Revenue Cycle Supervisor - UC Health

Job Description

UC Health is hiring a Full Time Revenue Cycle Supervisor

The Supervisor of Credentialing is responsible for planning, executing, and managing all payer application processes related to existing UCPC providers. The supervisor will proactively oversee all activities involved in quality resolution of Credentialing performance issues and will coordinate with appropriate departments to determine positive solutions that will increase client satisfaction and achieve department goals. The Supervisor of Credentialing is responsible for leading a team of credentialing specialists to support the needs of their assigned responsibilities. This position reports to the Revenue Cycle Director.

About UC Health

UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, Daniel Drake Center for Post-Acute Care, Bridgeway Pointe Assisted Living, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com.

Responsibilities

• The supervisor is responsible for the performance, integrity, and security of the Managed Care Payer applications and files houses within CACTUS and assures they are maintained properly.
• Assures credentialing data is clearly defined and consistently maintained across the departments.
• Controls database access, permissions, and privileges.
• Acts as the arbiter over the structure and contents of the CACTUS Database, establishing and enforcing rules, standards, and guidelines.
• Creates and runs queries, aggregating and analyzing data for patterns and related trends and extracts and analyzes data using database and Microsoft Excel including pivot tables, filters, and grouping.
• Assists with developing business dashboards.
• Develops and manages department metrics and reporting as required and documents evidence of employee competency on a continuing basis.
• Monitors team production, efficiency, and quality metrics and provides feedback to the Credentialing Manager.
• Develop and maintain good working relationships with clients by understanding their goals and deliverables, key business processes, risks, and possible improvements.
• Provides training and coaching to team members to reinforce successful team member behaviors and identify opportunities for performance improvement.
• Makes job requirements and goals for each position clear to employees and provides sufficient training to achieve desired competencies.
• Works with Credentialing Manager to prepare and deliver performance reviews for team members.
• Participates in interviewing, hiring, and retaining Credentialing staff.
• Leads scheduled staff meetings.
• Promote the use of continuous improvement methodologies as applicable.
• Acts as a client contact for basic credentialing questions and information.
• Provides technical advice and consultation to field staff.
• Collaborate with the Credentialing Manager and department clients to identify, evaluate, determine, and suggest creative, simple, value-added improvements.
• Prepare credentialing audit reports that are well written, and ensure supporting data is fully documented, accurate, and complete.
• Escalates issues impacting provider enrollment to the Credentialing Manager as necessary.
• Assists the Credentialing Manager in gathering information to prepare for new payer onboarding.
• Any other duties as assigned.

Qualifications

• Minimum Required: Associate's Degree in Health Care, Business Admin or related field.
• Preferred: Bachelor's Degree in Business.
• At least 3-5 years full time experience, working with the CACTUS database and with managed care credentialing.
• Experience with creating, running, and maintaining queries in CACTUS as well as mapping applications to the CACTUS data.

Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today!

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.

As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is committed to providing an inclusive, equitable and diverse place of employment.