Job Description

OF POSITION:

• The Workers Compensation Supervisor works with the Business Office, HIM, and Patient Access to ensure the health system receives Usual and Customary Reimbursement on Workers Compensation claims

SUPERVISION: Reports directly to the Director of Patient Access

RESPONSIBILITIES AND DUTIES:

• Proficient in payment review systems, hospital information systems and coding methodologies.
• Ability to understand and interpret revenue cycle workflows across multiple departments
• Ability to work with medical groups to ensure claims are financial cleared prior to date of service
• Financially clear all scheduled Workers Comp claims prior to date of service
• Ability to manage vendor to ensure claims are pain in full
• Ability to analyze ROI generated from role
• Effective utilization of all internal automation and software applications.
• Accurately map out revenue cycle workflows pre/post financial clearance transition
• Ability to present project results to executive level audiences
• Can effectively manage multiple projects with innovation, creativity, and vision.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

EDUCATION AND WORK EXPERIENCE

• 2 years + working experience in healthcare reimbursement (Workers Comp Experience Preferred)
• High School Diploma/GED required
• Experience with PCs, word processing, spreadsheet, graphics, and database software applications are desired. Previous auditing experience preferred.
• Ability to read, write and speak intelligible English; Strong quantitative, analytical, and organizational skills; Ability to communicate orally and in written form. Must be detail oriented.
• Requires emotional stability and maturity; Must be adaptable to change, be decisive, and demonstrate foresight; Exhibits organizational and leadership ability. Must be team oriented with strong interpersonal skills.

Physical Demands/Work Environment

• Work requires light duty lifting.
• Must be able to remain in a stationary position 50% of the time.
• Constantly operates a computer and other office machinery such as calculator, copy machine, and computer printer.
• Must be able to exchange accurate information with patient, family, peers and medical personnel.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.