Revenue Cycle Supervisor (Authorization) - NYC Staffing : Job Details

The Revenue Cycle Supervisor is responsible for day-to-day supervision of a unit that validates insurance & benefit coverage as well as obtains authorization for scheduled services as required by payer policy. The Supervisor is responsible for staff performance, productivity, and compliance with policies and regulations.

Responsibilities:

• Operations:
• Oversee daily operations of the unit to secure authorizations to ensure timely and accurate completion.
• Manage task assignment, scheduling, and offer guidance on complex authorization issues.
• Make process improvement recommendations to the authorization procedures as appropriate.
• Ensure that the priority matrix for work is adhered to, and ensure patient care is not delayed due to authorization barriers.
• Monitor workqueue inventory for accuracy and efficiency.
• Coordinates staff resources to support workqueue activities in accordance with operating protocols, regulations, and revenue cycle best practices to achieve maximized efficiency.
• Works with Specialists to address escalated issues and problems, determine resolution, and track accordingly.
• Perform approved quality and audit control measures on a regular basis.
• Ensures policies and procedures are understood and adhered to by staff.
• Completes all Authorization unit documentation and reporting in accordance with established and/or required schedules.
• Serves as the subject matter expert responsible for troubleshooting authorization.
• Works on high complexity or sensitive accounts and/or cases as directed.
• Strategic:
• Work collaboratively with clinical departments and revenue cycle partners to establish effective communications to further the efficiency of the revenue cycle process and related strategic plans.
• Develop and maintain a good, productive, and collaborative relationship with departmental management and representatives.
• People:
• Promotes staff professionalism and performance with coaching, training, and feedback.
• Assist the unit manager with staff performance evaluations.
• Under the direction of management, takes corrective action with staff in accordance with institutional HR guidelines.
• Supports training initiatives as directed by the Manager including conducting group training, coaching sessions, and individual training support.
• Monitor and track daily attendance for staff.
• Maintain attendance records.
• Works with the manager to address any issues.
• Compliance and Other:
• Performs other revenue cycle tasks as assigned by management as a member of a large central business office.
• Represents the FPO on committees, task forces, and work groups as assigned.
• Conforms to all applicable HIPAA, Billing Compliance and safety policies and guidelines.
• While this position is primarily remote, candidates must be in a Columbia University-approved telework state. There may be occasional requirements to visit the office for meetings or other business needs.

Minimum Qualifications:

• Requires a bachelors degree or equivalent in education and experience.
• Minimum of 3 years relevant experience in a Healthcare facility or doctors billing office environment.
• Demonstrated skills in problem assessment, resolution, and collaborative problem solving in complex and interdisciplinary settings, including strong proficiency in healthcare and payer guidelines as they pertain to authorizations.
• Ability to work collaboratively with a culturally diverse staff and patient/family population, strong customer service skills, demonstrating tact and sensitivity in stressful situations.
• Ability to work independently and follow through, and handle multiple tasks simultaneously.
• Excellent verbal and written communication skills.
• Intermediate level proficiency of Microsoft Office (Word & Excel) or similar software is required, and an ability and willingness to learn new systems and programs.
• Must be a motivated individual with a positive and exceptional work ethic.
• Demonstrated proficiency in the health insurance authorization process as it pertains to insurance and managed care reimbursement concepts and overall operational impact.
• Must successfully complete systems training requirements.

Preferred Qualifications:

• At least one year of direct supervisory experience is preferred.
• Knowledge of Epic and GE/IDX billing systems is preferred.
• Managed care industry experience is preferred.

Other Requirements:

• Patient Facing Competencies:
• Accountability & Self-Management Level 3 - Intermediate
• Adaptability to Change & Learning Agility Level 2 - Basic
• Communication Level 2 - Basic
• Customer Service & Patient Centered Level 3 - Intermediate
• Emotional Intelligence Level 2 - Basic
• Problem Solving & Decision Making Level 3 - Intermediate
• Productivity & Time Management Level 3 - Intermediate
• Teamwork & Collaboration Level 2 - Basic
• Quality, Patient & Workplace Safety Level 3 - Intermediate
• Leadership Competencies:
• Performance Management Level 2 - Basic

Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.