Credit Services Supervisor

Local Jobs Medtronic
  • United States, Northridge, CA 91325 View on Map
  • Post Date : September 16, 2020
  • Apply Before : October 16, 2020
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Job Description

Responsible for supporting PFS management team by functioning as Refunds Credit Service Supervisor. Responsible for supporting refunds /credits staff training efforts, providing technical feedback on specific work items, system usage, and policies and procedures within the department and across the organization. Answers questions from team members regarding payer, patient billing and collection processes. Resolves escalated complaints. Works in conjunction with PFS management team to identify unit priorities and realign staff and workflow as appropriate. All supervisory responsibilities will be carried out in accordance with Medtronic policies and all applicable federal and state regulations.

 Work with team lead and staff to identify recurring issues within refunds and credits

that impact Revenue Cycle for all departments

 Collaborating with PFS management as needed to suggest, develop, and implement policy and procedure changes across the Revenue Cycle to improve department functions

 Ensure compliance with federal, state, and regulatory billing and collection guidelines through the performance of regular quality reviews and providing regular updates and in-services regarding changes to all unit staff

 Mentor, support, and train employees to perform effectively, assist employees to develop to full potential

 Handle internal staff as well as internal/external customers in a professional and courteous manner both in person and over the phone

 Perform all daily tasks independently, while working as part of a team, within a demanding environment, with the ability to perform under frequent interruptions and/or distractions

REQUIRED QUALIFICATIONS:  Bachelor’s Degree from Accredited University  Five (5) plus years of work experience in a leading role with direct reports  Experience leading individuals or a team in a healthcare environment  Extensive knowledge in processing Credit and Refund invoices  Five (5) years’ experience in refunds/credits industry, accounting, insurance, healthcare returns, refunds and credits, collections, claims processing, which may include experience with government, commercial, and other third-party payers, interpreting EOBs, EOMBs, RAs and other related documents  Experience with MS Office suite (Word, Excel, Outlook), and internet and web site navigation  Knowledge of GE Centricity and SAP system

REQUIRED KNOWLEDGE:  Bachelor’s degree in Healthcare Management  Handle processing of QR’s and DRQ’s  Intermediate knowledge of payer refunds and credit regulations and compliance issues as well as knowledge of return process  Experience in interpreting EOBs, EOMBs, and RAs. Experience with ICD9, HCPCS, and CPT coding  Intermediate knowledge of insurance contracting, payer regulations, managed care and compliance, with demonstrated experience in managed Medicare and Medicaid programs.  Intermediate to advanced knowledge of and experience with basic Microsoft programs including Word, Excel and Power Point, with demonstrated ability to prepare thoughtfully organized memoranda, letters, spreadsheets, charts and graphs, and various presentations.  Demonstrated analytical skills to identify and triage issues with Accounts Receivable Management  Excellent written and verbal communication skills

PHYSICAL JOB REQUIREMENTS:  Ability to sit, wear a headset, work on the computer for extended periods of time  Ability to lift 5lb ream of paper  Ability and willingness to work flexible hours and varying daytime shifts, including after-hours support

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