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Claims Integrity Supervisor
Burr Ridge, IL

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Direct Hire

$70,000 - $80,000 / yr


 

Our client is an $80 million plus growing powerhouse in the cancer treatment realm. They are seeking a full time salaried Claims Integrity Supervisor due to amazing growth.

 This position offers a unique opportunity to contribute to a mission driven organization dedicated to providing exceptional patient care.  We offer:

 

*HYBRID work schedule:  One day a week @ home, 4 days @ our state of the art Burr Ridge office.

*Industry leading vacation/sick time PTO offering work/life balance

  * 401(k) with matching

  * Medical , Dental, and Vision  insurance w/low EE co pays. 

  *Flexible spending and Health Savings Accounts available.

 

Role Overview:

The Claims Integrity Supervisor will oversee and mentor 13+ employees within the 39 member team, split into East and West regions.

A significant portion of this role involves understanding the revenue cycle from initial patient encounter, billing, insurance reimbursement, to final payouts.

 

Primary Responsibilities:

 

1. Team Management and Development:

   * Finding coverage or aiding staff in their workload.

   * Evaluating team performance through individual audits and providing feedback to the Senior Claims Integrity Manager.

   * Working with the Lead Team Trainer to ensure staff development and training based on audit findings.

   * Leading the team to meet individual and team goals.

   * Resolving employee issues and disputes with professionalism.

   * Providing coaching, identifying areas of improvement, and formulating solution recommendations.

   * Keeping staff informed of new or updated standards, systems, procedures, forms, and manuals through meetings and communications.

 

2. Operational Oversight:

   * Handling practice concerns related to outstanding accounts receivable

   * Assisting the department manager in overseeing offsite staff, reviewing patient accounts, and making patient calls when needed.

   * Coordinating staff schedules and approving time card submissions.

   * Monitoring and maintaining the new hire onboarding process.

   * Ensuring tasks are completed correctly and timely.

   * Addressing real time issues and barriers, providing feedback to the manager.

 

3. Claims and Appeals Management:

   * Ensuring the claims and appeals teams meet department metrics, quality, and productivity goals.

   * Collaborating with training teams to provide comprehensive staff training.

   * Identifying areas where operational efficiencies can be improved and suggesting alternative methods and procedures.

 

4. Auditing and Payer Issue Resolution:

   * Reviewing work, suggesting actions or training needs, and auditing accounts receivable.

   * Assisting with denials and teaching reps how to handle them.

   * Coordinating practice calls, follow up calls, and helping reps understand payer cycles and changes in insurance payment patterns.

   * Educating patients on coverage in coordination with patient techs, providers, and insurance companies.

 

Key Skills and Attributes:

* Strong knowledge and familiarity with the revenue cycle and insurance payers.

* Strong understanding of CPT and ICD 10 codes and documentation.

* Excellent communication, team building, and organizational skills.

* Active listening and time management skills.

* Problem solving skills and ability to remain calm under pressure.

* Servant leadership mindset with a firm grasp of company policies.

* Strong work ethic, professionalism, and a positive attitude.

 

Qualifications:

* At least 5 years of experience with 3 years in a supervisory role.

* Associate degree in health information technology, finance, or a similar field, OR 3+ years of revenue cycle billing experience.

* Experience with multiple EMR, PM, and insurance portals – Electronic Health Records (EHR) system.

*A background in a mid to large dermatology, chiropractic, or orthopedic practice with multi location experience is ideal

 

Preferred Designations:

* RHIT (Registered Health Information Technician)

* AAPC certifications such as CPC (Certified Professional Coder) and/or CPB (Certified Professional Biller)

 

 



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