Denials & AR Supervisor

Company: R1 RCM
Location: Salt Lake City
Posted on: May 28, 2023

Job Description:

R1 is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals and physician practices. Headquartered in Chicago, R1 is publicly-traded organization with employees throughout the US and international locations.
Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patient's and each other. With our proven and scalable operating model, we complement a healthcare organization's infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.
The Revenue Recovery Supervisor is responsible for the day-to-day operations of the A/R & Denials teams, including appropriate management of assigned accounts, workloads, and processes. The AR Supervisor ensures quality and productivity through the development of team members, utilizing employee training and development, process and case audits, and management of the Leads and Analysts.
Essential Duties and Responsibilities
(This is not an inclusive list; other duties may be assigned)

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  Assist in all training required to ensure AR Denials Collectors resolve, call and/or appeal a defined number of accounts.
  
  
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  Review, draft and/or approve complex and contractual appeals and letters to insurance companies.
  
  
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  Ensure staff is appropriately educated on client contract language and rates as necessary to resolve denied claims.
  
  
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  Ensure staff understands and can apply basic payment methodologies including but not limited to per diem, case rate, grouper and DRG payment methodologies as needed.
  
  
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  Train staff to refer to and utilize payer provider and administrative manuals to dispute denied claims.
  
  
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  Notate feedback given to staff members on individual claims based on work product in internal claims system
  
  
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  Ensure that all expected payments are reviewed weekly and posted as appropriate in internal claims system for invoicing
  
  
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  Audit account work and process
  
  
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  Engage in and develop employee training material
  
  
  Supervisory and/or Administrative Responsibilities
  
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    Oversee, mentor, and assist the team
    
    
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    Approve time off requests for collectors, fix missed punches, submit timesheets for payroll
    
    
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    Ensure staffing levels are adequate to meet the need of current inventory and communicate staffing needs and inventory changes to the leadership team
    
    
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    Manage team members to achieve client and division cash goals
    
    
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    Be available to answer collector questions on specific accounts and processes, offering additional one-on-one training as needed
    
    
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    Ensure new hires understand protocols, reach productivity and quality goals, and receive regular feedback and coaching
    
    
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    Assist in staff ad hoc training and communicate pervasive training needs to the training team
    
    
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    Maintain an understanding of how to utilize a multitude of hospital patient accounting systems (i.e.; Epic, Meditech, Eagle, and IDX) to accurately identify payments and retractions.
    
    
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    Apply provider specific reimbursement methodologies, payment policies and provider contracts to each payment reviewed to confirm payment in full.
    
    
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    Meet all weekly performance standards and goals set by management.
    
    
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    Communicate all employee issues or potential areas of concern to department manager and director immediately.
    
    
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    Identify underperforming employees and recommend a performance improvement plan
    
    
    Auditing Responsibilities
    
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      Ensure Quality Assurance results are communicated timely
      
      
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      Manage daily workloads of staff, including appropriate volume of work, timeframes for follow up are kept, etc.
      
      
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      Ensure accounts are kept within established protocols
      
      
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      Capture and report on trends to communicate to clients
      
      
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      Participate in client facing meetings
      
      
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      Ensure a HIPAA compliant office environment
      
      
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      Review and complete accounts for closure, rebill/make corrections on claims, provide feedback on any appeal approvals, and other management reviews needed as assigned
      
      
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      Approve cases for clinical review as applicable
      
      
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      Assist with end of month processes as needed, including reviewing payment files, reconciliation reports, post/audit received payments for accurate invoicing, etc.
      
      
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      Assist with projects as assigned
      
      
      Reporting Responsibilities
      
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        Provide daily, weekly or monthly feedback as requested by Management
        
        
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        Report facility, payer and/or denials trends when discovered
        
        
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        Report on any potential employee training needs
        
        
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        Manage and audit provider inventory and status reports as assigned
        
        
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        Assist in meeting report preparation and development
        
        
        Qualifications:
        
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          Must be able to communicate effectively and professionally with strong attention to details and problem solving both verbally and written
          
          
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          Strong telephone communication skills are required
          
          
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          Ability to prioritize work and meet deadlines is required
          
          
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          Knowledge of general office procedures is required
          
          
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          Ability to operate common computer systems, utilize hospital collection systems
          
          
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          Advanced business letter writing skills to include correct use of grammar and punctuation
          
          
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          Advanced understanding of the revenue cycle process
          
          
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          Positive attitude
          
          
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          Strong interpersonal skills
          
          
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          Advanced analytical and critical thinking skills
          
          
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          Ability to solve complex business problems
          
          
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          Ability to motivate others and build strong teams
          
          
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          Bachelor's degree from four-year college or university with at least three years related experience; or five to seven years related experience and/or training; or equivalent combination of education and experience.
          
          
          Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
          Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package including:
          
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            Comprehensive Medical, Dental, Vision & RX Coverage
            
            
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            Paid Time Off, Volunteer Time & Holidays
            
            
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            401K with Company Match
            
            
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            Company-Paid Life Insurance, Short-Term Disability & Long-Term Disability
            
            
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            Tuition Reimbursement
            
            
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            Parental Leave
            
            
            R1 RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
            If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.
            CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent (https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf)
            To learn more, visit: R1RCM.com
            Visit us on Facebook (https://www.facebook.com/R1RCM)
            R1 RCM is a leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups.
            Our mission is to make healthcare simpler, so providers and patients can focus on what matters most. R1's proven and scalable operating models seamlessly complement a healthcare organization's infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. Our priority is to always do what is best for our clients, patients, and each other.
            Headquartered near Salt Lake City, Utah, R1 employs over 27,000 people globally and is traded on the Nasdaq stock exchange under the symbol "RCM."

Keywords: R1 RCM, Salt Lake City , Denials & AR Supervisor, Other , Salt Lake City, Utah