Denial Management Supervisor - HB Patient Financial Services - FT Days

Denial Management Supervisor - HB Patient Financial Services - FT Days Req ID: 140949 Location: Anaheim, California Division: Medical Center Department: HB Patient Financial Services Position Type: Full Time Salary Range: USD $71,600.00 - $127,400.00 per year Your Role on the Team Position Summary: Commercial/Managed Care Collection/Denial Manager, the Commercial/Managed Care Collection/Denial Supervisor is responsible for overseeing operations and providing support and guidance to the collection unit. The role demands strong working knowledge of hospital billing and collections of Commercial, Managed Care, Federal/State/County & Self-Funded reimbursement and other programs. As a coach and mentor, provide training, address performance issues, manage compliance, and ensure competency in accordance with established standards, procedures, policies, and legal requirements. Contribute to a work environment that fosters positive morale and ensures compliance. Research and investigate issues as needed, analyze and resolve problems and discrepancies, provide creative solutions, and recommend alternatives and initiatives to optimize performance. Work collaboratively and assist in personnel actions, staffing, and human resource matters. Assist in the development of unit goals and objectives and on special projects as needed. Performs routine analysis of various key performance indicators, dashboards, and reports to optimize performance and maintain positive A/R disposition. Required Qualifications Strong working knowledge of hospital billing, managed care, federal/state/county & self-funded reimbursement Strong analytical skills to effectively comprehend multiple reports and analyze array into actionable form Strong analytical and report writing skills to effectively comprehend multiple reports and analyze array into actionable form Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties Must possess leadership skills. Must be able to identify potential problems and resolve them as needed Must possess effective time management and organization skills Must have working experience in billing and collections of Commercial, Managed Care, Medicare, Medicare Advantage, Medi-Cal, CalOptima, FQHC, and CCS, fed/state/county & self-funded reimbursement and other programs that fall under the scope of Comm/Mgd Care programs and commercial billing Must have the ability to maintain a pace appropriate to the workload Must have knowledge of DHMC, Federal and State regulatory guidelines and claims management Must have experience in using computers and related programs (Microsoft, Excel, Outlook, PowerPoint, etc.) Must demonstrate strong technical knowledge of CPT, HCPS and ICD-10 coding, LCD, NCD, MUE, CCI, Modifiers, authorization requirements and related documentation Must be able to facilitate accurate and timely billing and collections Minimum one year prior experience leading or overseeing a team Knowledge of Invision, TDS, Access, Excel, Word, HCC, and billing systems Excellent oral/written communication, judgement, and decision-making skills with ability to function independently and as a member of a team Excellent oral and written communication skills. Ability to develop summaries/reports on billing activities Excellent judgment for decision-making requirements Excellent interpersonal communication skills to communicate effectively with external contacts to include Admissions, Information Systems Management, clearing house vendors, and insurance companies Bachelor's degree and three years of related relevant experience in business office operations, consulting, or auditing; or an equivalent combination of education and experience Preferred Qualifications Prior experience with and working knowledge of EPIC electronic health record Knowledge of university and medical center organizations, policies, procedures, and forms Total Rewards We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Conditions of Employment Background Check and Live Scan Employment Misconduct* Legal Right to Work in the United States Vaccination Policies Smoking and Tobacco Policy Drug Free Environment Exercise the utmost discretion in managing sensitive information learned in the course of performing their duties. Sensitive information includes but is not limited to employee and student records, health and patient records, financial data, strategic plans, proprietary information, and any other sensitive or non-public information learned during the course and scope of employment. Understands that sensitive information should be shared on a limited basis and actively takes steps to limit access to sensitive information to individuals who have legitimate business need to know. Ensure that sensitive information is properly safeguarded. Follow all organizational policies and laws on data protection and privacy. This includes secure handling of physical and digital records and proper usage of IT systems to prevent data leaks. California Child Abuse and Neglect Reporting Act E-Verify Pre-Placement Health Evaluation Equal Opportunity Employer University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy. We are committed to attracting and retaining a diverse workforce while honoring unique experiences, perspectives, identities, and creating inclusive, equitable, welcoming work environments. Consideration for Work Authorization Sponsorship Must be able to provide proof of work authorization. #J-18808-Ljbffr University of California Irvine Health