Reimbursement Supervisor - Ophthalmology Insurance/Auth

UT Southwestern Medical Center • Dallas, TX

1d

About The Position

The Reimbursement Supervisor in Ophthalmology works under limited supervision to be responsible for providing assistance and training to staff on coding, compliance, and billing issues, maintaining proper coding and compliance procedures for division, and supervising daily operations of departmental billing.

Requirements

• High School Diploma or GED
• 7 years of experience in physician practice plan, healthcare, or medical insurance environment to include
• 2 years of supervisory (either direct or indirect) experience, and previous exposure to hospital or physician billing

Nice To Haves

• (CPC) CERT PROFESSIONAL CODER Certified Professional Coder (CPC) Upon Hire or
• (CCS) CERT CODING SPECIALIST Certified Coding Specialist (CCS) Upon Hire or
• Advanced Records Technician (ART) Upon Hire or
• (RRA) REGISTERED RECORDS ADMIN Registered Records Administrator (RRA) Upon Hire

Responsibilities

• Oversee department insurance verification/procedure authorization work queues to ensure department metrics are met
• Maintains department productivity standards
• Lead training sessions for direct reports, clinic staff employees and supervisors on fundamentals of Insurance Verification, payer updates, provider credentialing status, and workflow updates.
• Training sessions to include 1:1, CSA group training, in-person/Teams.
• Oversees staff development, such as continuing education and cross training.
• Develops training based on clinic staff practice needs.
• Ensuring insurance verification/authorization resources are continuously updated
• Train and act as a resource to clinic-based CSA dedicated to support the clinic in insurance/authorization/referral related issues.
• Collaborate with CSA Supervisors to guide this staff member in supporting the clinic.
• Create and maintains in-office/outpatient sx/procedure trackers, copay assistance patient trackers
• Retrieving and distributing foundation payments for in-office injections
• Coach staff on strategies to improve efficiency and performance to improve patient satisfaction
• Works with assigned staff on Productivity numbers, tracking, etc.
• Assist in the development and implementation of policies/SOPs
• On-boards and trains new employees
• Demonstrates ongoing competency skills including above level problem solving skills and decision-making abilities
• Promotes team engagement
• Manage team / staff schedules to ensure appropriate coverage.
• Distribute workload among the team, re-evaluating periodically.
• Thorough documentation of staff education, 1 on 1 communications, etc.
• Periodic shadowing, review of workflows and processes to identify opportunities for improvement and update SOPs as needed.
• Manage timecards and time off requests for assigned staff in partnership with other Supervisors and Manager to ensure proper coverage and plan.
• Guide team on proper approaches (verification, authorizations, referrals, Epic processes, denial follow up, charge entry, and other processes).
• Work with staff to establish goals, complete staff evaluations and complete quality control activities; develops and/or approves schedules, priorities, and standards for achieving goals.
• Work catch-up projects, help cover staff absences, etc., when needed.
• Ensuring projects relating to insurance verification/procedure authorizations are completed on time and changes are implemented appropriately
• Performs other duties as assigned

Benefits

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100%25 coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED