Spvr - Rev Cycle HB Govt Billing & Follow-up

Certifications: NA

Education: Associate's Degree or Experience In Lieu of Education

Work Experience:

3 years of experience in a healthcare revenue cycle operations, preferably in the business office. Proficiency in designated platform(s) within the first 18 months.

Oversee daily department flow; ensures appropriate staffing and optimal productivity and quality levels of the staff compared against pre-determined performance standards to facilitate effective accounts receivable management.

Maintains ongoing knowledge of all job functions performed in the areas being supervised as well as maintains a thorough working knowledge of all of the systems utilized to perform the work in the areas being supervised.

Proficient within associated system applications for assigned portfolios, including but not limited to Epic, Meditech, and Mediquant.
Maintains working knowledge of CPT, ICD, HCPCS code sets as well as HIPAA transaction code sets and payer rules and regulations.

Works in conjunction with Manager to ensure effective clinical and financial operations through partnership with other internal departments.
In collaboration with Manager, providers input and follows annual budget for department.

Creates and manages staff schedules, completes time-card review and approval and manages paid leave requests from staff.
Ensures staff members are adequately trained and are competent to perform all required job tasks.

Communicates effectively with internal and external customers.
Maintains appropriate internal controls and safeguards over revenue cycle activities.

Recommends or initiates personnel actions for hires, promotions, transfers, discharges, and disciplinary measures. Initiates and completes staff performance evaluations and annual reviews.
Acts as a resource and mentor to others.
Supports Manager by interpreting and analyzing financial data to identify and monitor performance and establish benchmarks for the department.

Kronos/time keeping responsibilities for all staff.
Serves as the first point of contact for system analyst for issues related to system performance and enhancement across Revenue Cycle.

In collaboration with Manager, conducts regularly scheduled meetings with staff, facilities and collaborates on initiatives with department, enterprise wide and with external entities. In addition, assists employees in solving work related matters.

Endorses and performs all required tasks associated with the Carle Experience such as, but not limited to, regular rounding with staff and completion of all reports needed to have meaningful and productive monthly meetings with supervisor.

Handles quality assurance/compliance matters and escalated account issues as required and expected per policy and Code of Conduct.
Participates in appropriate continuing education and certification activities.
Ensures outstanding accounts receivable performance by maximizing cash, minimizing bad debts and preventing aging of the portfolio beyond the acceptable time frame.

Prepares and analyzes management summary reports and communicates findings to the appropriate parties including comprehensive end of month analysis on associated business lines.

Creates, updates and maintains all departmental policies and procedures to ensure best practices are enforced and adhered to.
Serves as the Carle Health subject matter expert in Government billing and follow-up.

Collaborates with internal management teams in order to identify best practice and process flows within associated business lines.
Partner with Accounting and Systems as necessary to ensure accurate tracking, capturing, and reporting of revenue for assigned portfolios.

Identifies opportunities for system enhancements and assists with the implementation (in conjunction with Revenue Cycle Systems) and the monitoring of the process once completed.
All other duties as assigned.

Find it here.

Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health.

Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.