Job Summary:Ensures the teams work adheres to legal, compliance, and reporting standards, organizes feedback from team and escalates to leadership. Leads research and analysis of moderately complex financial data; monitoring team(s) on the proper use of expenditures. Reviews the resolution of inquiries from providers, members, attorneys, and other stakeholders; supervises project execution and consults with others on the development of long-term process improvement efforts. Supervises the analysis of data, performing follow-ups as needed and implementing recommendations. Ensures teams quality and providing recommendations and analysis to leadership. Oversees and provides specialized coaching to broader audience. Coordinates and collaborates with stakeholders to developing long-term plans for process improvement with cross-organization impact. Manages vendor relationships and facilitates resolution quality issues.Essential Responsibilities:
Recommends developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; provides team members with feedback; and mentors and coaches to drive performance improvement. Pursues professional growth; provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations. Implements, adapts, and stays up to date with organizational change, challenges, feedback, best practices and processes. Fosters open dialogue, supports, mentors, engages, and motivates team members on collaboration. Delegates tasks and decisions as appropriate; provides appropriate support, guidance and scope.
Supervises and coordinates daily activities of designated work team or unit by monitoring the execution and completion of tactical action items and work assignments; ensures all policies and procedures are followed. Aligns team efforts and standards, and measures progress in achieving results; determines and carries out processes and methodologies; resolves escalated issues as appropriate. Develops work plans to meet business priorities and deadlines; coordinates, obtains and distributes resources. Removes obstacles that impact performance; identifies and recommends improvement opportunities; influences teams to execute in alignment with operational objectives.
Ensures the teams work is in compliance by: reviewing the teams work and delivering training to ensure they adhere to federal and state laws, and applicable compliance standards, and delivering monthly quality reports to leadership, and escalating unresolved issues to senior management.
Ensures accurate patient accounts by: overseeing the management of inquires from providers, members, attorneys, and other insurance personnel to answer a billing questions.
Facilitates the denial process by: ensuring the teams quality of performance affecting denials and provides feedback for remediation and overseeing the teams data analysis and partnership efforts when making recommendations while also performing follow-up and denial management activities related to the collections of outstanding self-pay and/or insurance balances and recommending accounts and performs necessary outreach to guarantors, insurance companies and attorneys to ensure timely, accurate payments.
Ensures finances are completed accurately by: monitoring usage and ensuring proper use of expenditures for the team.
Manages performance management initiatives by: widely applying strategies to monitor the teams performance metrics and provide coaching to ensure the teams work meets established performance levels and analyzes data and experiential information to generate a wide range of complex reports for relevant departments and medical centers to assess performance progress. aggregates information to oversee performance to enable decision making and confirming quality of the team to monitor effective vendor performance of collections, coding services, Medi-Cal, systems, coverage validation, income verification.
Manages process management initiatives by: using knowledge of business field practices to coordinate and collaborate with operations managers, IT, Finance, and health plan managers to plan process improvement projects and identify business needs while also planning the work of others, with limited direction, to translate business needs into project requirements in partnership with others that are then used to develop project specifications and action plans.
Manages project management initiatives by: supervises project execution and management efforts by helping team members implement with stakeholders within the team to ensure the project is successfully executed and project-based changes are implemented.
Leads regulatory reporting by: sharing training resources and applying regulation standards to the teams work and making corrections, coordinating regulatory extracts while also supporting implementation of required changes.
Manages systems management initiatives by: collecting the teams feedback, providing training, communication, and facilitating the review, validation of the build, and adoption of new systems updates for the team and escalating complex issues to management.
Facilitates training delivery by: coordinating and delivering broad-based training to their teams based on policies, audit findings, and work curriculum.
Facilitates training development by: using thorough knowledge of business practices to identify education and training requirements that reflect revenue cycle changes to coach the team and recommend strategic training content.
Minimum Qualifications:
Minimum one (1) years of experience in a lead or leadership role with or without direct reports.
Bachelors degree in health care administration, business administration, or related field. OR Minimum three (3) years of experience in data analytics, merchant services , clinic/hospital operations, merchant services, banking, health care billing and collections, or relevant experience.
Additional Requirements:
Knowledge, Skills, and Abilities (KSAs): N/A
COMPANY: KAISERTITLE: Supervisor, Revenue Cycle / Patient AccountsLOCATION: Fontana, CaliforniaREQNUMBER: 1267235External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.