Job Title: Operations Supervisor – Physician
Location: Remote
Type: Fulltime
Company Overview:
Pulivarthi Group is a premier global provider of staffing and IT technology solutions, renowned for delivering exceptional services tailored to each client's unique needs. With a steadfast commitment to excellence, we merge expertise with innovation, ensuring cost-effective solutions of the highest quality. Our diverse client base spans healthcare, finance, government, and beyond, reflecting our adaptability and proficiency across industries. Operating in the United States, Canada, and Mexico, we pride ourselves on aligning with clients' cultures, deploying top-tier talent, and utilizing cutting-edge technologies. Pulivarthi Group stands as a beacon of reliability, efficiency, and innovation in the realm of staffing solutions.
Pulivarthi Group is a premier global provider of staffing and IT technology solutions, renowned for delivering exceptional services tailored to each client's unique needs. With a steadfast commitment to excellence, we merge expertise with innovation, ensuring cost-effective solutions of the highest quality. Our diverse client base spans healthcare, finance, government, and beyond, reflecting our adaptability and proficiency across industries. Operating in the United States, Canada, and Mexico, we pride ourselves on aligning with clients' cultures, deploying top-tier talent, and utilizing cutting-edge technologies. Pulivarthi Group stands as a beacon of reliability, efficiency, and innovation in the realm of staffing solutions.
Job overview:
Supervise the daily operations of a non-exempt account resolution staff. Oversees the development, implementation, and achievement of operational goals for clients and the company. This role ensures adherence to client policies and procedures and performs all assigned job-related duties.
Supervise the daily operations of a non-exempt account resolution staff. Oversees the development, implementation, and achievement of operational goals for clients and the company. This role ensures adherence to client policies and procedures and performs all assigned job-related duties.
Primary skills:
Facilitate interviewing of potential ARS candidates.
Ensure team member compliance with HIPAA, State and Federal Laws and Guidelines
Continuous training and mentoring of team members
Ensure team members comply with productivity standards while maintaining quality levels.
Review quality audits with team members weekly and coach for improvement where needed.
Review team member’s performance daily and provide coaching to team member if not meeting key metrics.
Escalate employee deficiency to manager if coaching attempts have failed.
Report and discuss team member and team progress with Operations Manager.
Carry out disciplinary counseling and implement Employee Success Plans, as needed.
Promote teamwork and a positive work environment.
Responsible for team member payroll accuracy and approval.
Complete performance evaluation of staff.
Responsible for researching, analyzing, and reviewing claim errors and rejections for trends and improvements.
Stay current with payer updates and process changes to guarantee precise claims resolution efforts.
Ensure adjustments are accurate and comply with client P&P.
Identify payer specific issues and communicate to team and manager.
Lead and contribute to daily shift briefings.
Research problem accounts as presented.
Escalate client IPO issues to manager if not resolved internally.
Work with management to develop policies.
Possible limited travel.
Participate in client payor/internal meetings as requested.
Complete all assigned projects in a timely manner.
Perform other duties as required.
Facilitate interviewing of potential ARS candidates.
Ensure team member compliance with HIPAA, State and Federal Laws and Guidelines
Continuous training and mentoring of team members
Ensure team members comply with productivity standards while maintaining quality levels.
Review quality audits with team members weekly and coach for improvement where needed.
Review team member’s performance daily and provide coaching to team member if not meeting key metrics.
Escalate employee deficiency to manager if coaching attempts have failed.
Report and discuss team member and team progress with Operations Manager.
Carry out disciplinary counseling and implement Employee Success Plans, as needed.
Promote teamwork and a positive work environment.
Responsible for team member payroll accuracy and approval.
Complete performance evaluation of staff.
Responsible for researching, analyzing, and reviewing claim errors and rejections for trends and improvements.
Stay current with payer updates and process changes to guarantee precise claims resolution efforts.
Ensure adjustments are accurate and comply with client P&P.
Identify payer specific issues and communicate to team and manager.
Lead and contribute to daily shift briefings.
Research problem accounts as presented.
Escalate client IPO issues to manager if not resolved internally.
Work with management to develop policies.
Possible limited travel.
Participate in client payor/internal meetings as requested.
Complete all assigned projects in a timely manner.
Perform other duties as required.
Qualifications:
High School diploma or equivalent.
Minimum 1 year of supervisory experience within the last six (6) months with a healthcare provider or an outsourcing company, working with health insurance companies securing payment for medical claims within a physician group or outsourcing setting.
Minimum 2 years of experience in medical billing or follow up with physician using claim form HCFA 1500.
High School diploma or equivalent.
Minimum 1 year of supervisory experience within the last six (6) months with a healthcare provider or an outsourcing company, working with health insurance companies securing payment for medical claims within a physician group or outsourcing setting.
Minimum 2 years of experience in medical billing or follow up with physician using claim form HCFA 1500.
Secondary skills:
Knowledge of healthcare revenue cycle administration: CMS rules, HIPAA, etc.
Knowledge of GoToMeeting/Zoom, HFMA Certifications – CRCR and CSPR, etc.
Skilled in analytics
Skilled in time management, continuous performance improvement techniques, management, leadership, written and verbal communication, basic math, computers, problem solving, interpersonal communication, Microsoft Office, decision making, and ethics.
Ability to initiate and follow through on projects and work independently.
Ability to take initiative and learn new software applications.
Ability to mentor and develop team members.
Ability to bring a positive outlook and pleasant demeanor to the job.
Ability and willingness to learn and grow.
Ability to receive and implement feedback towards continual performance improvement.
Ability to interact professionally in work and with colleagues.
Ability to be punctual, dependable, and adapt easily to change.
Ability to demonstrate accountability, responsibility, and revenue cycle accomplishments
Knowledge of healthcare revenue cycle administration: CMS rules, HIPAA, etc.
Knowledge of GoToMeeting/Zoom, HFMA Certifications – CRCR and CSPR, etc.
Skilled in analytics
Skilled in time management, continuous performance improvement techniques, management, leadership, written and verbal communication, basic math, computers, problem solving, interpersonal communication, Microsoft Office, decision making, and ethics.
Ability to initiate and follow through on projects and work independently.
Ability to take initiative and learn new software applications.
Ability to mentor and develop team members.
Ability to bring a positive outlook and pleasant demeanor to the job.
Ability and willingness to learn and grow.
Ability to receive and implement feedback towards continual performance improvement.
Ability to interact professionally in work and with colleagues.
Ability to be punctual, dependable, and adapt easily to change.
Ability to demonstrate accountability, responsibility, and revenue cycle accomplishments
Equal Opportunity Statement:
Pulivarthi Group is proud to be an equal opportunity employer. We are committed to building a diverse and inclusive culture and celebrate authenticity. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, disability, protected veteran status, or any other legally protected characteristics.
Pulivarthi Group is proud to be an equal opportunity employer. We are committed to building a diverse and inclusive culture and celebrate authenticity. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, disability, protected veteran status, or any other legally protected characteristics.
