Supervisor Insurance Verification Authorization - Revenue Cycle

UTHealth Houston Job Opportunity

What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in.

Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus:

• 100% paid medical premiums for our full-time employees
• Generous time off (holidays, preventative leave day, both vacation and sick time all of which equates to around 37-38 days per year)
• The longer you stay, the more vacation you'll accrue!
• Longevity Pay (Monthly payments after two years of service)
• Build your future with our awesome retirement/pension plan!

We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as...

• Free financial and legal counseling
• Free mental health counseling services
• Gym membership discounts and access to wellness programs
• Other employee discounts including entertainment, car rentals, cell phones, etc.
• Resources for child and elder care
• Plus many more!

Position Summary:

Responsible for the pre-arrival/authorization process for assigned departments, and oversees and ensures the accuracy of data submitted to payors, completeness of insurance claims, and compliance with federal and state rules and regulations applicable to professional billing collections.

Position Key Accountabilities:

• Performs audit denial review to ensure internal policies and procedures are followed.
• Ensures compliance with federal and state regulations, and that commercial payer guidelines are followed.
• Provides day-to-day oversight and supervision of assigned staff.
• Sets performance goals for assigned staff, monitors their work performance and attendance.
• Provides coaching to assigned staff and conducts weekly team meetings.
• Ensures that the staff is adequately trained to meet work volumes and identifies deficiencies to ensure employees receive additional training as necessary.
• Promotes, and maintains, positive relationships with both internal and external customers.
• Maintains confidentiality, in accordance with HIPAA regulations and University policy, with patients and commercial insurance carriers regarding sensitive data and financial affairs.
• Identifies and assesses relevant regulatory changes to ensure policies and procedures remain compliant with federal and state law.
• Manages Human Resources activities of department in regards to: recruiting and selection, hiring and termination, training, professional development, mentoring, counseling, performance evaluations, and salary planning.
• Performs other duties as assigned.

Certification/Skills:

• None

Minimum Education:

Associate's Degree in Business or equivalent required May substitute required education with equivalent years of experience beyond the minimum experience requirement.

Minimum Experience:

3 years of experience working with various insurance companies, and extensive knowledge of billing and collections for various types of commercial and governmental plans required

2 years of experience in Patient Access or Revenue Cycle operations preferred

1 year of experience in a leadership role preferred

Physical Requirements:

Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.

Security Sensitive:

This position is a security-sensitive position pursuant to Texas Education Code 51.215 and Texas Government Code 411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code 117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R. 791.4.

Residency Requirement:

Employees must permanently reside and work in the State of Texas.