Revenue Cycle Supervisor
: Job Details :

Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services. We are recruiting for the following position(s):Sea Mar is a mandatory COVID-19 and flu vaccine organizationRevenue Cycle Supervisor - Posting #27064Hourly Rate: $33.65Position Summary:Sea Mar's Billing department in Federal Way, WA is seeking a full-time Revenue Cycle Supervisor. Sea Mar is a non-profit federally-qualified health center providing health and social services across western Washington.This Position is responsible for managing special business office projects and assisting the Revenue Cycle Manager in supervising the day-to-day operations of the Central Business Office (CBO). This position requires a comprehensive understanding of accounts receivable management in a healthcare setting. This position requires strong working knowledge of managed care plans, insurance carriers, referrals and precertification procedures. Also required is a strong working knowledge of CPT, ICD-9, ICD-10, HCPCS, modifiers, coding and documentation guidelines. Strong customer service, organizational and communication skills are essential to this position. In addition, strict adherence to write-off policies, refund policies and other accounts receivable policies as outlined in the Procedure Manual is required. This position requires an ability to prioritize multiple tasks simultaneously in an occasionally stressful environment. Also required are general computer skills, typing skills and a working knowledge of Medicare Compliance, OSHA and HIPAA.Essential Duties and Responsibilities (this is not a complete list):

• Assists the Revenue Cycle Manager and the Director of Revenue Cycle in driving process improvement initiatives related to front-end revenue cycle functions
• Assists the Revenue Cycle Manager in supervising all day-to-day operations and functions of the Central Business Office (CBO) including but not limited to posting charges, resolving failed claims and rejections, posting payments and adjustments, timely processing of secondary insurance, processing denials, bi-monthly rebills, following up with insurance companies on accounts not paid, customer service phone calls, resolving patient complaints, and collections of private past due accounts
• Leads CBO special projects and tracks and reports out to the Director of Revenue Cycle: baselines, timelines, key performance indicators (KPI's), and operational and financial results
• Designs, monitors and improves CBO workflows
• Monitors charge capture activities including but not limited to electronic charges and paper encounter forms to ensure timely and accurate reimbursement for services billed in Medical, Dental and Behavioral Health. Actively monitors held claims ensuring only appropriate holds are in place and quickly resolved and released for timely claim submissions.
• Monitors and improves payment posting activities to ensure timely and accurate posting of payments, adjustments, and balance transfers based off electronic fund transfers (EFTs), electronic remittance advices (ERAs), paper payment batches and explanation of benefit (EOBs)
• Manages an effective denial management program ensuring claims are corrected accurately and timely before timely filing deadlines. Identifies and resolves trends, training opportunities, and system set-up issues causing denied claims
• Analyzes monthly appeals reports, tracking work effort to ensure effective collection activity on a regular basis; Reviews EOBs as needed to determine/address payer problems. Coordinates efforts regarding authorization issues
• Processes accurately and timely patient and insurance credit balances and sends check requests to management for approval
• Holds department accountable for the highest level of customer service when working with patients over the phone and assists in resolving patient concerns when complaints are made over the phone or on the website

Education and/or Qualifications:

• Bachelor's degree in a healthcare or business or related field.
• Working knowledge of CPT and ICD-9/ICD-10 codes. Experience working with Medicare, Medicaid, Washington State DSHS, Labor & Industry, and commercial carriers.
• Minimum of three years of related work experience in healthcare billing, accounting or finance.
• Work experience beyond three years may be substituted for education on a year for year basis.
• Minimum of three years supervisory experience in healthcare.
• Current certified coder certificate from AAPC or AHIMA, preferred (not required)
• Proficient in personal computer applications, spreadsheet applications, and word processing
• Experience working with HCFA and UB-92s. Ensure compliance with Federal and State regulations concerning medical billing.
• Work independently, exercise good judgment, and maintain confidentiality
• English required; English/Spanish is a plus

What We Offer:Sea Mar offers talented and motivated people the opportunity to work in a dynamic and growing community health organization. Working at Sea Mar Community Health Centers is more than just a job, it's a fulfilling career with opportunity for advancement. The fringe benefits surpass most companies. For example, Full-time employees working 30 hours more, receive an excellent benefit package of Medical, Dental, Vision, Life Insurance, Prescription coverage, Long Term Disability, EAP (Employee Assistance Program), paid-time-off starting at 27 days per year + 10 paid Holidays. We also offer 401(k)/Retirement options and an exciting opportunity to work in a culturally diverse environment. How to Apply:To apply for this position, complete the online application and click SUBMIT or APPLY NOW. If you have any questions regarding the position, email Aaron Palmer, Director of Revenue Cycle at [email protected]gSea Mar is an Equal Opportunity EmployerPosted on 11/4/2024Please visit our website to learn more about us at www.seamarchc.org. Follow us on Facebook, Twitter, and Instagram.