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Our client is an $80 million plus growing powerhouse in the cancer treatment realm. They are seeking a full time salaried Claims Integrity Supervisor due to amazing growth.
This position offers a unique opportunity to contribute to a mission driven organization dedicated to providing exceptional patient care. We offer:
*HYBRID work schedule: One day a week @ home, 4 days @ our state of the art Burr Ridge office.
*Industry leading vacation/sick time PTO offering work/life balance
* 401(k) with matching
* Medical , Dental, and Vision insurance w/low EE co pays.
*Flexible spending and Health Savings Accounts available.
Role Overview:
The Claims Integrity Supervisor will oversee and mentor 13+ employees within the 39 member team, split into East and West regions.
A significant portion of this role involves understanding the revenue cycle from initial patient encounter, billing, insurance reimbursement, to final payouts.
Primary Responsibilities:
1. Team Management and Development:
* Finding coverage or aiding staff in their workload.
* Evaluating team performance through individual audits and providing feedback to the Senior Claims Integrity Manager.
* Working with the Lead Team Trainer to ensure staff development and training based on audit findings.
* Leading the team to meet individual and team goals.
* Resolving employee issues and disputes with professionalism.
* Providing coaching, identifying areas of improvement, and formulating solution recommendations.
* Keeping staff informed of new or updated standards, systems, procedures, forms, and manuals through meetings and communications.
2. Operational Oversight:
* Handling practice concerns related to outstanding accounts receivable
* Assisting the department manager in overseeing offsite staff, reviewing patient accounts, and making patient calls when needed.
* Coordinating staff schedules and approving time card submissions.
* Monitoring and maintaining the new hire onboarding process.
* Ensuring tasks are completed correctly and timely.
* Addressing real time issues and barriers, providing feedback to the manager.
3. Claims and Appeals Management:
* Ensuring the claims and appeals teams meet department metrics, quality, and productivity goals.
* Collaborating with training teams to provide comprehensive staff training.
* Identifying areas where operational efficiencies can be improved and suggesting alternative methods and procedures.
4. Auditing and Payer Issue Resolution:
* Reviewing work, suggesting actions or training needs, and auditing accounts receivable.
* Assisting with denials and teaching reps how to handle them.
* Coordinating practice calls, follow up calls, and helping reps understand payer cycles and changes in insurance payment patterns.
* Educating patients on coverage in coordination with patient techs, providers, and insurance companies.
Key Skills and Attributes:
* Strong knowledge and familiarity with the revenue cycle and insurance payers.
* Strong understanding of CPT and ICD 10 codes and documentation.
* Excellent communication, team building, and organizational skills.
* Active listening and time management skills.
* Problem solving skills and ability to remain calm under pressure.
* Servant leadership mindset with a firm grasp of company policies.
* Strong work ethic, professionalism, and a positive attitude.
Qualifications:
* At least 5 years of experience with 3 years in a supervisory role.
* Associate degree in health information technology, finance, or a similar field, OR 3+ years of revenue cycle billing experience.
* Experience with multiple EMR, PM, and insurance portals – Electronic Health Records (EHR) system.
*A background in a mid to large dermatology, chiropractic, or orthopedic practice with multi location experience is ideal
Preferred Designations:
* RHIT (Registered Health Information Technician)
* AAPC certifications such as CPC (Certified Professional Coder) and/or CPB (Certified Professional Biller)
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