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Supervisor of Revenue Cycle

at HRHCare

Posted: 10/7/2019
Job Reference #: 2413

Job Description

Wappingers Falls

Job Code:

# of Openings:

Hudson River HealthCare, Incorporated is a Federally Qualified Health Center with over 40 sites of operation serving nearly 185,000 patients and over 350,000 encounters.  There are over 100 licensed professionals whom the Billing Department manages.  HRHCare’s sites are located in 8 counties including Columbia, Dutchess, Orange, Rockland, Suffolk, Sullivan, Ulster, Westchester and the five boroughs.

Hudson River HealthCare’s mission is to provide a wide range of primary and preventive health services. Our focus is on the well-being of the whole person. We are committed to providing health services to all who seek it, regardless of insurance status and ability to pay.

Solutions 4 Community Health is a wholly owned subsidiary of Hudson River Health Care and provides services including medical billing.

We are currently seeking a full-time Supervisor of Revenue Cycle at our Wappingers Falls location.  The Supervisor will report to the Manager of Revenue Cycle. The Supervisor will work collaboratively and proactively with the Director of Revenue Cycle and the VP of Information and Practice Management.

In General, the supervisor will be a proactive problem solver responsible for maximizing cash collections by ensuring timely, accurate, complete and compliant billing and follow-up.

  • Supervise, train, and mentor staff respective to front end billing functions

  • Provide analytics and trends regarding front end billing functions

  • Ensures Claims are created daily and split appropriately daily and received by the payer

  • Ensures that scrubbing and submission of claims including primary, secondary, and wrap around is occurring daily and that denied claims are being reviewed, corrected, and resubmitted for payment.

  • Effectively communicates with the client any issues with credentialing, payer denials, and provider coding errors.

  • Handles assigned staff HR issues, paperwork, and complaints as initial point of contact.

  • Completes monthly Executive packet for client meetings. Includes all relevant and pertinent information as a summary for the past month of billing for the client.

  • Self Pay report is reviewed weekly

  • Prepares for and attends client meetings and conference calls.

  • Ensures other billing projects, 4028, Self Pay Scrubs are performed monthly and accurately for each client by monitoring staff working on assigned projects.

  • Identifies new ways of maximizing cash collections for their assigned client.

  • Runs Cognos reports independently to identify payment issues and staff performance gaps.

  • Reviews staff performance logs and identifies performance issues. Works with and trains staff to help improve performance.

  • Maintains a current knowledge of eCW, Cognos, and Claim Remedi and can assist in the training of new staff on all programs.

The Supervisor will work directly with the payors to identify and escalate problems and issues as needed.  They will be responsible for the identification and analysis billing issues, as well as participating in training programs for physicians and staff to increase knowledge and skills related to the revenue cycle. They will maintain a current knowledge of payor guidelines, fee schedules, contracts, quality incentives and system knowledge including ECW, Cognos and Claim Remedi.

Other responsibilities include daily supervision and workflow for Billing Professionals including monthly audits and employee performance appraisals.  The supervisor conducts or participates in employee disciplinary procedures with appropriate documentation according to Human Resource policies.

Qualified candidate will have a minimum of two to four years experience in billing or revenue cycle management in either a physician practice or other similar setting with at least one year in a lead or supervisor role.   Minimum education requirement is a High School Diploma/GED/Equivalent. An Associate’s Degree or equivalent experience is preferred. Certification in Coding (CPC) is preferred.  Possessing knowledge of New York State Department of Health programs or federally qualified health center operations considered advantageous.  Demonstrated experience working in a diverse employment setting working collaboratively with other employees of Hudson River HealthCare considered an advantage.

Interested candidates please submit resume and salary requirements.