Machinify
healthcare
Supervisor,HCSSpecialtyRecovery
Neural analysis suggests this role is
optimal for Mid candidates.
“Supervisor, HCS Specialty Recovery at Machinify. Skills: Medical billing, Recovery, Medicare regulations, Supervisory experience. Monitor staff and daily recovery efforts. Drive recovery team's daily productivity”
What You'll Achieve.
Maximize financial outcomes; Drive down healthcare costs; Achieve recovery goals; Meet department expectations; Meet department deadlines and expectations
Industry & Context.
Critical thinking and problem-solving skills
Ability to work full-time and on site/ or remote as needed to meet business needs
What They're Looking For.
Must Have
High School Diploma or GED required, 3 + years of Revenue cycle or Recovery experience, 3+ years in a Healthcare claims or revenue cycle management environment, 2+ years supervisory experience in fast paced production or call center environment, Knowledge of medical claims billing and recovery, Vast knowledge in Medicare regulations, Knowledge of medical terminology, Knowledge of medical coding, Knowledge of forms UB04 and CMS 1500, Medicare procedural background, Familiarity with procedural challenge regulations, Experience in data mining, Experience in auditing, Ability to gather and interpret explanation of benefits (EOB), Ability to gather and interpret Provider feedback, Ability to manage multiple tasks and priorities to meet department deadlines and expectations, Ability to work full-time and on site/ or remote as needed to meet business needs, Ability to adapt quickly and transition effectively to changing circumstances, client requirements, assignments, and business needs, Ability to consistently performs job responsibilities, Critical thinking and problem-solving skills required
Nice to Have
Bachelor’s degree in relevant field or equivalent combination of education and experience, Some college or training in medical terminology, billing, coding, or medical billing/Coding certificate, Extensive experience with provider outreach and communication
What You'll Do.
Monitor staff and daily recovery efforts
Drive recovery team's daily productivity
Ensure team adherence to goals and SLAs
Perform program outreach
Collaborate with Management and teams
Communicate production goals to team
Set production goals with Leadership
Assist with Audit Concept development
Assist with claims review
Ensure assigned areas are staffed appropriately
Assist in development and revision of training materials
Contribute to development or enhancement of operational and recovery procedures
Advise Leadership of operational training gaps
Advise Leadership of staff development issues
Perform other duties as assigned
How You'll Work.
Team & Collaboration
Effectively collaborates with Management and teams; Interpersonal skills that lead to positive interactions with staff, peers, leadership, and stakeholders; Demonstrated ability to assist in conflict resolution; Ability to lead group activities and discussions that result in effective knowledge transfer, development and or desired business outcome
Communication Scope
Communication skills, both verbal and written are required; Assist recovery agents with escalated Provider and Network communications
Full Job Description
Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs. The Healthcare Specialty Recovery Supervisor is a highly skilled, talented medical billing, revenue specialist with a strong knowledge of medical claims billing and recovery. Must have a vast knowledge in Medicare regulations, medical terminology, medical coding, forms UB04 and CMS 1500. Strong Medicare procedural background, familiarity with procedural challenge regulations. Experience in data mining, auditing, and concept development; the ability to gather and interpret explanation of benefits (EOB) and Provider feedback to answer questions and assist recovery teams with Provider and Network communications. They will play a key role in continual improvement of recovery processes, procedures, and staff development. They will leverage their expertise in Medical billing, recovery, and data mining with knowledge in Medicare rules and regulations. Paired with leadership experience and adaptability to support team functions to make a positive impact in the growth of our overall recovery operations. Key Responsibilities Monitoring staff and daily recovery efforts. Responsible for driving recovery team’s daily productivity, ensuring team is adhering to goals and SLAs. Program outreach as required, working with Providers and Networks as needed at the request of team members and Management. Effectively collaborates with Management and teams to ensure departmental needs are met
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