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Family & Children's Services · 4 days ago

Benefits and Eligibility Supervisor

Tulsa, OK

Full-time

Onsite

Senior Level

5+ years exp

Family & Children's Services is seeking a Benefits and Eligibility Supervisor to oversee patient billing processes within the Revenue Cycle. This role involves supervising team members, ensuring accurate financial eligibility verification, and collaborating with various departments to enhance operational efficiency.

Health CareSocial AssistanceSocial ImpactWellness

Growth Opportunities

Responsibilities

Supervise, coach and evaluate Benefits and Eligibility Representatives, including performance reviews, productivity monitoring, and skill development

Oversee daily workflow assignments ensuring tasks are completed within agency turnaround standards

Assist in the validation of automation/scrape processes and provide assistance to resolve system errors in collaboration with the Financial Eligibility Manager, IT, Business Intelligence, and automation vendors

Maintain and routinely audit various reports, to include the ’48-hour/Financial Eligibility Reporting’ to ensure completeness and accuracy within targeted timelines

Serve as a Subject-Matter Expert and escalation point for high-priority/walk-in clients Financial Eligibility matters, including Medicaid Enrollment, to ensure timely resolution for client’s treatment appointments

Conduct regular audits of Eligibility work to ensure data accuracy and integrity, compliance with Payer Rules, and documentation completeness

Collaborate with Revenue Cycle Leadership to assist in the development of documented workflows and processes

Partner with the Financial Eligibility Manager to onboard and train new hires on the Benefits and Eligibility Team

Coordinate departmental meetings and training sessions to support continuous improvement

Assist in the monitoring of Benefits and Eligibility Team Productivity/Quality Assurance Metrics

Other duties as assigned and deemed necessary

Know, understand, incorporate, and demonstrates the FCS Mission, Vision, and Values in behaviors, practices and decisions

Work with Revenue Cycle leadership to ensure understanding of Payer contracts, application of contract terms and ensure alignment with processes

Monitor all Medicare and Medicaid websites, other Payer websites and newsletters regarding medical policies and changes impacting charging, compliance, coding and billing. Partner with RCM leadership to apply updates and ensure compliance and revenue optimization

At the direction of the Financial Eligibility Manager and Reimbursement Director, partner and assist Revenue Cycle leaders to formally assess the developmental needs of the department on a periodic basis and promote opportunities for development

Assist in the development and maintenance of dashboards, reports, and KPIs to monitor revenue cycle health

Collaborate with RCM leaders to reduce denials, enhance collections, and streamline workflows

Ensure work assignments are performed and supported to achieve departmental goals and outcomes

Qualification

Financial EligibilityInsurance VerificationMedicaid EnrollmentEHR BillingHealthcare ExperienceAnalytical SkillsCustomer ServiceOrganizational SkillsLeadership SkillsCommunication Skills