Revenue Integrity Supervisor

Revenue Integrity SupervisorDepartment: Revenue CycleProgram: Health SystemsReports To: Revenue Cycle ManagerSupervises: Charge Capture Specialist, Revenue Cycle Technicians, Biller/Coders, Insurance Processing and Denials SpecialistEmployment Status: Full-TimeFLSA Status: Exempt Schedule: 40 Hours/52 WeeksPreference: TERO Ordinance 2017-01, P.L. 93-638Job SummaryRevenue Cycle Integrity Supervisor is responsible for the day-to-day performance of the revenue cycle process. The Supervisor is responsible for guiding and coordinating the work for the group of employees towards established goals and objectives. The Revenue Integrity Supervisor has an in depth understanding of the processes of their team and can actively troubleshoot issues The Supervisor serves as a subject matter expert for new employees and can serve as subject matter experts to other groups at the direction of the Manager.Essential FunctionsSupervising, training, and evaluating revenue cycle staff, ensuring they meet performance standards and department goalsIdentifying areas for improvement in billing, and collections processesMonitoring and managing claims process, including submission, follow-up and denial management in order to optimize the revenue cycle processInvestigating and resolving claim denials, collaborating with insurance carriers and other departments to reduce denials and expedite reimbursementOversees and verifies provider enrollment with Medicare, Medicaid, and contracted insurancesMaintains clear communication with staff, management, and other departments to address issues, share information, and streamline processesAbility to analyze data and identify trends to improve revenue cycleKnowledge of healthcare regulations and compliance requirementsEnsures compliance with Tribal, federal, state, and local employment laws and regulations, Tribal policies and TERO ordinanceIt is the intent of this job description to highlight the essential functions of the position; however, it is not an all-inclusive list. The incumbent may be called upon and required to follow or perform other duties and tasks requested by his/her supervisor, consistent with the purpose of the position, department and/or the Kenaitze Indian Tribe's objectives.Working ConditionsLifting RequirementsSedentary work – Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.Physical RequirementsStand or Sit (Stationary position)Walk (Move, Traverse)Use hands/fingers to handle or feel (Operate, Activate, Use, Prepare, Inspect, Place, Detect, Position)Talk/hear (Communicate, Detect, Converse with, Discern, Convey, Express oneself, Exchange information)See (Detect, Determine, Perceive, Identify, Recognize, Judge, Observe, Inspect, Estimate, Assess)Repetitive MotionOSHA CategoriesCategory III - Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aidEquipment and ToolsEquipment used for job: Computer, phone, scanner, copier, electronic health recordsTravelLocalIn-StateQualificationsEducationAssociates degree in Finance, Accounting, Business Management, Health Care Administration or related field or a combination of education and experience in a related field may be substituted for a degreeExperienceThree (3) years of revenue cycle experienceOne (1) year of experience or demonstrated proficiency as a supervisorPreferredKnowledge and experience working with cultural diversitiesSpecial SkillsProficiency with Microsoft Suite, or obtain training within 90 days of hireConducts business in a service-oriented manner that is attentive, pleasant, respectful and kind when dealing with un'ina, visitors, co-workers and othersAbility to multi-task, work independently, and meet deadlinesStrong understanding of revenue cycle management and regulatory agenciesExperience in Federal and State regulatory associated to billing and codingElectronic Health Record (EHR) experienceThis position is a Covered Position subject to all requirements of the Alaska Barrier Crimes Act (ABCA) and to the Indian Child Protection and Family Violence Prevention Act, (ICPA). ABCA and ICPA requirements apply and must be complied with at all times in order to remain in the position.

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