15 days old

Supervisor, Healthcare Specialty Recovery - US Remote

Sunrise, FL 33351 Work Remotely
Regular Full Time
   

Responsibilities:
The Healthcare Specialty Recovery Supervisor is a highly skilled, talented Medical billing, revenue specialist with a strong knowledge of Medical claims billing and recovery. Must have a vast knowledge in Medicare regulations, Medical terminology, medical coding, forms UB04 and CMS 1500. Strong Medicare procedural background, familiarity with procedural challenge regulations. Experience in data mining, auditing, and concept development; the ability to gather and interpret explanation of benefits (EOB) and Provider feedback to answer questions and assist recovery teams with Provider and Network communications.

They will play a key role in continual improvement of recovery processes, procedures, and staff development.

They will leverage their expertise in Medical billing, recovery, and data mining with knowledge in Medicare rules and regulations. Paired with leadership experience and adaptability to support team functions to make a positive impact in the growth of our overall recovery operations.

 

Essential Duties:
Monitoring staff and daily recovery efforts.
Responsible for driving recovery teams daily productivity, ensuring team is adhering to goals and SLAs.
Program outreach as required, working with Providers and Networks as needed at the request of team members and Management. 
Effectively collaborates with Management and teams to ensure departmental needs are met.
Communicates with team to ensure all production goals are clear, understandable, and achievable.
Work with Leadership to set production goals as needed to meet department expectations.
Provides feedback coaching and training to team members as required by management.
Occasional assistance with Audit Concept development and claims review.
Works with Healthcare Services leadership to ensure assigned areas are staffed appropriately to achieve recovery goals.
Assist in development and revision of team training materials as needed.
Contribute to development or enhancement or operational and recovery procedures, policies, and tools.
Advises Leadership of operational training gaps, staff development issues and other observation and areas or opportunity that may involve training.
Perform other duties as assigned.

 

*Note - All employees and contractors for Performant Financial may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times.  Violations to Performants policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination.
Required Skills and Knowledge:
Working knowledge of recovery and revenue cycle management.
Strong knowledge of Medicare requirements and regulations. 
Proficient in MS Office, MS word, PowerPoint, and Excel.
Strong communication skills both verbal and written are required, to assist recovery agents with escalated Provider and Network communications.
Ability to manage multiple tasks and priorities to meet department deadlines and expectations. 
Proven Experience in developing and maintaining a high performing production team.
Strong interpersonal skills that leads to positive interactions with staff, peers, leadership, and stakeholders, with a demonstrated ability to assist in conflict resolution.
Self-Motivated, thrives in a fast-paced office environment while performing multiple tasks cohesively, with keen attention to detail.
Ability to work full time and on site/ or remote as needed to meet business needs.
Ability to adapt quickly and transition effectively to changing circumstances, client requirements, assignments, and business needs: and consistently performs job responsibilities.
Ability to lead group activities and discussions that result in effective knowledge transfer, development and or desired business outcome.
Strong critical thinking and problem-solving skills.
Completion of Teleworker Agreement upon hire, and adherence to the Agreement (and related policies and procedures) including, but not limited to: able to navigate computer and phone systems as a user to work remote independently using on-line resources, must have high-speed internet connectivity, appropriate workspace able to be compliant with HIPAA, safety & ergonomics, confidentiality, and dedicated work focus without distractions during work hours.

 


Physical Requirements:
Performs duties in a busy standard office environment with moderate noise level or may work remotely from home-office as may be required based upon business needs, in accordance with company policies & procedures.
Sits or stands at a desk during scheduled shift, reaching as needed to use office equipment.
Makes and returns calls using an office phone system.
Views a computer monitor, types on a keyboard, and uses a mouse.
Reads and comprehends information in electronic (computer) or paper form (written/printed).
Types frequently, but not constantly, using a keyboard and mouse.
Occasionally lifts/carries/pushes/pulls up to 10 pounds.
Travel as required to meet business needs.
Education and Experience:
High School Diploma or GED required
Bachelors degree in relevant field or equivalent combination of education and experience.
3 + years of Revenue cycle or Recovery experience.
3+ years in a Healthcare claims or revenue cycle management environment.
2+ years supervisory experience in fast paced production or call center environment.
Some college or training in medical terminology, billing, coding, or Medical billing/Coding certificate.
Extensive experience with provider outreach and communication.

 



Other Requirements:

Must submit to and pass pre-hire background check, as well as additional checks throughout employment
Must be able to pass a criminal background check; must not have any felony convictions or specific misdemeanors, nor on state/federal debarment or exclusion lists.
Must submit to and pass drug screen pre-employment (and throughout employment).
Performant is a government contractor. Certain client assignments for this position requires submission to and successful outcome of additional background and/or clearances throughout employment with the Company.
  
Visa sponsorship is not available.

Job Profile is subject to change at any time.

EEO 
Performant Financial Corporation is an Equal Opportunity Employer. 
Performant Financial Corporation is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law. 

NO AGENCY SUBMISSIONS WITHOUT PERFORMANT AUTHORIZED AGENCY AGREEMENT AND APPROVED PERFORMANT JOB ORDER
   


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Categories

Posted: 2020-11-09 Expires: 2020-12-24
Analytics, audit, and recovery services for healthcare, government and student loans.

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Supervisor, Healthcare Specialty Recovery - US Remote

Performant Financial
Sunrise, FL 33351

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