Summary/Objective

The supervisor should provide direction and support to the payor analyst team members. They will be responsible for the daily functions of the team, including productivity, monitoring, reporting, etc.  

Essential Functions

• Oversight of the day-to-day functions of the payor analyst team.
• Submit required weekly reports regarding any productivity or project tasking.
• Utilize AR analysis tools, including the Dashboard, to monitor and report on AR issues.
• Track global issues to resolution.
• Monitor Optimix tasks, including timely completion and resolution of issues.
• Ensure internal teams are working with external teams to meet all benchmarks.
• Work in Paylocity to edit and submit timecards, as well as approve/deny PTO requests.
• Track the team’s attendance and tardiness, work through any corrective actions for attendance issues.
• Develop and monitor individual employee Performance Improvement Plans.
• Develop and update training materials.
• Address escalated office or third-party vendor concerns.
• Address staffing or office concerns with Senior Revenue Cycle Manager.
• Complete IAM forms for new hires and departed staff.
• Participate in 30-day, 60-day, 90-day, and yearly performance management and merit process. 
• On-site or remote training when applicable.
• Provide consistent feedback and support to direct reports, including a minimum of one weekly meeting with each direct report.
• Any other duties as assigned by the manager.

Competencies

• Demonstrates well developed interpersonal/communication skills necessary to interact effectively with internal and external patients/staff. 
• Requires well developed organizational skills and basic office operations to assure appropriate documentation and follow-through to meet the patient and department needs.
• Can evaluate a variety of patient situations and make timely and decisive decisions, with minimal supervision. This includes analyzing claim data to determine the next best step in the claim filing process.
• Demonstrates proficient computer skills including accurate data entry into Microsoft Office software (Outlook, Work, Excel). Along with basic proficiency of internet usage. 
• Knowledge and/or willingness to understand insurance guidelines and requirements. 
• Have a current knowledge of CPT/ICD10/HCPCS usage. 
• The ability to review documentation to obtain basic procedural and/or diagnosis codes.  

Supervisory Responsibility

Yes

Work Environment

This position is fully remote, but you must reside in one of the following states: Pennsylvania, New Jersey, Delaware

Physical Demands

The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds.

Position Type/Expected Hours of Work

Full Time / Monday – Friday

Travel

As needed

Work Authorization/Security Clearance

Must be authorized to work in the US for any employer

AAP/EEO Statement

US Digestive Health is an Equal Opportunity Employer. USDH does not discriminate based on race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided based on qualifications, merit, and business need

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

High School Diploma or GED equivalent

2+ years’ experience in medical billing