"Revenue Cycle Supervisor (Surgical Authorizations)"

Position Summary

The Revenue Cycle Supervisor is responsible for day-to-day supervision of a unit that validates insurance & benefit coverage as well as obtains authorization for scheduled services as required by payer policy.

The Supervisor is responsible for staff performance, productivity, and compliance with policies and regulations

Responsibilities

Operations

• Oversee daily operations of the unit to secure authorizations to ensure timely and accurate completion.
• Monitor and manage daily operational workflows, work queues, and programs on a regular basis for efficient use of resources.
• Manage task assignment, scheduling, and offer guidance on complex authorization issues. Assesses the need for escalations and ensures that requests and resolved efficiently.
• Make process improvement recommendations to the authorization procedures as appropriate.
• Ensure that the priority matrix for work is adhered to, and ensure patient care is not delayed due to authorization barriers. Monitor work queue inventory for accuracy and efficiency.
• Advise leadership of potential backlog, advise remediation, and submit a summary of any operational challenges and adjustments needed.
• Coordinates staff resources to support work queue activities in accordance with operating protocols, regulations, and revenue cycle best practices to achieve maximized efficiency.
• Makes sure all inquiries related to securing patient authorization are managed promptly, accurately, and thoroughly.
• Works with Specialists to address escalated issues and problems, determine resolution, and track accordingly.
• Monitor work queues to ensure tasks are completed timely and accurately. Perform approved quality and audit control measures on a regular basis.
• Ensures policies and procedures are understood and adhered to by staff.
• Completes all Authorization unit documentation and reporting in accordance with established and /or required schedules, including but not limited to performance standard agreements.
• Serves as the subject matter expert responsible for troubleshooting authorization.
• Works on high complexity or sensitive accounts and/or cases as directed.

Strategic

• Work collaboratively with clinical departments and revenue cycle partners to establish effective communications to further the efficiency of the revenue cycle process and related strategic plans, with special attention to internal clients in assigned departments.
• Develops and maintains a good, productive, and collaborative relationship with departmental management and representatives.

People

• Promotes staff professionalism and performance with coaching, training, and feedback.
• Assist the unit manager with staff performance evaluations. Under the direction of management, takes corrective action with staff in accordance with institutional HR guidelines.
• Supports training initiatives as directed by the Manager, including conducting group training, coaching sessions, and individual training support.
• Monitor and track daily attendance for staff. Maintain attendance records. Works with the manager to address any issues.

Compliance and Other

• Performs other revenue cycle tasks as assigned by management as a member of a large central business office.
• Represents the FPO on committees, task forces, and work groups as assigned.
• Conforms to all applicable HIPAA, Billing Compliance, and safety policies and guidelines.

Please note: While this position is primarily remote, candidates must be in a Columbia University-approved telework state. There may be occasional requirements to visit the office for meetings or other business needs. Travel and accommodation costs associated with these visits will be the responsibility of the employee and will not be reimbursed by the company.

Minimum Qualifications

• Requires a bachelor’s degree or equivalent in education and experience.
• Minimum of 3 years’ relevant experience in a Healthcare facility or doctor’s billing office environment.
• An equivalent combination of education and experience may be considered.
• Demonstrated skills in problem assessment, resolution, and collaborative problem solving in complex and interdisciplinary settings, including strong proficiency in healthcare and payer guidelines as they pertain to authorizations.
• Ability to work collaboratively with a culturally diverse staff and patient/family population, strong customer service skills, demonstrating tact and sensitivity in stressful situations.
• Ability to work independently and follow through, and handle multiple tasks simultaneously.
• Excellent verbal and written communication skills.
• Intermediate level proficiency of Microsoft Office (Word & Excel) or similar software is required, and an ability and willingness to learn new systems and programs.
• Must be a motivated individual with a positive and exceptional work ethic.
• Demonstrated proficiency in the health insurance authorization process as it pertains to insurance and managed care reimbursement concepts and overall operational impact.
• Must successfully pass systems training requirements.

Preferred Qualifications

• At least one year of direct supervisory experience is preferred.
• Knowledge of Epic and GE/IDX billing systems is preferred.
• Managed care industry experience is preferred.

Other Requirements