Supervisor, Precertification

Location

Louisville, KY | United States

Job description

WE ARE HIRING!

Location: 300 E. Market St., Louisville, KY 40202

About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians’ academic and community physicians care for all ages and stages of life, from pediatrics to geriatrics with compassion and expertise. UofL Physicians academic providers are professors and researchers at the UofL School of Medicine, teaching tomorrow’s physicians, leading research in medical advancements and bringing the most progressive, state-of-the-art health care to every patient. With more than 13,000 team members – physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care. Our Mission As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care.

Job Summary:

The supervisor of Precertification is responsible for the daily management of the organization’s centralized Precertification team members and their work.

Under the direct supervision of a manager, this position will provide overall team management including:

• Recruiting, hiring, training, and ongoing assessment of employee performance
• Development of department processes and procedures as well as training materials including manuals, and job-aids
• Completion biweekly of payroll, corrective action, and employee file documentation
• Work in collaboration with manager to develop team productivity and quality metrics program
• Coaching and mentoring team members to maximize quality and production performance
• Support organizational projects, initiatives and process improvement efforts as Precertification subject matter expert
• Provide team guidance through communication, change management, and team morale management
• Build collaborative relationships with Accounts Receivables, Denials Management, Coding, and Revenue Cycle Business Partners to drive team performance and process improvement
• Work proactively to remain up to date on payer prior-authorization guidelines and process changes

Knowledge, Skills, and Abilities critical to this role:

• Working knowledge of AMA CPT and ICD-10 codes
• Working knowledge of US health insurance industry and its key players
• HIPAA, ERISA/COBRA, ACA and other healthcare legislation/regulations
• Takes initiative and willingness to help out
• Proactive - anticipates and plans for problems before they arise
• Service Excellence – responsive, informs constituents of process, pleasant to work with, educates and provides timely, accurate information
• Organized – manages time effectively, keeps tasks appropriately prioritized
• Flexible - ability to change direction as needed for the good of the Department
• Strong work ethic-motivated, diligent and persistent, stays on tasks to completion, works at a fast pace to ensure optimal efficiency
• Maintains a professional appearance at all times
• Interpersonal – can build effective, strong working relationships with employees, colleagues, management, consultants, and media through trust, communication, and credibility
• Team – ability to work with others, serve others, help others, lead others, mentor others, take directions from others in the interest of moving process and programs forward to the desired outcome
• Quality – is able to perform work in a neat, efficient, well-coordinated, well communicated manner with a high degree of accuracy and professionalism

Language Ability:

• Must be able to communicate effectively using proper grammar and vocabulary in verbal communications. Must also communicate using proper grammar, vocabulary, spelling, and formatting, in written formats.

Reasoning Ability :

• Emotional Intelligence – ability to not take issues personal, see the big picture in emotionally charged situations and respond in a mature, professional, composed manner
• Self-Awareness – ability to reflect, understand limitations, and seek appropriate assistance and guidance
• Judgment – exercises discretion and due diligence when making decisions and recommendations
• Critical thinking skills-ability to think through issues and identify appropriate options

Computer Skills:

• Microsoft Office suite
• Electronic health record systems (EHRs)

Additional Responsibilities:

• Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times

• Maintains confidentiality and protects sensitive data at all times

Education:

• Highschool Diploma (required)
• Associates or bachelor’s degree (preferred)

Experience:

• Minimum experience
  • 2 years of insurance verification, patient registration, prior-authorization, utilization management or revenue-cycle (required)
• Desired experience
  • 2 years prior supervisory experience (preferred)
  • 2 years vendor – client relationship management (preferred)
  • Epic and/or Cerner user experience (preferred)

Licensure: none

Certification: none

Job tags

Salary