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UCI Health · 3 months ago

Medicare Collections/Billing Supervisor - HB Patient Financial Services - FT Days

Anaheim, California

Full-time

Onsite

Mid Level

3+ years exp

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. The Medicare Collections/Billing Supervisor is responsible for overseeing operations, providing support and guidance to the unit, and ensuring compliance with established standards and policies. This role involves coaching staff, managing performance issues, and optimizing billing and collections processes.

Health CareHospitalMedical

Responsibilities

Overseeing operations and providing support and guidance to the unit

Providing training, addressing performance issues, managing compliance, and ensuring competency in accordance with established standards, procedures, policies, and legal requirements

Contributing to a work environment that fosters positive morale and ensures compliance

Researching and investigating issues as needed, analyzing and resolving problems and discrepancies, providing creative solutions, and recommending alternatives and initiatives to optimize performance

Working collaboratively and assisting in personnel actions and staffing and human resource matters

Assisting in the development of unit goals and objectives and on special projects as needed

Performing routine analysis of various key performance indicators, dashboards, and reports to optimize performance and maintain positive A/R disposition

Qualification

Hospital billingCollectionsCPTHCPCSICD-10 codingMedicalInsurance terminologyEPIC electronic health recordMicrosoft Office proficiencyAnalyticalReport writingLeadership experienceCustomer service skillsInterpersonal skillsDecision-making skillsTime management skillsTeam collaboration

Required

Strong working knowledge of hospital billing and collections, government, managed care, fed/state/county & self funded reimbursement

Strong technical knowledge of CPT, HCPS and ICD-10 coding, LCD, NCD, MUE, CCI, Modifiers, authorization requirements and related documentation

Strong knowledge of medical and insurance terminology, billing, and collections procedures and regulations

Strong interpersonal skills to communicate effectively and work collaboratively with all constituent groups

Strong decision-making and critical thinking skills, with the ability to analyze and evaluate complex and/or difficult problems, determine appropriate level of intervention, and develop and apply viable solutions

Resourcefulness to identify and search for information that is not readily available

Proficient in Microsoft Office and related programs (i.e. Microsoft, Excel, Outlook, PowerPoint, etc.)

Must possess the skill, knowledge and ability essential to the successful performance of assigned duties

Must demonstrate customer service skills appropriate to the job

Minimum three (3) years experience in billing and collections of Medicare, Medicare Advantage, Medi-Cal, CalOptima, FQHC, CCS, Commercial, Managed Care, and other healthcare insurance programs

Minimum one (3) year prior experience leading or overseeing a team

Minimum of four (4) years of related relevant experience in business office operations, consulting, or auditing

Knowledge of human resources management policies, with the ability to evaluate and document human resources matters and performance

High degree of professionalism to recognize the need for discretion and maintain confidentiality

Excellent written and verbal English communication skills

Demonstrated skill to convey complex information in a clear and concise manner

Demonstrated effective time management and organizational skills

Demonstrated ability to work collaboratively and maintain a calm and professional demeanor under difficult circumstances

Demonstrated ability to use sound judgment

Demonstrated ability to facilitate accurate and timely billing and collections

Bachelor's degree in related area and/or equivalent experience/training

Advanced analytical and report writing skills to effectively comprehend multiple reports and provide comprehensive assessment of data

Ability to supervise, schedule, and coordinate daily activities of subordinate staff and effectively manage multiple priorities in a fast-paced, dynamic environment

Ability to maintain a work pace appropriate to the workload

Ability to function independently and as a member of a team

Ability to establish and maintain effective working relationships across the Health System

Ability to coach, effectively motivate, and improve staff performance and provide thorough and accurate review of work performance