• Revenue Cycle Supervisor

    Job Locations US-WI-Madison
    Req No.
    2018-2790
    Category
    Medical Billing
    Type
    Regular Full-Time
  • Summary of Major Responsibilities

    The Revenue Cycle Supervisor assists the Billing Manager/Director in the ongoing development and performance of the revenue cycle team and is of Revenue Cycle Associates as well as day to day supervision of team activities in order to meet department and company goals.  The primary responsibilities include providing supervision, hiring, training and coaching, managing workloads and handling escalated concerns as related to revenue cycle. 

    Essential Duties and Responsibilities

    • Monitors associate and overall department metrics to ensure revenue cycle functions are addressed according to Company/Department goals.
    • Provides guidance on priorities for the department. Ensures work is completed in a timely and accurate manner.
    • Assists in recruiting, hiring, onboarding, coaching, and counseling of Revenue Cycle Department staff.
    • Takes part in the creation of training materials as appropriate. Identifies additional training needs/resources as needed.
    • Provides medical billing training and assistance to other departments as needed.
    • Recommends and implements changes to ensure revenue integrity and maximum reimbursement.
    • Provides on-going coaching to Billing staff to ensure a consistent level of service is maintained.
    • Provides escalation support to Billing staff.
    • Identifies and communicates changes in payer guidelines.
    • Assists in identification and reporting of system errors and workflow solutions.
    • Supports and performs billing functions including claims errors and rejections, submission/reconciliation, call center, follow up and appeals, payment posting and processing of refunds and recoupments.
    • Identifies and shares best practices and drives for continuous improvement of the customer experience.
    • Ensures compliance with all Company quality procedures and guidelines including but not limited to Quality Policy, Code of Business Conduct and Ethics.
    • Ensures familiarity with relevant guidelines and policies for medical devices (e.g., HIPAA, Medical Device Reporting, etc.).
    • Maintains skillset to be able to perform all essential responsibilities of the Billing Associates and Data Error Processing Associates and performs them as directed.
    • Reports to work on time, and follows attendance guidelines.
    • Conducts all assigned job duties in a timely and productive manner.
    • Performs all job duties according to Company policies and procedures.
    • Completes other duties as assigned.

    Qualifications

    Mandatory Skills & Qualifications

    • Must be 18 years of age or older and legally authorized to work in the United States.
    • Excellent verbal and written English communication skills.
    • Demonstrated knowledge of billing call center service principles and practices.
    • Knowledge of International Classification of Diseases (ICD-9) and (ICD-10).
    • Knowledge of Coding Procedure Terminology (CPT and HCPCS).
    • Knowledge of Explanation of Benefits (EOB); must be able to read and interpret explanation of benefits (EOB) for all payers.
    • Thorough understanding of ASC X12 claims adjustment and remark codes.
    • Disciplined, self-motivated & reliable; able to stay focused on a task and work independently; motivated to perform quality work; diligent about arriving to work on time and completing tasks that are assigned in a timely manner.
    • Demonstrated ability to inspire and motivate others and work effectively through influence and collaboration.
    • Possesses a positive attitude with excellent interpersonal skills and the ability to interact and build strong working relationships with customers as well as peers at all levels of the organization.
    • Ability to work in a team environment and adapt to changing workload and circumstances effectively; able to respond to new information quickly.
    • Professionalism: conducts themselves in a professional manner in all interactions with patients, members of the Exact Sciences customer support center, Laboratory team, clients and associates.

    Necessary Education & Experience

    • High School diploma or GED.
    • Minimum of five years of experience in the revenue cycle function.
    • Two or more years of experience in a position with responsibility for leading direct reports.
    • Third party payer experience required.
    • Demonstrated experience working in a customer service environment specialized in providing an exceptional customer experience. 

    Desired Characteristics

    • Bachelor’s degree or other health care certification (such as certified professional coder or certified professional biller) preferred but not required
    • Previous laboratory billing including client billing experience preferred.
    • Ability to work independently and within a team.
    • Working knowledge of Microsoft office products.
    • Associate Degree, Vocational/Technical degree or certification preferred.

    Physical Requirements & Working Conditions

    • Ability to operate telephone system and computer keyboard and printer.
    • Ability to lift and move 20-40 pounds on an occasional basis (up to 25% of time).
    • Ability to grasp with both hands; pinch with thumb and forefinger; turn with hand/arm; reach above shoulder height.
    • Subject to long or irregular hours.
    • Subject to frequent interruptions.

    #LI-MF1

    Exact Sciences is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, creed, disability, gender identity, national origin, protected veteran status, race, religion, sex, sexual orientation, and any other status protected by applicable local, state or federal law. Applicable portions of the Company’s affirmative action program is available to any applicant or employee for inspection upon request. 

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