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OverProvisions Supervisor in Los Angeles, CA at TeamHealth

Date Posted: 4/11/2019

Job Snapshot

Job Description

JOB DESCRIPTION OVERVIEW:

The Overprovisions Supervisor is responsible for overall management of the department. The Overprovisions Supervisor oversees the workflow, and daily activities to ensure the department meets quality and production standards and budget specifications. Monitors and reviews all credits for carriers and patient and adheres to all TeamHealth policies and time frames. The Overprovisions Supervisor is also responsible for staffing, disciplinary action, training, and enforcing adherence to established policies and procedures. The Overprovisions Supervisor is accountable for quality assurance of all functions in the department.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Manages and supervises the Overprovisions Representatives in the functions of refunding carriers and patients following HCFS and internal policies.
  • Monitors and reviews Weekly Credit Reports to ensure invoices are reviewed by policy goals.
  • Monitors and reviews Weekly Compliance reports to ensure invoices are reviewed by policy goals.
  • Reviews the posting of payments for accuracy and any applicable adjustments for overprovisions.
  • Ensures all routinely-assigned work assignments and special projects are completed in a timely manner.
  • Ensures that all time frames related to patient credits and government credits are strictly enforce and items never fall out of Team Health policy.
  • Assists Patient Accounts/Overprovisions Manager with performance evaluations, rounding and initiates appropriate disciplinary action when required.
  • Assist Patient Accounts/Overprovisions Manager with staffing and maintains adequate levels of personnel in accordance with staffing plan
  • Assist Patient Accounts/Overprovisions Manager with the MOR.
  • Provided weekly updates to the Patient Accounts/Overprovisions Manager on all department metrics.
  • Plans, organizes, directs, and monitors the assigned area(s).
  • Actively participates in the training/retraining of employees, especially working with new hires in the initial onboarding process.
  • Conducts staff meetings/email communications to inform of changes in policies and procedures and to provide in-service training.
  • Actively participates in management meetings and provides accurate information.
  • Scheduling the work hours of employees and maintaining accurate timekeeping records.
  • Assigning workflow and/or job duties to ensure effective, timely completion of departmental goals.
  • Maintaining accurate production and quality records.
  • Handling complaints and grievances made by employees with the assistance of Human Resources and Manager/Director.
  • Controlling inventory, supplies, and materials necessary for the function of the department.
  • Assuring compliance with applicable laws and regulations.
  • Defines and implements a program for quality assurance for assigned areas.
  • Monitors key performance indicators and metrics for the department providing corrective action as indicated.
  • Actively participates in the leadership of the department and motivating staff.
  • Completes employee performance appraisals and administers disciplinary action where appropriate.
  • Maintains accurate records of disciplinary actions, developmental conversations, and employee training sessions for their area.
  • Manages staff and procedures ensuring systems operate efficiently and maintains effective personnel relations.
  • Evaluates and refines systems to provide the most efficient, cost effective, and workable flow of reimbursement and accounts receivable management practices.
  • Strives to improve internal relationships between internal departments.
  • Develops long-range and short-range goals and objectives.
  • Prepares and monitors annual budgets.
  • Proactively keeps the Manager/Director/Vice President updated on the status of workload and any potential problems that may arise.
  • Performs any and all of the duties assigned by the Manager/Director/Vice President.
  • Assists in special projects as requested by the Manager/Director/Vice President.
  • Develops and maintains policies and procedures.
  • Assuring the safety of employees.

SUPERVISORY RESPONSIBILITIES:

  • The Supervisor is responsible for overall, day to day management of the department.
  • Supervises Overprovisions Support staff.

 

Job Requirements

QUALIFICATIONS / EXPERIENCE:

  • College education or 3-5 years of equivalent experience in a medical billing setting, with an emphasis on reconciliation and payment posting preferred.
  • BS or BA preferred or equivalent of management/supervisory experience in physician billing related field.
  • Familiarity with the revenue cycle process.
  • Understanding of physician billing guidelines for commercial and government payers in multiple states.
  • Excellent written and verbal communication and interpersonal skills.
  • Proven analytical skills and ability to work in a structured, fast-paces environment.
  • Proficiency in working with systems, GE experience is desirable.
  • Must be organized, detail oriented, and meticulous with all tasks.
  • Astute problem solving skills and ability to interrelate and convey information professionally.
  • Medical billing experience with knowledge of the GE system, Microsoft Excel, Microsoft Outlook, and Microsoft Word.
  • Dependable, always conforms to standards for attendance.

PHYSICAL / ENVIRONMENTAL DEMANDS: 

  • Set in a pleasant, high-volume, fast-paced office environment.
  • Ability to meet closing deadlines, and production standards is required.
  • Also, may require physical and/or mental stamina to work additional hours beyond a regular schedule and/or more than five days per week.
  • Significant workload that may require after hours work and/or additional hours be mandated by Management.
  • Regular and reliable attendance is necessary.
  • Prolonged work on a PC/computer.
  • Physical requirements include but are not limited to sitting for extended periods of time, walking, and bending.
  • Periodic travel may be required to for meetings and trainings.
  • This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions.

DISCLAIMER:

Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.

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