Catholic Health Initiatives Supervisor Position - CHC (Government) - Full-Time Days in OMAHA, Nebraska
Supervisor Position - CHC (Government) - Full-Time Days
CHI Health is a regional health network with a unified mission: nurturing the healing ministry of the Church while creating healthier communities. Headquartered in Omaha, the combined organization consists of 15 hospitals, two stand-alone behavioral health facilities and more than 150 employed physician practice locations in Nebraska and southwestern Iowa. More than 12,000 employees comprise the workforce of this network that includes 2,820 licensed beds and serves as the primary teaching partner of Creighton University’s health sciences schools. In fiscal year 2014, the organization provided a combined $149.3 million in quantified community benefit including services for the poor, free clinics, education and research. With locations stretching from Kearney, Neb. to Missouri Valley, Iowa, the health network is the largest in Nebraska and serves residents of Nebraska and southwest Iowa. For more information, visit online at CHIhealth.com .
Has the authority to interview, hire, orient, terminate, promote, train and conduct performance evaluations.
Assigns day-to-day work activities; directs the functional and technical job performance of team members.
Allocates and directs staffing needs to meet patient, unit/department and organizational needs and collaborates with others to ensure overall staffing needs are met.
Manages performance including: setting goals, clarifying job expectations, monitoring performance progress, providing feedback, recognizing performance, developing skills and addressing performance issues related to work and our Commitments using corrective action.
ESSENTIAL JOB RESPONSIBILITIES
Supervises and evaluates the daily operations of assigned support functions (including claims processing, clinic customer service, charge capture,cash posting, refunds/credits, insurance follow-up, etc.) to ensure that all activities are conducted in a timely and cost-effective manner and in accordance with professional standards, budget constraints, internal policies/standards/procedures and/or applicable legal/regulatory requirements.
Implements and enforces quality control/quality assurance and productivity standards; ensures that applicable standards, systems and procedures are understood and followed; monitors and audits related documentation to ensure conformance with established standards relating to timeliness and accuracy; prepares periodic productivity reports and program updates for review of higher-level authority.
Researches inquiries, complaints and requests by internal/external customers and takes appropriate steps to resolve errors or issues; communicates resolution to all interested parties.
Participates in the development of, and implements, new/revised guidelines, procedures, processes and/or training materials in support of assigned function/work unit to facilitate regulatory compliance and maximize revenues; ensures that employees understand and apply internal guidelines appropriately.
Reviews and approves voided transactions, adjustments, corrections, write-offs and other revenue cycle actions that are outside the parameters of standard procedures. Schedules, supervises and evaluates the work of assigned revenue cycle staff in accordance with established standards and procedures; assists in identifying adequate staffing levels for appropriate coverage to meet budgetary and operational objectives.
Interviews job candidates and makes employment and other staff-related recommendations; ensures that staff are qualified and properly trained to perform assigned job duties.
Orients/trains employees and holds regular staff meetings to keep employees appraised of all matters relevant to successful job performance; approves timecards and time off requests.
Communicates performance standards and evaluates employee performance; counsels employees, providing constructive feedback and recognizing results achieved; participates in performance management activities as required.
Addresses and resolves technical issues referred by subordinates as beyond their scope of authority.Monitors and assesses current operations/services to identify performance/process improvement opportunities.
Provides recommendations to Manager for performance/process improvements initiatives; implements approved changes and ensures that staff receive the necessary on-the-job training to enhance their understanding of performance improvement initiatives.
Monitors staff errors and overall productivity, identifies trends and retrains as necessary to improve performance/results.
Participates in revenue cycle/business planning activities, including the development/implementation of work unit objectives/projects to address current and future needs to support achievement of business objectives. Monitors compliance with applicable internal/external legal and regulatory agreements, standards and requirements; takes appropriate steps to address and resolve non-compliance issues within position scope of authority.
Conducts regular and impromptu account audits to validate accuracy and adherence to organizational standards and procedures; recommends process improvements and/or solutions for areas of deficiency.
Keeps abreast of changing regulatory requirements/regulations and competitive industry practices impacting assigned functions, as well as organizational initiatives/changes with potential to impact current operations.
Monitors impact on existing activities and identifies/implements effective response/solution while maintaining acceptable service levels and work quality. Establishes and maintains professional and effective relationships with peers, payers, patients and other stakeholders; serves as liaison with various internal departments/staff/providers in coordinating and troubleshooting various revenue cycle-related issues.
Establishes and maintains a professional relationship with clinics and FMG staff in order to resolve issues.
Promotes an atmosphere of collaboration so all parties feel comfortable approaching with issues and challenges specific to their payer or specialty.
Acts as a liaison between the assigned revenue cycle function and the Clinics to maintain business continuity and ensure policy and procedure compliance.
MARGINAL JOB RESPONSIBILITIES
Other duties as assigned by leader and organization.
Assist with policy and procedure and system workflows
Required Education and Licensure
- High School Diploma/GED
Required Minimum Experience
Four years related work experience that demonstrates attainment of the requisite job knowledge/abilities, including one year lead or supervisory capability.
Supervisor of Coding Denials must have 2 years coding experience
Bona Fide Occupational Qualifications (BFOQs)
Associate Degree in Business, Finance, Accounting, or related area is preferred. (An equivalent of education and/or experience will also be considered)
Supervisor of Coding Denials Certification AHIMA, CPC, or CCS-P
Minimum Knowledge, Skills, and Abilities
Knowledge of policies, standards, procedures, processes, work flow, KPIs and regulatory/reporting requirements applicable to the assigned revenue cycle function (e.g. cash management/refunds/credits/posting, clinic customer service, claims processing and/or insurance follow-up, etc.).
Knowledge of general concepts and practices that relate to the healthcare field, and specific policies, standards, procedures and practices that pertain to the assigned function.
Knowledge of the regulatory/reporting requirements that pertain to the assigned revenue cycle function.
Knowledge of standards, practices and requirements relating to employee supervision, evaluation and performance management.
Knowledge of clinic operations as they relate to the assigned revenue cycle function.
Knowledge of medical insurance, payer contract, CPT and ICD codes.
Knowledge of sources and availability of information relevant to the assigned function.
Knowledge of the operation and application of automated systems applicable to the assigned function.
Ability to effectively oversee daily operations of the assigned revenue cycle function, identify compliance/productivity deficiencies and recommend timely corrective action.
Ability to keep abreast of trends, developments and changing regulatory requirements that impact matters within designated scope of responsibility.
Ability to troubleshoot, understand and/or adapt moderately complex oral and/or written instructions/guidelines to diverse or dissimilar situations.
Ability to maintain confidentiality of medical records, and to use discretion with confidential data and sensitive information.
Ability to demonstrate attention to detail and critical thinking skills within the context of the assigned function, with a commitment to accuracy.
Ability to effectively prioritize and execute tasks while under pressure.
Ability to demonstrate effective supervisory skills, including developing clear performance expectations, hiring, training/coaching/counseling, conflict management, resolving performance problems and group facilitation.
Ability to understand financial and/or operational/productivity reports or related metrics and to recognize opportunities to increase efficiency, enhance productivity, reduce costs/expenses and/or maximize revenues.
Ability to make decisions based on available information and within the scope of authority of the position.
Ability to establish and maintain effective working relationships as required by the duties of the position.
Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency.
Primary Location NEBRASKA-OMAHA-SERVICE CENTER-NORTH BLDG
Daily Schedule Days
Scheduled Hours per 2-week Pay Period 80
Weekends Required Occasional
Req ID: 2017-R0130357