Essential Functions
Leadership and Team Management :
- Supervise and provide leadership to team members, including mentoring and coaching to foster professional growth and high performance.
- Assists in outcomes management by holding self and others accountable to meet stated outcomes, objectives, goals, timetables and commitments, adhering to outcomes even in the face of unforeseen circumstances
- Prioritizes and coordinates daily work activities. Provides leadership and guidance by sharing expertise with others. Approves schedules and monitors time worked.
- Conducts employee performance management duties including completion and delivery of performance evaluations, setting goals, dissemination of information, coaching, addressing performance issues / routine correction actions, and recommending termination of employment.
- Submits notifications for personnel actions (e.g. status changes, termination, etc.)
- Participates in selection, hiring, and salary recommendations
- Coordinate onboarding and training for new hires, ensuring they are well-prepared for their roles.
- Support and execute ongoing communications to keep the team updated on system changes, policies, and best practices.
- Act as mentor and resource for team members, providing guidance on technical or procedural challenges
- Effectively manages workload with accuracy and attention to detail per requirements outline in departmental policies
Operational Management & Excellence :
Develops, maintains, and implements polices, process workflows, internal controls, and procedures to achieve optimum service delivery using automation.Analyzes processes and procedures making recommendations and / or decisions on guidelines for daily processes / activities within the department, recommending policy changes related to the department.May participate in the implementation of business plans for the area. Responsible for the implementation and execution of business plans or activities for the assigned units. Makes decisions guided by the business plan and resource availability that impacts service levels and the teams abilities to meet objectives.Addresses escalated issues, questions or concerns in a timely and professional manner.Serves as a liaison between all inter-disciplinary team members to ensure smooth operations and to resolve related issues.Utilizes and recommends available resources to facilitate an outstanding patient experience.Ensures compliance with quality assurance, safety practices, policies, regulatory, and legal requirements.Assisting the department manager in the implementation of the strategic direction within the department to ensure efficient and effective day-to-day operations.Identifies, obtains and appropriately utilizes resources necessary to meet the identified goals including recommending budget amounts for operating expenses.Holds self-accountable for professional development through active participation in HFMA, CHCA and other professional organizations.Stays abreast of changes in the industry by keeping current with CMS, Medicaid, HIPAA and payor billing regulations as well as market changes through workshops, newsletters, and websites. Maintains a working knowledge of federal and state billing requirements, Electronic Data Interface (EDI) transaction formats, third-party payor contracts and federal and state medical coverage programs. They hold themselves accountable for professional development through active participation in HFMA, CHCA and other professional organizations.System Integration & Testing
Responsible for analyzing, identifying and recommending system build needs to achieve and maintain system optimization / automation.Identifies and leads interdisciplinary teams' hospital-wide to improve workflow processes for billing accuracy and denial prevention.Serves as Revenue Cycles expert on Epics HB or PB billing systems. Coordinates with IT and gives final approval to system testing of new or updated system build.Primary back up for the other Supervisors in the CBO.Education Qualifications
High School Diploma or GED equivalent RequiredBachelor's Degree from an accredited college or university in healthcare administration, business administration, finance, or related field Required or Equivalent relevant work experience may be substituted for education RequiredExperience Qualifications
Minimum 5 years experience in healthcare billing environment including AR, Denial Management, and Billing Required andOne year lead or supervisory experience PreferredSkills and Abilities
Knowledge of Revenue Cycle Operations, third party reimbursement, local, state, federal regulations and medical terminology. This includes all aspects of payer relations, claims adjudication, contractual claims process and general reimbursement procedures including knowledge of CPT, HCPCS and revenue codes and their effect on hospital reimbursement. Knowledge of the current healthcare climate, including managed care developments, HIPAA standards and governmental program regulations.Strong, positive customer relations and the ability to communicate effectively both verbally and in writingExcellent problem solving skillsFosters teamwork and collaborationEffective conflict resolution; active listening skillsGood Microsoft Word, Excel and PowerPointChildrens is an equal opportunity employer, embracing and valuing the unique strengths and differences of people. We cultivate an inclusive environment of respect and trust where we all belong. We do not discriminate based on race, ethnicity, age, gender identity, religion, disability, veteran status, or any other protected characteristic.