Revenue Cycle Supervisor
Oregon Health & Science University
- Portland, OR
- $67,454-107,765 per year
- Permanent
- Full-time
- Eligibility verification
- Pre-authorization (for all services including office visits, infusion services, inpatient admissions, chemotherapy, pharmacy medications)
- Benefit level exceptions as applicable -Patient liability estimates
- Retroactive authorizations and appeals for denied services
- Ensures that each high liability patient contact has a valid Epic referral attached to the appointment.
- Ensures any services requiring pre-authorization are requested within established timeframes. Re-prioritizes resources when necessary to ensure metrics are met.
- Ensures all eligibility verification and pre-authorization information is documented accurately in the Epic referral.
- Reviews denials for lack of pre-authorization to attempt to resolve the issue. Recommends changes to processes to improve denial rates.
- Ensures that each employee demonstrates competencies in the workflows they are responsible for.
- Provides cross training opportunities to promote growth and team flexibility.
- Manages lead workers and ensures they receive training and development opportunities to manage their workloads more effectively.
- Serves as the first line of communication with the practies/departments to answer questions and trouble shoot issues
- Performs quality assurance audits for employees.
- Establishes goals for employees with the help of the manager.
- Uses audits to improve staff education.
- Conducts regular “in-service” trainings for staff based on audits.
- Works with other Supervisors to ensure staff are held to the same standards.
- Utilizes feedback from audits, practices/departments, and staff to design, create, and revise workflows to gain efficiencies and minimize financial risk with the support of the manager.
- Performs daily huddles with staff to ensure they have what they need for the day, are aware of priorities and allows staff to surface issues.
- Creates and maintains visual boards that demonstrate the performance of the team.
- Rewards staff for meeting performance standards and uses boards to assist in process improvement.
- Participates in Ambulatory OPEx initiatives as necessary. Uses lean tools to continuously improve.
- Three years prior experience in a clinical setting working with patient scheduling, benefit verification, pre-authorization, and a high level of patient interaction.
- Experience should demonstrate progressive additions to responsibility and time spent serving as a lead worker.
- Healthcare revenue cycle experience.
- Must be familiar with Microsoft Office products.
- Must have superb organizational skills and strong customer service orientation and experience.
- Must have ability to work autonomously, be flexible and able to shift priorities on short notice. The ideal candidate is driven by achieving outcomes in a timely manner.
- A working knowledge of OHSU system, policies, procedures and the OHSUMG practices is a must.
- Bachelor’s Degree. Coursework in Healthcare and/or Education.
- Specific experience with and integrated health record, Epic preferred.
- Experience with determining acuity of patient for managed care purposes.
- A working knowledge of OHSU systems, policies, procedures and the OHSUMG practices.
- Experience with supervising staff who perform managed care, scheduling, and patient estimation.