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Providence Health & Services Revenue Cycle Supervisor in Torrance, California

Description:

Providence is calling a Revenue Cycle Supervisor (1.0 FTE/Day Shift) to Providence Medical Institute in Torrance, CA.

We are seeking a Revenue Cycle Supervisor manages revenue related operations and projects, acting as a trusted advisor and partner to provider organizations to support clinical excellence and optimal revenue cycle performance. Key activities include support for new clinic acquisitions, expansions, program initiatives and ongoing clinic operations relating to revenue cycle. The Revenue Cycle Supervisor analyzes quality metrics relating to registration accuracy, Epic work queues and denials to recommend process improvements and training opportunities.

In this position you will have the following responsibilities:

  • Provide outsourced or 3rd party entities with system support for the LA Market Physician Services Division.

  • Partner with provider organizations to support clinical excellence and optimal revenue cycle performance.

  • Assist clinic ministry leadership on business development, practice acquisition, and new programs.

  • Identify trends and develop solutions across revenue cycle cross-functional areas.

  • Act as primary point of contact for front-end business processes when questions arise.

  • Support and offer advice on adoption of best practices for clinic revenue cycle business operations.

  • Supervise improvements for clinic operations key metrics for revenue cycle.

  • Assist with compliance standards are followed and issues are referred to Compliance leadership.

  • Periphery involvement with strategic planning activities in support of the mission and vision.

  • Oversee the daily operation of the business and revenue cycle for the LA Market.

  • Work closely with Regulatory Enrollment teams to ensure government registration and enrollment for sites (855B), laboratory services (CLIA), and radiological certifications are compliant.

  • Work closely with Coding and Compliance to help augment wRVU production and documentation standards to maximize revenue capture

  • Assist partners with revenue and wRVU questions and concerns, and research as needed and requested.

  • Actively partner with finance and revenue integrity in finding missing charges and ensure correct accruals and budgeting around revenue streams.

  • Work with Operations and Revenue Integrity to minimize waste around revenue cycle and manual charge entry/coding/documentation processes.

  • Assist business leaders on new service lines to determine and track payments from payors (with the help of contracting) with the intent of creating value based care and optimal patient outcomes.

  • Supervise implementation of Epic Optimization opportunities around Revenue Cycle.

  • Assist in reporting efforts and procurement with Business Intelligence and Decision Support.

  • Audit LOAs for services and ensure follow-through post billing.

  • Ensure completion of revenue cycle related issues, i.e. Clinic charge corrections, authorizations, credentialing issues.

  • Ensure all clinical and business office caregivers are up to date with registration updates due to system upgrades.

  • Provide all clinical and business office caregivers most current payor plan information.

  • Provide education to new and existing caregivers responsible for EPIC work queues.

  • Review registration related denials with clinic managers on a quarterly basis and assist in educating caregivers of trends related to registration errors that cause denials.

  • Assist the business office with denial trends and work with appropriate teams to resolve.

  • Provide support to Physicians with billing concerns

  • Assist the business office with patient complaints and works with clinic managers to resolve.

Qualifications:

Required qualifications for this position include:

  • Bachelor's Degree in Business Administration or equivalent educ/experience

  • DRIVER LICENSE upon hire.

  • Competencies:

  • Ability to develop and foster key relationships with senior leaders and revenue cycle leadership, clinic providers, managers, supervisors and staff

  • Demonstrate ability to function as a leader and be viewed as a subject matter expert

  • Demonstrates extensive clinic and business office operations knowledge

  • Current knowledge of healthcare trends and impact to business due to government and payor regulations and requirements

  • Proven history of proactively identifying, resolving and escalating issues that impact business outcomes

  • Demonstrated strong and persuasive verbal, written and interpersonal communication skills. A track record showing good decision-making skills based upon a combination of analysis, experience, and judgment.

  • Ability to travel within Providence regions.

  • Teamwork:

  • Works effectively with team members across functional and geographic regions.

  • Takes responsibility to support team members in meeting project milestones and objectives.

  • Communications:

  • Listens with sensitivity and openness.

  • Actively seeks constructive feedback and remains open and receptive to it.

  • Anticipates the information needs of others.

  • Communicates effectively with leadership, technical staff and customers.

  • Customer Service:

  • Anticipates and takes personal responsibility for customer satisfaction and service excellence.

  • Consistently goes out of the way to listen, understand, and support the needs of others in a sensitive manner.

  • Quality:

  • Performs challenging tasks efficiently and effectively.

  • Sets challenging objectives and works against self-defined standards of excellence to continually improve personal performance.

  • Planning:

  • Shows competent planning and project management skills.

  • Anticipates and responds proactively in a dynamic environment.

  • Establishes and articulates strategic priorities and objectives.

  • Motivating/Leading:

  • Uses principles of effective leadership to motivate, lead and inspire others.

  • Leverages strengths-based leadership to give effective, meaningful feedback, develop others, and maximize employee engagement.

  • Maintains focus on Mission and core values.

  • Problem Solving:

  • Shows strong attention to detail and outstanding analytical skills.

  • Collaboration:

  • Shows competent management skills and the ability to work effectively to build relationships with colleagues, customers, and executive management through positive interaction.

  • Flexibility and response to change/Dealing with ambiguity:

  • Organizes multiple projects, schedules, demands and meets shifting priorities.

  • Studies, understands, adapts and responds effectively to a constantly changing environment.

Required qualifications for this position include:

  • 7 years of revenue cycle experience in an integrated healthcare system.

  • 2 years of supervisory experience.

About the ministry you will serve.

Providence Health & Services Southern California is further developing its physician integration strategy. Historically, the largest asset has been Providence Medical Institute, a medical foundation that provides administrative and other support services to affiliated medical groups. Providence Medical Institute is expected to grow significantly in the next several years, bringing with it facilities, staff and physician growth to support that objective.

We offer a full comprehensive range of benefits - see our website for details

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

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.

About Us

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.

Schedule: Full-time

Shift: Day

Job Category: Non-Clinical Lead/Supervisor/Manager

Location: California-Torrance

Req ID: 253978

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