Providence Health & Services Revenue Cycle Supervisor, Post-Acute in Torrance, California
Providence is calling a Revenue Cycle Supervisor, Post-Acute (Full time/ Day shift) to Providence California Regional Services in Torrance, CA.
We are seeking a Revenue Cycle Supervisor, Post-Acute who will be responsible for billing services management by coordinating or assisting in all patient accounts and claims processing through the standard billing services, accounts receivable reconciliation and reporting, cash posting, claims adjustments and credit and collections functions for ministries within Providence Senior and Community Services and Home and Community Services.
In this position you will have the following responsibilities:
Develop and maintain knowledge of Medicare, Medicaid, rules and regulations by updating manuals and monitoring web sites to maintain regulatory compliance throughout areas of risk. Work closely with team regarding Medicare/Medicaid and Managed Care changes/updates
Supervise and evaluate the work of the billing team including oversight of business functions and improvement of billing processes. All work must promote a team concept and reflect the mission and philosophy of Providence Health and Services
Demonstrate competency in identifying and providing feedback regarding billing needs, recommending and implementing creative solutions to meet those needs consistent with available resources, appropriate procedures, and internal controls for new and existing systems and coordinating efforts with other team members and departments
Maintain updated job standards list for assigned duties including detailed list of scheduled activities, deadlines, and order of completion to ensure coordination of workloads, volumes, staff changes and cross training Responsible for core tasks such as charges and cash receipts posting which are rotated on a regular basis
Coordinate preparation of rate increases and updates billing system by requesting Medicare rate change notices quarterly, Medicaid PPS updates yearly with potential interim rate changes. Updates managed care contract rates as needed. Update charge master in accordance with facility/agency policy
Coordinate contacts with all third party representatives, i.e., Medicare, Medicaid, commercial payers and individuals as required to accurately process claims and resolve outstanding accounts
Monitor aged accounts receivables and assist accountants with general ledger accounts as they relate to receivables and cash receipts
Insure all appropriate regulatory requirements, including HIPAA, are incorporated into work practices in an effort to maintain regulatory compliance and promote the integrity of confidential/private data and patient information
Act as a resource to others within Providence Senior and Community Services and as such, does not routinely delegate tasks. The position does coordinate the monthly financial close and some billing research activities with the Financial Services Department. Examples include notification to accounting that accounts receivable monthly close is complete, preparation of accounts receivable journal entries, or research of bad debts and/or patient accounts
Required qualifications for this position include:
H.S. Diploma or GED or equivalent educ/experience
4 years recent experience in healthcare revenue cycle
Knowledge and experience with insurance contracts and/or Medicare/Medicaid regulations
Excel, PowerPoint, Outlook and Word intermediate skills
Understand medical terminology, ICD10, CMS 1500, and uniform billing
Ability to work in a fast-pace, high volume environment, and handle frequent interruptions
Possess enthusiasm, good judgement and cognitive skills
Displays excellent written and verbal communication skills with coworkers at all levels
Ability to quickly understand process, analyze and implement solutions
Ability to fill in for team members on vacation, illness or staff shortage
Preferred qualifications for this position include:
About the hospital you will serve.
Anchored by five award-winning comprehensive medical centers, Providence provides a full spectrum of care that includes a range of specialties, signature services, outpatient and home care and the well-regarded Providence Medical Institute, a group of physicians and primary and urgent care clinics throughout the greater San Fernando Valley and South Bay. Providence is focused on providing the communities it serves with preventive care, education and leading-edge diagnostics and treatment. The organization includes numerous outreach programs. Hospice and home care and even our own Providence High School, a Blue Ribbon college-preparatory campus.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Non-Clinical Director/Executive
Req ID: 252855