Job Information
Jennie Stuart Medical Center, Inc. Managed Care Supervisor -Full Time in Hopkinsville, Kentucky
Oversees the output and quality of all managed care functions. This position manages and monitors the performance of all managed care staff, This individual will also work interdependently with other revenue cycle departments.
Organizational Expectations
Provides a positive and professional representation of the organization
Promotes culture of safety for patients and employees through proper identification, reporting, documentation, and prevention.
Maintains competency and knowledge of current standards of practice, trends, and developments in related scope of job role or practice.
Participates in ongoing quality improvement activities.
Maintains compliance with organization’s policies, as well as established practices, protocols, and procedures of the position, department, and applicable professional standards.
Complies with organizational and regulatory policies for handling confidential patient information.
Demonstrates excellent customer service through his/her attitude and actions, consistent with the standards contained in the Vision, Mission, and Values of the organization.
Adheres to professional standards, hospital policies and procedures, federal, state, and local requirements, and TJC standards and/or standards from other accrediting bodies.
ESSENTIAL FUNCTIONS
Tracks and follows up on provider onboarding processes
Supervises managed care staff in the completion of all essential functions. Submits timesheets and employee evaluations for managed care staff.
Monitors quality and productivity levels for both individual staff members and the team as a whole
Performs ongoing database maintenance for accuracy and completeness
Safeguards the integrity of privileged information and credential files in a professional, sensitive manner
Identifies and re-trains underperforming staff members as needed
Measures and compares key performance indicators; helps plan initiatives to increase performance as needed
Ensures timely communication of issues and their resolution to relevant parties
Screens potential job candidates and leads the orientation and training process for newly hired staff
Analyzes data and prepares reports on collections performance, governmental and commercial payer reimbursement, etc. as required and/or requested
Stays informed on current payer contracts, rules, regulation changes, and other sources of impact and informs revenue cycle team of any changes
Serves as a resource for staff/patient questions
Troubleshoots and resolves any technological or process issues encountered throughout daily activities
Regularly reports on any areas for improvement identified within business office procedures and enacts any upper-level recommendations quickly
Manages Financial Assistance Policy and related policies for Jennie Stuart Medical Center
Responsible for various Revenue Cycle regulatory compliance functions
NONESSENTIAL FUNCTIONS
Other duties as assigned
Required Skills Required Skills
Demonstrates understanding of all business functions and practices of revenue cycle
Familiarity with business and medical terminology, billing codes and coding systems
Strong organizational and multi-tasking skills to apply toward high -priority assignments in order to meet established deadlines
Detail-oriented
Excellent interpersonal communication skills, especially in potentially sensitive/difficult situations
Ability to work as part of a team and independently
Required Experience Minimum Education
Bachelor’s degree required; business and computer classes preferred.
Minimum Work Experience
2-5 years managed care or related healthcare experience required.