of company policies, industry standards and governmental regulations impacting the team. Participates in candidate selection, hiring and onboarding personnel. Authority to hire and counsel staff. Creates and presents performance evaluations for assigned staff. Provides input for recommendations of merit increases and promotions. Authority to provide disciplinary action up to and including termination. Reviews, analyzes and reconciles Paylocity time cards and provides input for payroll calculation. Approve/deny requests for time off, assuring adequate coverage based on business need. Direct and manage EOB review for denials/rejections/anomalies in payment; assist in submitting appeals and corrected claims for unpaid services. Review medical insurance claims for resolution and payment, systematically working accounts receivable to improve and reduce A/R days. Perform various collection actions including contacting insurance companies and/or patient by phone, correcting and resubmitting claims. Work with insurance company representatives for claim resolution. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. Follows proper billing guidelines, local and federal government regulations, and industry standards for best practices, clean claim submission, and healthcare compliance. Contact insurance payers as needed for information and authorization. Identify operational issues and suggest possible improvements. Delegating and overseeing projects to be completed in the department. Coordinates weekly meetings with Director of Revenue Cycle Management. Represents the revenue cycle team at meetings and communicates pertinent information back to coworkers; participates in meetings with other administrators as needed. Supports the organization’s mission, vision, and values by exhibiting the following behaviors: excellence and competence, collaboration, innovation, respect, professionalism, commitment to our community, accountability, and ownership. Punctual, dependable and regular attendance required. Perform other necessary duties as directed by supervising manager.

PERFORMANCE REQUIREMENTS

Working knowledge of insurance authorizations and referrals process. Knowledge of insurance payers and policies. Knowledge of physician office schedules and rotations. Ability to interpret rules and regulations set by Medicare, Medicaid and commercial payers. Familiarity with insurance company processes and nuances regarding claim adjudication. In-depth understanding of explanation of benefits (EOBs) and coordination of benefits rules. Knowledge of insurance billing and reimbursement, working knowledge of medical terminology, CPT and ICD-10 codes. Previous denials management experience preferred. Ability to prioritize and organize multiple tasks. Ability to work in a fast-paced, sometimes stressful environment. Ability to accept and deal with last-minute scheduling changes in a calm, professional manner. Ability to maintain the strictest confidentiality. Professional demeanor with excellent research and decision-making skills. Working knowledge of EMR/EHR and computerized practice management systems and/or web-based programs. Strong interpersonal and communication skills including verbal and written communication. Extremely organized and detail oriented with the ability to work on multiple competing priorities. Familiarity with Microsoft Office; skilled in Excel, Word, Outlook and Teams. Ability to analyze reports and report findings to senior leadership and stakeholders. Ability to work within a team setting and independently Florida Heart Associates is an Equal Opportunity Employer and is proud to be a drug and tobacco free organization. All potential hires will be required to take and clear a pre-employment drug screen upon job offer.

Job Type:

Full-time Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Health insurance Health savings account Life insurance Paid time off Retirement plan Vision insurance

Schedule:

Monday to

Friday Work Location:

In person