• Job Type: Officer of Administration
• Bargaining Unit:
• Regular/Temporary: Regular
• End Date if Temporary:
• Hours Per Week: Monday-Friday
• Salary Range: $65300-$78000

Position Summary

The Revenue Cycle Supervisor (Referrals) is responsible for day-to-day supervision of centralized referral unit that validates insurance & benefit coverage for scheduled services as required by payer policy. The Supervisor is responsible for staff performance, productivity and compliance with policies and regulations.

Responsibilities

Operations

• Oversee daily operations of the unit to secure referrals to ensure timely and accurate completion.
• Monitor and manage daily operational workflows, work queues and programs on a regular basis for efficient use of resources.
• Manage task assignment, scheduling, and offers guidance on complex referral issues. Assesses the need for escalations and ensures that requests and resolved efficiently.
• Make process improvement recommendations to referral procedures as appropriate to
• Ensure that priority matrix for work is adhered to and ensure patient care is not delayed due to referral barriers. Monitor work queue inventory for accuracy and efficiency.
• Advise leadership of potential backlog, advise remediation, and submit summary of any operational challenges and adjustments needed.
• Coordinates staff resources to support work queue activities in accordance with operating protocols, regulations, and revenue cycle best practices to achieve maximized efficiency.
• Makes sure all inquiries related to securing patient referral are managed promptly, accurately, and thoroughly.
• Examines referrals-related denials and collaborates with revenue cycle and departmental partners to address promptly and minimize future recurrence.
• Works with Specialists to address escalated issues and problems, determine resolution and track accordingly.
• Monitor work queues to ensure tasks are completed timely and accurately. Perform approved quality and audit control measures on a regular basis.
• Ensures policies and procedures are understood and adhered to by staff.
• Completes all Referral unit documentation and reporting in accordance with established and /or required schedules, including but not limited to performance standard agreements.
• Serves as the subject matter expert responsible for troubleshooting for referral.
• Works high complexity or sensitive accounts and/or cases as directed.

Strategic 

• Work collaboratively with clinical departments and revenue cycle partners to establish effective communications to further the efficiency of the revenue cycle process and related strategic plans with special attention to internal clients in surgical departments.
• Develops and maintains a good productive and collaborative relationship with departmental management and representatives.

People 

• Supervise an assigned team of Referrals Specialists, providing guidance, support, and oversight to ensure referrals are secured in timely and accurate completion.
• Under the direction of the Manager, set performance standards and goals for the referrals team, regularly monitoring progress toward productivity and quality benchmarks.
• Assist the Manager with staff performance evaluations. Under the direction of management, takes corrective action with staff in accordance with institutional HR guidelines.
• Supports training initiatives as directed by the Manager including conducting group training, coaching sessions, and individual training support.
• Monitor and track daily attendance for staff. Maintain attendance records. Works with manager to address any issues.
• Lead team meetings to discuss updates, address challenges, share best practices, and ensure alignment with departmental goals.
• Promotes staff professionalism and performance with coaching, training, and feedback.

Compliance and Other

• Performs other revenue cycle tasks as assigned by management as a member of a large central business office.
• Represent the referrals team in cross-functional meetings, task forces, and projects, advocating for improvements in accuracy and revenue optimization.
• Conforms to all applicable HIPAA, Billing Compliance and safety policies and guidelines.

Please note: While this position is primarily remote, candidates must be in a Columbia University approved telework state. There may be occasional requirements to visit the office for meetings or other business needs. Travel and accommodation costs associated with these visits will be the responsibility of the employee and will not be reimbursed by the company.

Minimum Qualifications

• Requires bachelor’s degree or equivalent in education and experience.
• Minimum of 3 years’ relevant experience in a healthcare facility or doctor’s billing office environment.
• An equivalent combination of education and experience may be considered.
• Demonstrated skills in problem assessment, and resolution and collaborative problem solving in complex, and interdisciplinary settings including strong proficiency in healthcare and payer guidelines as it pertains to referrals.
• Ability to work collaboratively with a culturally diverse staff and patient/family population, strong customer service skills, demonstrating tact and sensitivity in stressful situations.
• Ability to work independently and follow-through and handle multiple tasks simultaneously.
• Excellent verbal and written communication skills.
• Intermediate level proficiency in Microsoft Office (Word & Excel) or similar software is required and an ability and willingness to learn new systems and programs.
• Must be a motivated individual with a positive and exceptional work ethic.
• Must successfully complete systems training requirements.
• Demonstrated proficiency in health insurance referral and referral process as it pertains to insurance and managed care reimbursement concepts and overall operational impact.
• Must successfully pass systems training requirements.

Preferred Qualifications

• At least 1 year of direct supervisory experience is preferred.
• Knowledge of Epic and GE/IDX billing system is preferred.
• Managed care industry experience is preferred.

Competencies

Patient Facing Competencies

Minimum Proficiency Level

Accountability & Self-Management

Level 3 - Intermediate

Adaptability to Change & Learning Agility

Level 2 - Basic

Communication

Level 2 - Basic

Customer Service & Patient Centered

Level 3 - Intermediate

Emotional Intelligence

Level 2 - Basic

Problem Solving & Decision Making

Level 3 - Intermediate

Productivity & Time Management

Level 3 - Intermediate

Teamwork & Collaboration

Level 2 - Basic

Quality, Patient & Workplace Safety

Level 3 - Intermediate

Leadership Competencies

Minimum Proficiency Level

Performance Management

Level 2 - Basic

Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.