The Denials Supervisor will be responsible for training, assisting with questions, mentoring, allocating denial inventory and escalating accounts for next steps based on the type of denial and protocol for the denial type.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.
1) Education / Training: High School Diploma
2) Work Experience:
Relative work experience in a health care based setting preferred.
Knowledge of Revenue cycle structure and process.
3) Certification, Licensure, Registration: HFMA Certified Revenue Cycle Specialist certification within 6 months (preferred)
4) Other Qualifications:
a) Must be detail oriented and must possess excellent time management and organizational skills.
b) Strong verbal and written communication skills.
c) Proficiency in Excel, Word, PowerPoint and Access is necessary
d) Requires critical thinking skills, problem solving, decisive judgment, ability to work with minimal supervision and must possess excellent time management and organizational skills. Must be able to work in a stressful environment and take appropriate action.
e) PC skills – demonstrated proficiency in Microsoft Office applications and others as requires.
f ) Policies and Procedures – demonstrates knowledge and understanding of organizational policies, procedures and systems.
g) Basic skills – able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately.
h) Technology skills – requires knowledge of computer systems, operating systems, networks and common software packages available to support database and spreadsheet applications. General knowledge of relevant system support and troubleshooting.
i) Customer orientation – established and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations