Supervisor, Customer Serv Ops (Accounts Receivables and Denials Management)

POSITION SUMMARY
The Accounts Receivable Supervisor performs day-to-day AR functions in addition to supervisory and leadership duties to the AR team, with the goal of ensuring that all policies and procedures related to providing consistent, supervisor customer/patient care are adhered to, and service & production goals are met effectively and efficiently. They will work within the scope of responsibilities as dictated below with guidance and support from AR & Billing leadership teams.
ESSENTIAL FUNCTIONS
•Manages the daily/ongoing workflow of Accounts Receivable functions.
•Provides ongoing leadership and support to ensure that day-to-day service and production goals are met.
•Communicates strategic/tactical expectations for staff, reinforces values and provides vision to direct and indirect reports.
•Manages performance through positive coaching and clear direction.
•Addresses deficiencies timely and professionally.
•Partners with HR as appropriate to provide additional structure, improvement plans, or corrective actions.
•Conducts regular performance appraisals, providing constructive feedback and setting clear objectives to support professional growth and development.
•Provides meaningful goals and supports staff development through training and mentoring.
•Monitors staff schedules, deliverables, and deadlines to ensure daily coverage and assigned goals are achieved. Reviews timesheets for non-exempt staff as assigned.
•Acts as a model for core values and ethics.
•Investigates and processes insurance claims, ensuring thorough examination and accurate resolution.
•Handles claim escalations by following up diligently and ensuring proper resolution and disposition.
•Manages appeals and denials processes to maximize revenue recovery, address and reduce financial leakage, and ensure accurate and timely claim resolutions.
•Verifies patient eligibility with secondary insurance company when necessary.
•Bills supplemental insurances including all Medicaid states on paper and online.
•Develops, monitors, and analyzes key performance indicators (KPIs) to drive strategic goals, improve team performance, and ensure operational excellence.
•Manages billing queue as assigned in the appropriate system. Investigates and updates the system with all information received from secondary insurance companies.
•Ensures that all information given by representatives is accurate by cross referencing with the patient's account, followed by using honest judgement in any changes that may need to be made.
•Updates patient files for insurance information, Medicare status, and other changes as necessary or required.

Complies with HIPAA rules, appropriately safeguarding PHI or other private & other confidential information.
•Maintains accurate and detailed notes in the company system.
•Implements corrective actions and develop performance improvement plans (PIPs) to address underperformance, ensuring all team members meet established standards and goals.
•Adapts quickly to frequent process changes and improvements.
•Is reliable, engaged, and provides feedback to improve processes and policies.
•Attends all department, team, and company meetings as required.
•Appropriately routes incoming calls when necessary.
•Meets company quality standards.
•Embraces and exemplifies core values:

Invites Curiosity, Builds Partnerships, Inspires Commitment, Develops Self and Others

Qualifications:

(1) At least 2 years of college coursework or experience

(2) 2 years of Leadership experience

(3) Knowledge in Healthcare Operations specifically for Accounts Receivables and Denials Management is required

(4) Experience in using Contact Center phone system such as NICE and/or Genesys is an advantage

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.

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