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J183372

Revenue Cycle Supervisor

Allegheny Health Network

  • Company AHN
  • Home, PA
  • Finance
  • Full time
  • Day (United States of America)

Company :

Allegheny Health Network

Job Description : 

GENERAL OVERVIEW:

Responsible for the direct supervision of staff within Revenue Cycle for Home Infusion. Assists in the management of daily operational processes, including management and oversight of billing and collections, denial follow-up, claim follow-up, and cash posting.  Provide expertise in revenue cycle management on CPR + platform. Develop, refine, and implement operating processes, identify process issues, solutions, training needs, resolve complex claim/account issues and communicate with manager. Monitor daily workflow of staff and productivity as required to achieve key revenue cycle performances indicators. Facilitates a climate of teamwork.

ESSENTIAL RESPONSIBILITIES:

  • Supervises staff, evaluates work and current state results, monitors staff time and recommends and implements corrective actions. (35%)
  • Uses problem solving skills and planning abilities to diagnose and solve root process, payer and system issues impacting revenue cycle objectives. (25%)
  • Organizes, delegates, monitors and measures special projects to ensure they are completed timely and accurately. Provides formal feedback on project results to management. (20%)
  • Identifies, quantifies and monitors account detail or workflow processes for barriers. Makes process improvements or initiates courses of action for problem resolution. (15%)
  • Independently leads initiatives as assigned by management, coordinating task teams or other forums to deliver results as identified and/or determined by leadership. Provides formal updates and closure. (5%)

QUALIFICATIONS:

Minimum

  • Associate’s Degree
  • 4 years of revenue cycle experience, including billing, collections, denial follow up and compliance with regulatory requirements
  • Staff supervision experience to include excellent analytical, organizational, and interpersonal skills

Preferred

  • Home Infusion experience

  • CPR+ platform knowledge

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.


As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf )

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice


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