Operations Supervisor (RCM Front-end)
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Job Location:
Taguig - Philippines
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
POSITION SUMMARY
The Operations Supervisor is responsible for overseeing the operations of the team ensuring compliance with payer guidelines and managing staff. This role focuses on optimizing workflows training team members and ensuring the department meets performance standards.
ESSENTIAL FUNCTIONS
Supervises and supports the team members and specialists.
Develops and implements departmental policies and procedures to ensure operational efficiency.
Oversees staff performance conducting regular performance reviews and providing feedback.
Ensures compliance with payer guidelines and regulatory requirements.
Collaborates with other departments such as billing and clinical services to address issues and optimize workflows.
Handles escalated issues appeals and disputes related to Revenue Cycle Management.
Monitors and audits team performance and ensures that accounts are processed in a timely manner.
Trains and onboards new team members assuring they have all resources needed to be successful in their roles.
Manages escalated issues and work with payers and providers to resolve complex cases.
Ensures team compliance with internal policies and payer regulations.
Leads process improvement efforts to enhance process workflows.
Serves as a point of contact for escalated issues.
Assists in reviewing insurance policies to ensure compliance with payer requirements.
Coordinates with healthcare providers and insurance companies to resolve discrepancies.
Ensures timely submission and follow-up on requests.
Maintains accurate records and documentation of all authorization activities.
Complies with HIPAA rules appropriately safeguarding PHI or other private & confidential information.
Maintains accurate and detailed notes in the company system.
Adapts quickly to frequent process changes and improvements.
Is reliable engaged and provides feedback to improve processes and policies.
Attends all department team and weekly company meetings as required.
Meets company quality standards.
Embraces and exemplifies Cardinal Health core values:
Invites Curiosity Builds Partnerships Inspires Commitment Develops Self and Others
OTHER RESPONSIBILITIES
May perform any additional responsibilities or special projects as required.
Duties and responsibilities may be subject to change based upon the needs of the department.
Qualifications:
INTERNAL
Minimum 1-year tenure with CHIP required
Customer Service Management experience preferred
No failing scorecard for the past 3 months
No DA received for the past 12 monthsBachelors degree in a related field or equivalent work experience preferred
Demonstrated experience leading teams in a highvolume fastpaced customer service or healthcare operations environment
Strong analytical communication and stakeholdermanagement skills
EXTERNAL
(1) At least 2 years of college coursework or experience
(2) Knowledge in Healthcare Operations (Revenue Cycle Management front-end such as: Insurance Verification Medical Documentation and Prior Authorization) is preferred
(3) Experience in using Contact Center phone system such as NICE and/or Genesys is an advantage
(4) No Failing Scorecard for the past 6 months
(5) No active Disciplinary Actions
Candidates who are back-to-work people with disabilities without a college degree and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race religion color national origin ancestry age physical or mental disability sex sexual orientation gender identity/expression pregnancy veteran status marital status creed status with regard to public assistance genetic status or any other status protected by federal state or local law.
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Required Experience:
Manager
Key Skills
About Company
Cardinal Health improves the cost-effectiveness of healthcare. We help focus on patient care while reducing costs, enhancing efficiency and improving quality.
