Supervisor, Insurance Verification/Authorization - Revenue Cycle
Texas Medical Center-Houston, Texas
McGovern Medical School at UTHealth
Requisition #: 200000IR
Responsible for the pre-arrival/authorization process for assigned departments, and oversees and ensures the accuracy of data submitted to payors, completeness of insurance claims, and compliance with federal and state rules and regulations applicable to professional billing collections.
Position Key Accountabilities:
Performs audit denial review to ensure internal policies and procedures are followed.
Ensures compliance with federal and state regulations, and that commercial payer guidelines are followed.
Provides day-to-day oversight and supervision of assigned staff.
Sets performance goals for assigned staff, monitors their work performance and attendance. Provides coaching to assigned staff and conducts weekly team meetings.
Ensures that the staff is adequately trained to meet work volumes and identifies deficiencies to ensure employees receive additional training as necessary.
Promotes, and maintains, positive relationships with both internal and external customers.
Maintains confidentiality, in accordance with HIPAA regulations and University policy, with patients and commercial insurance carriers regarding sensitive data and financial affairs.
Identifies and assesses relevant regulatory changes to ensure policies and procedures remain compliant with federal and state law.
Assists with the management of Human Resources activities for direct reports in regards to: recruiting and selection, hiring and termination, training, professional development, mentoring, counseling, and performance evaluations.
Performs other duties as assigned.
Excellent communication skills, both oral and written. Proven ability to effectively problem solve.
Ability to handle all situations in a professional, courteous and efficient manner.
Associate’s Degree in Business or equivalent or a combination of education and related experience.
Two (2) years of experience in Patient Access or Revenue Cycle operations, with at least one year experience in a leadership role preferred. Must have experience working with various insurance companies, and extensive knowledge of billing and collections for various types of commercial and governmental plans.
Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.
This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215
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University of Texas Health Science Center at Houston (UTHealth)
Established in 1972 by The University of Texas System Board of Regents, The University of Texas Health Science Center at Houston (UTHealth) is Houston’s Health University and Texas’ resource for health care education, innovation, scientific discovery and excellence in patient care. The most comprehensive academic health center in the UT System and the U.S. Gulf Coast region, UTHealth is home to schools of biomedical informatics, biomedical sciences, dentistry, nursing and public health and the John P. and Kathrine G. McGovern Medical School. UTHealth includes The University of Texas Harris County Psychiatric Center, as well as the growing clinical practices UT Physicians, UT Dentists and UT Health Services. The university’s primary teaching hospitals are Memorial Hermann-Texas Medical Center, Children’s Memorial Hermann Hospital and Harris Health Lyndon B. Johnson Hospital.
UTHealth offers a comprehensive and competitive benefits package. For more information on our benefits programs please refer to the UTHealth Office of Benefits Website.
Equal Employment Opportunity Statement
UTHealth is committed to providing equal opportunity in all employment-related activities without regard to race, color, religion, sex, sexual orientation, national origin, age, disability, genetic information, gender identity or expression, veteran status or any other basis prohibited by law or university policy. Reasonable accommodation, based on disability or religious observances, will be considered in accordance with applicable law and UTHealth policy. The University maintains affirmative action programs with respect to women, minorities, individuals with disabilities, and eligible veterans in accordance with applicable law.