Revenue Cycle Management Operations Supervisor

Overview

About TP

TP is a global, digital business services company. We deliver the most advanced, digitally powered business services to help the world’s best brands streamline their business in meaningful and sustainable ways.

With more than 500,000 inspired and passionate people speaking more than 300 languages, our global scale and local presence allow us to be a force of good in supporting our communities, our clients, and the environment.

Benefits of working with TP include:
• Paid Training
• Competitive Wages
• Full Benefits (Medical, Dental, Vision, 401k and more)
• Paid Time Off
• Employee wellness and engagement programs

TP and You

Through a balanced high-tech and high-touch approach blended with deep industry and geographic expertise, we make people's lives simpler, faster, and safer. We help companies adapt quickly to changing needs, and are inspired to deliver only the best in all that we do. You will become a key contributor in making that happen.

Did you know that our Chief Client Officer started her career at TP as an agent and advanced to the pinnacle of the company? At TP, the sky is the limit!

Purpose

Develop, implement, assess and improve day-to-day operations of inbound call centers in order to meet and exceed all aspects of client needs and requirements according to policies and procedures

This position is 100% work at home.

Responsibilities

Your Responsibilities
• RCM Specialists care for the people who care for our patients by performing Pre-Reg, Auth, AR Denials and Patient Financial Contact center functions that require superior service and attention to detail.
• Bring better care to the front lines by supporting the execution and achievement of functional areas and company goals
• Partners with internal departments to resolve issues related to all tasks and assignments supporting the business
• Point of contact for internal and external customer inquiries, which entails contacting insurance companies and/or addressing patient inquiries
• Uses software and company systems to source, obtain, process, audit and analyze standard data reporting and presenting
• Plans, organizes, and executes tasks and activities with urgency and in accordance with managers’ delegated assignments
• Responds to and resolves issues related to Auth/Pre-Reg, AR Denials, patient and billing inquiries, while seeking leadership guidance for non-routine inquiries or escalated concerns
• Providing excellent customer service to patients and insurance representatives.
• Ensures daily performance metrics are being met or exceeded, i.e., quality, service level and schedule adherence metrics
• 80% of your day will consist of coaching and educating agents on how to improve their performance
• Create an environment focusing on fun, enthusiasm and accountability
• Take initiative and show leadership by creating performance improvement plans
• Administer coaching and disciplinary action when appropriate
• Handle both internal and client led performance discussions
• Perform other related duties and assignments as required and as assigned by supervisor or other management
• Ensure all policies and procedures are adhered to including, but not limited to Security, HR, Operations, etc., and that any known infractions are communicated to the proper management immediately
• Must be able to take calls when needed.

Qualifications

Qualifications
• Call center experience managing employees in a virtual space
• Graduate/under graduate with minimum 4 years experience in denial management/AR Collection, Pre-Reg, Auth for US Healthcare process. EPIC experience is preferred.
• Knowledge of EPIC software
• Knowledge of Denial Management, Pre-Reg, Auth and PFCC
• Thorough understanding of common healthcare industry terminology, practices and procedures regarding billing and reimbursement
• General knowledge of how Government/Commercial payers reimburse
• Excellent oral and written communication skills
• Ability to use a Windows based computer system and common business software found in Microsoft Suite (Excel, PowerPoint, Outlook etc.)
• Ability to work independently to effectively and efficiently perform assigned duties
• Ability to maintain high level of ethics, and a courteous and professional demeanor
• Ability to multi-task, establish and meet deadlines
• Accurate typing/data entry at a minimum of 40 wpm.
• Ability to work under pressure, plan, meet deadlines and be accountable for the performance of others
• Solid organizational, administrative, leadership and time management skills
• Ability to demonstrate personal ownership of tasks and follow through to obtain desired results
• Must have a keen sense of attention to detail
• Skilled in determining why and how tasks should be attempted and their effective completion
• Proven experience in overcoming unexpected difficulties and using logical problem-solving skills
• Typing speed of 25 wpm
• Excellent written and verbal communication skills consistent with North American business standards
• Must have availability to work various shifts influenced by current business needs
• High school diploma or GED required
• Excellent attendance history is required
• Must pass mandatory background checks which may include pre-screening, illegal drug tests and credit checks

Be Part of Our TP Family

It is our mission to always provide an environment where our employees feel valued, inspired, and supported, so that they can bring their best selves to work every day. We believe that when employees are happy and healthy, they are more productive, creative, and engaged. We are committed to providing a workplace that is conducive to happiness and a healthy work-life balance. We also believe that to be our best selves, we need to be surrounded by people who are positive, supportive, and challenging. We are committed to creating a culture of inclusion and diversity, where everyone feels welcome and valued.

TP is an Equal Opportunity Employer

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