Supv Accts Rec FollowUp Denial / Rev Cycle Prof Svcs Adm
Clinical Laboratory Partners
Work where every moment mattersEvery day over Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemPosition SummaryResponsible for the daily operations of an Accounts Receivable AR Follow Up team tasked with timely and accurate collection of third party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare Hospitals Medical Group and Homecare to insure optimal revenue cycle performance The Supervisor is responsible for resolving unpaid third party balances on million in active inventory and provides leadership to team leads and staff including management of human resources vendors and client relations This position reports directly to the Manager of Patient Financial Services Accounts Receivables and works closely with other management and staff throughout the organization Keeps abreast of all regulations and standards to ensure compliance with governmentalregulatory agencies or third party payers Assisting the organization to comply with all federalstate guidelines Responsible for ensuring high quality cost effective products or services are delivered in support of the HHC core values strategic plan and established Patient Financial Services goals and objectives Provides leadership to the team leads and staff including management of human resources vendors and client relations through project management relationship building and collaboration and organizational awarenessSupports the HHC core values strategic plan and established Patient Financial Services goals and objectivesPosition ResponsibilitiesKey Areas of Responsibility Responsible for supervision of revenue cycle AR team activities associated with timely resolution of outstanding insurance claims Contributes to decisions that impact workflows effecting timely resolution of insurance claims and assists with implementation Responsible for the timely realization of payment for active inventory resolution of denials overseeing the effective appeals of these claims and protecting against bad debt in this endeavor Participates in the supervision of vendor relationships and monitors performance Provides support for other ad hoc analyses and projects as needed Demonstrates HW Leadership Behaviors Supports and assists the Manager of Accounts Receivables in maintaining the operations of the Accounts Receivable department Understands the daily defined function by performing the work of the function as required very minimal Works with leadership team to develop implement and monitor meaningful goals and objectives for the department that align with the strategic direction of the organization and industry best practice metrics Models the effective efficient operation of the unit by providing clear and specific goals and timely feedback Monitors tracks and supervises teamrsquos productivity and quality benchmarks and targets Coaches and mentorsrsquo staff regarding productivity and quality Implements individual performance expectations and coaches develops and evaluates performance to enable employees to be successful in contributing to the achievement of individual and workgroup objectives Effectively and continually communicates with staff management and customers to facilitate the flow of information Continually strives to improve quality and productivity by identifying improvement opportunities and recommending and implementing changes where there are opportunities for improvement Actively seeks opportunities to model teamwork through collaboration both within and outside the workgroup in support of the organizationrsquos objectives Evaluates teamrsquos daily workload and adjusts schedules and account assignment accordingly Communicates issues resources or other needs and changes to the manager andor other leadership as appropriate Communicates daily work plan to the team Monitors progress throughout the day and adjusts work assignments accordingly Assures that all assignments due are completed on time Supervises general HR related issues this includes annual performance reviews implementing HR policies approving PTO and hiring staff Works with employees on professional development and training opportunities Manages teams time and attendance including scheduling review and approval of time off requests entering and adjusting timekeeping in Kronos and tracking of attendance in accordance with policy Develops and maintains a training and onboarding plan for new staff members joining the department Assumes responsibility for self improvement in collaboration with superior Maintains effective positive customer service ensuring the needs are met and educating staff on the importance of quality customer serviceWorking RelationshipsThis Job Reports To Job Title Manager AR Follow upJob Titles of HHC positions reporting to this JobDirect supervision of AR Team Lead and AR Collections Specialists in their efforts to review and resolve issues related to insurance claim denials no response claims and payment variances including underpayments and overpayments Averages FTEs as direct reports Responsible for time and attendance tracking management and approval bi monthly Responsible for annual performance reviews and develops and implements performance improvement plans where appropriate Interviews and makes hiring decisions Number Direct Reports Number Indirect Reports If applicable describe nature of supervision of any External vendors contractors affiliate organizations etc Supervises accounts receivables engagements with small balance out of state Medicaid and credit vendors as neededWork where every moment mattersEvery day over Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemPosition SummaryResponsible for the daily operations of an Accounts Receivable AR Follow Up team tasked with timely and accurate collection of third party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare Hospitals Medical Group and Homecare to insure optimal revenue cycle performance The Supervisor is responsible for resolving unpaid third party balances on million in active inventory and provides leadership to team leads and staff including management of human resources vendors and client relations This position reports directly to the Manager of Patient Financial Services Accounts Receivables and works closely with other management and staff throughout the organization Keeps abreast of all regulations and standards to ensure compliance with governmentalregulatory agencies or third party payers Assisting the organization to comply with all federalstate guidelines Responsible for ensuring high quality cost effective products or services are delivered in support of the HHC core values strategic plan and established Patient Financial Services goals and objectives Provides leadership to the team leads and staff including management of human resources vendors and client relations through project management relationship building and collaboration and organizational awarenessSupports the HHC core values strategic plan and established Patient Financial Services goals and objectivesPosition ResponsibilitiesKey Areas of Responsibility Responsible for supervision of revenue cycle AR team activities associated with timely resolution of outstanding insurance claims Contributes to decisions that impact workflows effecting timely resolution of insurance claims and assists with implementation Responsible for the timely realization of payment for active inventory resolution of denials overseeing the effective appeals of these claims and protecting against bad debt in this endeavor Participates in the supervision of vendor relationships and monitors performance Provides support for other ad hoc analyses and projects as needed Demonstrates HW Leadership Behaviors Supports and assists the Manager of Accounts Receivables in maintaining the operations of the Accounts Receivable department Understands the daily defined function by performing the work of the function as required very minimal Works with leadership team to develop implement and monitor meaningful goals and objectives for the department that align with the strategic direction of the organization and industry best practice metrics Models the effective efficient operation of the unit by providing clear and specific goals and timely feedback Monitors tracks and supervises teamrsquos productivity and quality benchmarks and targets Coaches and mentorsrsquo staff regarding productivity and quality Implements individual performance expectations and coaches develops and evaluates performance to enable employees to be successful in contributing to the achievement of individual and workgroup objectives Effectively and continually communicates with staff management and customers to facilitate the flow of information Continually strives to improve quality and productivity by identifying improvement opportunities and recommending and implementing changes where there are opportunities for improvement Actively seeks opportunities to model teamwork through collaboration both within and outside the workgroup in support of the organizationrsquos objectives Evaluates teamrsquos daily workload and adjusts schedules and account assignment accordingly Communicates issues resources or other needs and changes to the manager andor other leadership as appropriate Communicates daily work plan to the team Monitors progress throughout the day and adjusts work assignments accordingly Assures that all assignments due are completed on time Supervises general HR related issues this includes annual performance reviews implementing HR policies approving PTO and hiring staff Works with employees on professional development and training opportunities Manages teams time and attendance including scheduling review and approval of time off requests entering and adjusting timekeeping in Kronos and tracking of attendance in accordance with policy Develops and maintains a training and onboarding plan for new staff members joining the department Assumes responsibility for self improvement in collaboration with superior Maintains effective positive customer service ensuring the needs are met and educating staff on the importance of quality customer serviceWorking RelationshipsThis Job Reports To Job Title Manager AR Follow upJob Titles of HHC positions reporting to this JobDirect supervision of AR Team Lead and AR Collections Specialists in their efforts to review and resolve issues related to insurance claim denials no response claims and payment variances including underpayments and overpayments Averages FTEs as direct reports Responsible for time and attendance tracking management and approval bi monthly Responsible for annual performance reviews and develops and implements performance improvement plans where appropriate Interviews and makes hiring decisions Number Direct Reports Number Indirect Reports If applicable describe nature of supervision of any External vendors contractors affiliate organizations etc Supervises accounts receivables engagements with small balance out of state Medicaid and credit vendors as neededEducationmiddot Minimum Associatersquos degree in health care administration business management or finance or equivalent healthcare revenue cycle experiencemiddot Preferred Bachelorrsquos degree in health care administration business management or finance or equivalent healthcare revenue cycle experienceExperiencemiddot Minimum ndash years supervisory experience in a facility or professional medical billing andor accounts receivables settingmiddot Preferred years supervisory experience in health care revenue cycle billing andor AR follow up denials Licensure Certification Registrationmiddot Preferred American Academy of Professional Coders AAPC or American Health Information Management Association AHIMA certificationKnowledge Skills and Ability Requirements middot Epic experience and working knowledge of Resolute Hospital and Professional billing modules preferred middot Knowledge of state and federal regulations as they pertain to billing processes and proceduresmiddot Knowledge of insurance claim processing and third party reimbursementmiddot Knowledge and detailed understanding of all negotiated agreementsmiddot Demonstrated leadership in establishing and achieving goalsmiddot Ability to communicate effectively both orally and in writing strong computer and math skills requiredmiddot Skill in problem solving in a variety of settingsmiddot Skill in time management and project managementmiddot Ability to work efficiently under pressuremiddot Ability to operate a computer and related applications such as Word Excel PowerPoint etcmiddot Ability to apply appropriate supervisory management and leadership techniques in an operational settingmiddot Ability to work independently and take initiativemiddot Ability to demonstrate a commitment to continuous learning and to operationalize that learningmiddot Ability to deal effectively with constant changes and be a change agentmiddot Ability to deal effectively with difficult people andor difficult situationsmiddot Ability to willingly accept responsibility andor delegate responsibilitymiddot Ability to set priorities and use good judgment for self and staffmiddot Ability to exercise independent judgment in unusual or stressful situationsmiddot Ability to establish and maintain effective working relationshipsmiddot Strong leadership skills and ability to motivate direct reportsmiddot Must have PC skills including Word Excel Power PointWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour momentEducationmiddot Minimum Associatersquos degree in health care administration business management or finance or equivalent healthcare revenue cycle experiencemiddot Preferred Bachelorrsquos degree in health care administration business management or finance or equivalent healthcare revenue cycle experienceExperiencemiddot Minimum ndash years supervisory experience in a facility or professional medical billing andor accounts receivables settingmiddot Preferred years supervisory experience in health care revenue cycle billing andor AR follow up denials Licensure Certification Registrationmiddot Preferred American Academy of Professional Coders AAPC or American Health Information Management Association AHIMA certificationKnowledge Skills and Ability Requirements middot Epic experience and working knowledge of Resolute Hospital and Professional billing modules preferred middot Knowledge of state and federal regulations as they pertain to billing processes and proceduresmiddot Knowledge of insurance claim processing and third party reimbursementmiddot Knowledge and detailed understanding of all negotiated agreementsmiddot Demonstrated leadership in establishing and achieving goalsmiddot Ability to communicate effectively both orally and in writing strong computer and math skills requiredmiddot Skill in problem solving in a variety of settingsmiddot Skill in time management and project managementmiddot Ability to work efficiently under pressuremiddot Ability to operate a computer and related applications such as Word Excel PowerPoint etcmiddot Ability to apply appropriate supervisory management and leadership techniques in an operational settingmiddot Ability to work independently and take initiativemiddot Ability to demonstrate a commitment to continuous learning and to operationalize that learningmiddot Ability to deal effectively with constant changes and be a change agentmiddot Ability to deal effectively with difficult people andor difficult situationsmiddot Ability to willingly accept responsibility andor delegate responsibilitymiddot Ability to set priorities and use good judgment for self and staffmiddot Ability to exercise independent judgment in unusual or stressful situationsmiddot Ability to establish and maintain effective working relationshipsmiddot Strong leadership skills and ability to motivate direct reportsmiddot Must have PC skills including Word Excel Power PointWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour moment
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