Overview

Supervisor Patient Financial Services Job at Christus Health – 3.8 in Irving, TX

Summary:
Under the supervision of the Claims Department Manager, this position is responsible for balancing workloads, assisting with establishment of structure and standardization, creation and updating of departmental policies and process and implementation and maintenance of oversight within the Claims Department. Monitoring of claim processing production and quality are required. Improvement initiatives in increasing claims auto adjudication will be performed. Additional functions of this role are hiring, developing and supervising, employees, managing overall claim inventory, resolving escalated claim issues and assisting Claims Examiners with policy, regulatory or contractual questions and concerns. This position also will assist in audit related decision making and in training new Claims Examiners on job-specific roles and responsibilities.

Claims Examiner hiring, training and development

KRONOS time tracking

Success Factors: Employee goal-setting, routine rating

Overall employee development

Identify prevalent trends and recommend resolution techniques to management

Delegates work to Claims Examiners as needed

Assists with system emergencies with direction from IT department and/or appropriate vendor

Assignment of Claims Examiner tasks

Assists in disseminating information to staff as needed

Performs other related duties and special projects as requested

All other duties assigned by management

Collaborate with and maintain open communication with all departments within CHRISTUS Health to ensure effective and efficient workflow and facilitate completion of tasks/goals

Follow the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)

Requirements:
Analytic ability to organize and prioritize work to meet deadlines

Ability to organize and prioritize work to meet deadlines

Strong computer application skills including Microsoft Word, Excel and Visio

Excellent written and verbal communication skills required

Good judgment, initiative and problem solving abilities

Ability to handle and resolve complex issues independently

Knowledge of Medicaid, Medicare Advantage, Tricare and Health Care Exchange programs preferred

Knowledge of claims processing, system configuration, edits, adjustment adjudication and claim department processes

Knowledge of CPT/HCPCS, ICD9 coding and medical terminology.

Ability to learn new policies and processes based on written material and observation

Ability to establish and maintain professional, positive and effective work relationships

2 years Healthcare experience with Managed Care experience required

Prior Claim Team Management experience preferred

Three years claims processing experience required with Managed Care experience preferred

Claim system configuration experience preferred

Prior experience working with TRICARE, Texas Medicaid, Medicare Advantage highly desirable.

Driver’s License

Work Type:
Full Time

Work Schedule/Shift

8AM – 5PM

Req. No

10483

Job Title

Supervisor Patient Financial Services

Market

CHRISTUS System Office

Category

General Operations

Facility

CHRISTUS Corp Health Plan 919 and 909 Buildings

Address

919 Hidden Ridge

Irving, TX 75038

US

Type

FULL TIME

About the Company

Company: Christus Health – 3.8

Company Location:  Irving, TX

Estimated Salary:

About Christus Health - 3.8