Enrollment/Billing Supervisor, Revenue Cycle- Evernorth- Remote

📋 Description

• • Lead a high-impact collections team within the Revenue Cycle department, focusing on specialty pharmacy and infusion services to ensure timely and accurate reimbursement for patients.
• • Drive strong collections outcomes by effectively managing an assigned book of business, consistently meeting or exceeding established performance goals and key performance indicators (KPIs).
• • Foster a consistent and efficient operational environment by designing, implementing, and refining clear workflows, robust performance standards, and rigorous quality assurance measures.
• • Cultivate and develop a high-performing team through strategic hiring practices, comprehensive onboarding, continuous coaching, and dedicated ongoing professional development initiatives.
• • Ensure optimal team productivity, strict adherence to compliance regulations, and unwavering accuracy by diligently monitoring results, conducting regular performance audits, and proactively identifying and addressing performance gaps.
• • Spearhead process improvement efforts by meticulously identifying operational issues, thoroughly evaluating potential solutions, and effectively implementing practical and sustainable improvements.
• • Maintain clear, professional, and respectful communication channels with internal stakeholders, external payers, and third-party vendors to efficiently resolve issues, minimize reimbursement delays, and optimize the revenue cycle.
• • Keep all relevant policies and procedures up-to-date and readily accessible, providing the team with clear guidance and fostering confidence in their daily tasks and responsibilities.
• • Effectively manage multiple competing priorities and demanding short-term deadlines while maintaining a high degree of organization, focus, and commitment to achieving desired outcomes.
• • Contribute to the overall financial health of the organization by ensuring that all billing and collection activities are performed with the utmost accuracy and efficiency, directly impacting revenue realization.
• • Act as a subject matter expert in healthcare billing and collections, providing guidance and support to team members and other departments as needed.
• • Analyze trends in collections performance, identify root causes of issues, and develop strategic plans to address them, thereby enhancing overall revenue cycle management.
• • Collaborate with cross-functional teams, including but not limited to, patient access, clinical services, and finance, to streamline processes and resolve complex billing and reimbursement challenges.
• • Stay abreast of changes in healthcare regulations, payer policies, and industry best practices to ensure the team's knowledge and processes remain current and compliant.
• • Champion a patient-centric approach within the revenue cycle, ensuring that all interactions are handled with empathy and professionalism, contributing to a positive patient experience.
• • Develop and present regular performance reports to senior management, highlighting key achievements, challenges, and recommendations for future improvements.
• • Implement and oversee quality control measures to ensure the accuracy of patient accounts, insurance information, and billing submissions.
• • Manage and resolve escalated patient billing inquiries and disputes, demonstrating strong problem-solving skills and a commitment to customer satisfaction.
• • Utilize available technology and systems to their fullest potential to track accounts, manage workflows, and generate performance reports.
• • Contribute to a positive and productive work environment by fostering teamwork, open communication, and a shared commitment to excellence.
• • Ensure the team operates with a high level of integrity and ethical conduct in all revenue cycle activities.
• • Support the strategic objectives of Evernorth Health Services and The Cigna Group by contributing to the efficient and effective management of the revenue cycle.
• • Identify opportunities for automation and process optimization to increase efficiency and reduce manual effort within the collections process.
• • Train new team members on established procedures, systems, and best practices for healthcare billing and collections.
• • Monitor key performance indicators (KPIs) such as days in accounts receivable (AR), denial rates, and collection rates, taking corrective action as needed.
• • Ensure compliance with all HIPAA regulations and other relevant privacy and security standards when handling patient information.
• • Facilitate regular team meetings to discuss performance, share updates, and address any team concerns or challenges.
• • Serve as a point of escalation for complex billing and collection issues that cannot be resolved by individual team members.
• • Continuously seek opportunities to improve the patient financial experience through efficient and empathetic billing and collection practices.