Supervisor, Patient Care Services
Supervisor, Patient Care Services
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Job Description
Job Description:
At Enovis we pay attention to the details. We embrace collaboration with our partners and patients and take pride in the pursuit of scientific excellence with the goal of transforming medical technology as we know it.
Because thats how we change the lives of patients for the better. And thats how we create better together. Why work at Enovis See for yourself.
As a key member of the Field Services Team you will play an integral part in helping Enovis drive the medical technology industry forward through transforming patient care and creating better patient outcomes.
Job Title:
Supervisor Patient Care Service
Reports To:
Manager Revenue Cycle Management
Location:
Lewisville Texas
Business Unit:
Revenue Cycle Management
Role Summary:
Are you a motivated leader with a passion for operational excellence and team development We are looking for a dedicated and detail-oriented professional to join us as a Supervisor Patient Care Service (PCS) in Lewisville Texas.
In this vital role youll lead a team of PCS Representatives supporting the Revenue Cycle Management (RCM) team. This is an exciting opportunity to work behind the scenes in a dynamic fast-paced environmentdriving performance ensuring billing accuracy and collaborating with cross-functional teams to deliver exceptional service and patient satisfaction. Join a mission-driven organization thats transforming orthopedic care through innovation and teamwork.
Key Responsibilities:
The following are the primary duties and responsibilities of this role. Other related duties may be assigned to meet the business need.
Monitors quality and timeliness of outputs of the team and drives a culture of accountability.
Reviews incoming volumes and assigns appropriate staffing levels need to achieve KPIs.
Collaborates and partners with cross functional teams ensure Enovis is seen as the premier reimbursement partner to physicians and internal Sales Teams.
Drives execution and teams to achieve defined KPIs and metrics to decrease cycle time increase revenue reduce processing errors maximize payor and patient cash collections and control bad debt.
Conducts business meetings with key stakeholders (DPs Sales Reps and FSRs) to advise on business trends and opportunities.
Actively reviews processes workflows and technology to propose opportunities for improvement and eliminate redundancy.
Identifies adopts and shares best practices with RCM Leadership.
Works closely with internal stakeholders to ensure payor requirements are met.
Builds and maintains professional relationships with Sales Team(s) across all regions.
Pursues supporting documentation from Sales Team to ensure all required documents are received prior to invoicing.
Reviews prescriptions Letters of Medical Necessity and/or Chart Notes to ensure both completeness and accuracy.
Currently Enovis does not provide sponsorship for employment visas (e.g. H-1B) and will not offer such sponsorship in the future. Applicants must already have full-time work authorization in the United States both now and in the future without requiring sponsorship.
Minimum Basic Qualifications:
Minimum of 4 years of experience in RCM in or a related field equivalent required.
Knowledge of healthcare industry payer relations and functional compliance regulations and standards required.
Experience with complex claims processing and/or auditing experience in the health insurance industry or medical health care delivery system required.
Demonstrated experience leading teams particularly remote teams and/or teams spanning multiple locations required.
Previous experience managing people strongly preferred.
Knowledge of standard coding and reference materials used in a claim setting required.
Knowledge of health care benefit structures and insurance procedures required.
Knowledge of CMS requirements regarding claims processing specifically DMEPOS claim processing rules and regulations required.
Proficiency in processing/auditing claims for Medicare Medicaid and commercial plans required.
Understanding of business strategies and drivers particularly in a sales organization.
Must speak English fluently.
Desired Qualifications:
Experience with OnBase is strongly preferred.
Experience using Dataworks Computers Unlimited TIMS or similar billing/case management software strongly preferred.
Bilingual in English and Spanish strongly preferred.
Experience with Durable Medical Equipment (DME) or Orthotics reimbursement processing strongly preferred.
Travel
Must be able to travel up to 5% of the time; both domestic and international travel may be required.
Typical work-related travel assignments range 1-3 days and as such overnight out-of-town stays may be required.
Work Environment Physical Demands:
Typical office environment.
Physical Demands: May occasionally lift up to 10 pounds. Routinely uses standard office equipment such as computers keyboard phone print. Required to talk and hear. Must be able to sit and stand for extended periods of time and use hands and fingers to handle or feel and to manipulate keys on a keyboard and operate portable input devices (e.g. smart phone mouse). May occasionally reach with hands and arms. Must have the ability to look at a computer screen for extended periods of time.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Creating better together. Its the Enovis purpose and its what drives us and empowers us every day on a global scale. We know that the power to create better for our customers our team members and our shareholders begins with having the best team pursuing common goals operating at the highest levels and delivering extraordinary outcomes.
What does creating better together mean to us at Enovis Discover the why behind our purpose values and behaviors:
Our Enovis Purpose Values and Behaviors on Vimeo
We offer a comprehensive benefits package which includes:
Medical Insurance
Dental Insurance
Vision Insurance
Spending and Savings Accounts
401(k) Plan
Vacation Sick Leave and Holidays
Income Protection Plans
Discounted Insurance Rates
Legal Services
#LI-RC2
ABOUT ENOVIS
Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement global talent and innovation the Companys extensive range of products services and integrated technologies fuels active lifestyles in orthopedics and more information about Enovis please visit .
EOE AA M/F/VET/Disability Statement
All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of race religion color national origin sex protected veteran status disability or any other basis protected by federal state or local laws.
Required Experience:
Manager
Employment Type
Full-Time
