Supv. Business Services – Managed Care

Job Summary:
The Supervisor of Business Services oversees the processes productivity and daily operations within their assigned area. Responsible for employee performance management including recruitment hiring and employee retention. Creates schedules facilitates department meetings and identifies and coordinates training. Monitors productivity and quality and ensures adherence to departmental and hospital policies. Tracks financial and performance metrics to identify trends and opportunities for improvement. Acts as an escalation point for issues that arise. Performs other duties as assigned. Job Knowledge Skills and Competencies

Job Responsibilities:
--Customer Service:
-A continuing focus on the needs and requirements of customers and clients anticipating their needs remaining sensitive to customers while performing services for them responsive to customer needs.
--Diversity:
-Able to demonstrate the knowledge and practice of Diversity in the workplace.
-Able to work with a diverse group of people in a manner that enables them to reach their full potential in pursuit of organizational objectives without anyone being advantaged or disadvantaged by irrelevant considerations.

Equipment Knowledge:
-Knowledge of equipment tools technology and other devices in work area and the ability to use them to the extent required for the job.
-For clinical equipment this is demonstrated by unit based competency testing.

Interpersonal Skills:
-Listens to and understands what others are saying.
-Establishes effective working relationships with others contributing to a climate of mutual respect and cooperation.
-Uses vocabulary and grammar appropriate to the situation.
-Demonstrates sensitivity and tact understanding own effect on the motivation attitudes and actions of others.
-Makes favorable first impressions.

Job Knowledge:
-The knowledge and understanding of concepts and procedures needed to be successful in the job.
-For clinical positions this includes clinical procedures required by department and unit as demonstrated by unit based competency testing.

TRUST & ACCOUNTABILITY:
-Demonstrates honest and ethical behavior.
-Takes responsibility for both words and actions.
-Acts with integrity.
-Maintains patient confidentiality.
--BUSINESS ACUMEN:
-Uses resources equipment and finances appropriately.
-Demonstrates the functional and technical skills to do the job effectively.
-Willing and actively shares his/her knowledge with others.
-Accepts changes and adapts to new situations and responsibilities.
--CUSTOMER SATISFACTION:
-Delivers superior customer service consistent with the hospial Experience.
-Displays a professional image.
-Demonstrates tact diplomacy and understanding when dealing with difficult situations.
-Listens and asks questions to understand patient and customer needs.
-Builds relationships with internal customers and employees.
-Admits mistakes and takes service recovery to steps to ensure any issues or problems are quickly addressed.
-Ensures that all information and services provided are safe accurate and available in a timely manner and meet regulatory requirements.

Required Skills & Experience:
-Three (3) years of experience in hospital Revenue Cycle.
-Three (3) years of experience in hospital AR management and Medicare and medi-Cal PPO/HMO claim adjudications.
-Experience in all phases of billing and working knowledge of federal and state regulations and requirements related to government billing.
-Oral/Written Communication.
-Ability to speak and write effectively demonstrates fundamental command of language communicates well using all mediums.

Preferred Skills & Experience:
-Two (2) years of supervisory experience.

Required Education:
-High school diploma or equivalent.

Required Certifications & Licensure:
-HMG Primary Care Clin Ops Mgmt: License Vocation Nurse (LVN).
OR
-Registered Nurse or Not Credentialed.

Preferred Certifications & Licensure:
-Registered Health Information Administrator (RHIA).
-Registered Health Information Technician (RHIT) certifications.