- Job Detail
PRACTICE OVERVIEW
Radiology Partners, through its owned and affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare. Radiology is a team sport, and Radiology Partners is building a community of physicians and support teammates who embody our practice values and believe in our bold mission to transform radiology. Our support team is a vital force within the practice, using their gifts and talents to improve the overall healthcare experience. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
POSITION SUMMARY
Radiology Partners is seeking a Supervisor for our front-end Revenue Cycle team. This Supervisor will support the management of the team that is responsible for all aspects of Radiology Partners demographic and charge capture information, physician and payor mapping, and overall clean claim submissions. This includes reporting on all functions of front-end revenue cycle, team oversight, and training. The Supervisor will serve as a subject matter expert and project manager for different RCM initiatives.
POSITION DUTIES AND RESPONSIBILITIES
- Supervision of the entire front-end RCM function, including charge capture and clean claim submission processes
- Oversight and management of all clearinghouse functions and processes including adhoc reporting
- Oversee the EDI function and payor enrollment processes with Medicare, Medicaid, and all commercial payors
- Review daily, weekly and monthly key metrics to identify trends and areas of focus
- Implement action plans and work with direct RCM Manager to develop next steps, document processes and outcomes as appropriate
- Address issues and ensure claims are submitted clean and in a timely manner
- Resolve complex claim submission and payor issues across practices and escalate to management as needed
- Maintain knowledge of, and ensure compliance with, state and federal laws and regulations for Medicare, Medicaid, managed care and other third party payors
- Maintain current knowledge of billing and coding requirements, including payor claim requirements and potential coding issues
- Contribute to the design, implementation, and management of process improvements and performance outcomes
- Mentor, motivate and manage performance of teammates, including merit rewards, performance improvement plans, and disciplinary action as needed
- Uphold the Radiology core ITESA values of “Integrity, Teamwork, Excellence, Service and Accountability
DESIRED PROFESSIONAL SKILLS AND EXPERIENCE
- B.A. or B.S. in a related field preferred
- 4+ years or more of related RCM experience; or an equivalent combination of education and experience
- 1+ years of supervisory experience in a revenue cycle setting in a fast paced, high volume environment preferred
- Demonstrated knowledge across all aspects of healthcare revenue cycle functions, medical billing, CPT/ICD9/ICD10 coding, related adhoc reporting and management, with a strong knowledge of payor requirements
- Experience enrolling providers and entities with Medicare, Medicaid, and commercial payors
- Radiology revenue cycle and billing experience is preferred
- Excellent inter-personal, verbal, and written communication skills. Demonstrated competency in working in teams and ability to effectively communicate at all levels
- Advanced computer skills and proficiency in MS Office Suite including Excel and PowerPoint required;
- Demonstrated ability to successfully lead process improvement projects, and other projects as they relate to revenue cycle
- Excellent relationship building skills and aptitude for working collaboratively with cross-functional groups
- Self-starter with high degree of drive, initiative, and follow through
- Ability to supervise and train employees, to include organizing, prioritizing, and scheduling work assignments
- Ability to foster a cooperative work environment
- Teammate development and performance management skills
- Ability to use independent judgment in a multitude of different scenarios
- Ability to handle elevated issues with sensitivity
- Ability to develop, plan, and implement short-and long-range goals
Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences.
The salary range for this position is $54,000.00 - $63,000.00. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).
When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History.