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Supervisor- Payor Audit/Remote

Remote:

Full Remote

Experience:

Mid-level (2-5 years)

Work from:

New York (USA), United States

Offer summary

Qualifications:

Associates degree in nursing or business administration, 3 years experience in healthcare-related field, 1 year leadership or consultative experience, Knowledge of third-party payers billing regulations preferred.

Key responsabilities:

Implement operational processes for audits
Monitor productivity and manage personnel

Henry Ford Health XLarge https://www.henryford.com/

10001 Employees

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Job description

General Summary

The Supervisor of Payor Audit is tasked with implementing system-wide improvements and new operational processes to ensure optimal and compliant external audit denial and appeal strategies. Under minimal supervision from the Manager, the Supervisor is responsible for monitoring productivity and ensuring the day-to-day tasks are completed in a timely fashion. Responsibilities include personnel management, communication with key stakeholders (both within the centralized unit and local sites), dashboard and reporting development, and working closely with leadership to drive progress toward system goals. This position requires strong interpersonal and communication skills and well-developed analytic and organizational skills and must be able to work effectively with leaders at all levels of the organization. Flexibility, innovation, and creativity are necessary characteristics of the successful candidate. Expectation is to learn and apply new continuous improvement methodologies, and to spread successful innovation throughout the institution.

Education/Experience Required

Associates degree in nursing or business administration and three (3) years' experience in healthcare-related field. OR Four (4) years of related experience, of which at least one (1) year is leadership and/or consultative experience.
Strong leadership/mentoring skills applicable to both inter-departmental staff and multi-disciplinary teams.
Knowledge of Medicare, Medicaid, Blue Cross and other third-party payers billing and reimbursement regulations/policies, preferred.
Demonstrates fluency in healthcare financial management and revenue cycle management best practices.
Exceptional detail orientation and project management skills; ability to estimate time frames and meet projected deadlines; ability to manage large, complex, simultaneous assignments with potentially conflicting priorities and deadlines.
Excellent communicator & able to express complex ideas clearly and effectively to a varied audience, including the ability to teach complex technical/analytical concepts to System leadership, management, and staff.
Foundational knowledge of analytical/technical, facilitative, and process improvement knowledge.
Strong Microsoft Office skills, particularly Excel.

Additional Information