Brown University Health OPT Eligible Jobs USA

SUMMARY

Under the general direction of the Manager, Billing and Provider Enrollment and the Director, Revenue Cycle, the Supervisor of Provider Enrollment is responsible for planning, directing, coordinating, and controlling the operations and activities of Provider and Facility Enrollment for Brown University Health and related entities hospital and professional services. This position is responsible for the daily supervision of the Provider Enrollment team. This role is also responsible for enrolling providers/facilities with our government and commercial payors. The Supervisor of Provider Enrollment hires and directs the work of and evaluates the performance of Provider Enrollment staff.

Supervisor of Provider Enrollment prepares and presents various statistical reports and budget justification requests; assists the Director in establishing departmental policies, programs, and procedures; and evaluates, initiates, and implements various departmental systems and procedures and revises these as necessary to maximize efficiency. This position also assesses personnel and fiscal implications of organizational changes of these programs; assists staff in implementation of changes; monitors and analyzes the impact of change.

Brown University Health employees are expected to successfully role model the organization’s values of Compassion, Accountability, Respect, and Excellence, as these values guide our everyday actions with patients, customers, and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:

• Instill Trust and Value Differences
• Patient and Community Focus and Collaborate

In addition, our leaders will demonstrate an aptitude for:

• Ensure Accountability and Build Effective Teams
• Drive Vision and Purpose and Optimize Work Processes

By applying core and leadership competencies, leaders help Brown University Health achieve its strategic goals.

Responsibilities

• Provides direction in day-to-day operations of customer service, operation support, and self-pay analysis functions related to updating and auditing patient accounting records, online E-payment system, requests for billing-related medical record notes (i.e. lab reports, clinic reports), and varied customer service research activities to reconcile issues raised by patients and other Brown University Health departments.
• Partnering with different stakeholders to keep them informed about upcoming data management initiatives.
• Designing, developing, and modifying data infrastructure to accelerate the processes of data analysis and reporting.
• Reviewing presentations, manuscripts, graphs, and tables to ensure accuracy and quality.
• Developing standards of operation when handling and archiving data.
• Maintaining data management plans and instructions for operating complex business systems.
• Overseeing the integration of new technologies and initiatives into data standards and structures.
• Evaluating the design, selection, and implementation of database changes by comparing them with business requirements and design documents.
• Assessing system performance and making recommendations for hardware, software, and data storage improvements.
• Liaising with internal stakeholders and following up with external customers on all account-related requests.
• Identifying and driving process improvements to ensure excellence in customer experience, timely delivery of services, optimum productivity, and effective management of resources.
• Participates with director in recruitment, interview, and selection activities of support staff.
• Orients new staff, assigns work, and establishes priorities.
• Establishes annual performance objectives for staff, conducts periodic performance reviews, and recommends pay actions.
• As appropriate, recommends corrective action to director, up to and including termination.
• Develops and communicates standards and expectations for staff performance.
• Monitors quality of work performed by staff, ensuring services are provided according to established procedures and carried out in a prompt and courteous manner to meet/exceed customer service standards.
• Ensures staff is apprised of changes in policy and procedures that relate to area of responsibility, ensuring adherence to same.
• Monitors customer service telephone calls for accuracy of information provided and quality control purposes.
• Maintains issues/resolution logs for department as appropriate.
• Develops and maintains process documentation.
• Provides initial training for outside vendors and new staff members in activities related to receivables systems utilized by department.
• Identifies training needs through observation of internal and external agency staff, customer feedback, and develops action plan; obtains approval by director and implements and assesses effectiveness accordingly.
• Functions as a resource to staff, providing guidance in completing daily responsibilities and addressing more complex or sensitive issues.
• Serves as expert resource for questions that have to be escalated because of complexity or patient complaints and concerns.
• Regularly conducts individual and group meetings for department.
• Documents payroll for subordinate staff.
• Maintains vacation schedules and authorizes time off for staff.
• Adjusts coverage for vacation time and breaks as workflows fluctuate.
• Participates in development and implementation of patient financial services customer service policies.
• Provides input for preparation of annual operating budget for area of responsibility.
• Assists manager in responding to internal and external audits, as well as preparation of related reports, files, and documents as required.
• Prepares and maintains a variety of reports and records to support outcome measures related to staff, projects, and system performance.
• Regularly meets with director to maintain awareness of department activities and issues encountered.
• Reviews processes related to programming and auditing of automated account files for outside pre-collect and collection agency vendors’ activities for self-pay and bad debt receivables.
• Obtains clarification from self-pay analyst group as necessary.
• Performs regular audits on departmental automated processes, implementing controls when necessary to ensure consistent compliance with HIPAA, regulatory standards, tracking, and reporting requirements.
• Maintains knowledge of Fair Debt Collection Act and related regulatory standards through participation in training programs and seminars.
• Develops, implements, and maintains policies and procedures to facilitate tracking and fulfillment of subpoenas requesting information or documentation as maintained in electronic/paper records as served upon departments.
• Accepts subpoenas and coordinates with internal/external sources for subpoena fulfillment.
• Recommends changes to system security group to ensure access to systems is appropriate for various job groups.
• Works collaboratively with other departments to coordinate activities, respond to inquiries, foster collaboration, and facilitate meeting organizational needs.
• Ensures adequate office supply inventories are maintained and that department equipment is in good working order to support department activities.
• Performs other duties as assigned.

MINIMUM QUALIFICATIONS

BASIC KNOWLEDGE, SKILLS and ABILITIES:

• Associates degree in business administration, finance, or related field, or equivalent related experience.
• Problem-solving skills.
• Time management skills.
• Strong written and verbal communication skills.
• An uncompromised level of patience, compassion, and empathy.
• The ability to identify, analyze, and interpret trends or patterns in complex data sets to meet business needs.
• Additional skills: Current knowledge of NCQA and Medicare credentialing standards and other regulatory requirements.
• Knowledge of credentialing principles for provider networks/payers.
• Intermediate computer skills, credentialing software, and information systems knowledge; ability to generate management and production reports, documents, and correspondence independently.
• Coaching, training, and troubleshooting customer needs.
• Guiding new staff through the onboarding process and a strong training program.
• Supporting existing staff when they have questions or need help updating their system configurations.
• Determining the personal and professional goals of individual staff and identifying potential challenges.
• Performing progress assessments and utilizing motivation techniques.
• Pursuing continued professional development and keeping abreast of advancements in the field.

Experience:

• Two to three years progressively more responsible related experience in patient finance in a similarly complex healthcare organization.
• Experience must demonstrate knowledge in a variety of software applications, including access database, data warehouse system, and patient finance systems.
• Must demonstrate effective interpersonal and organizational skills, including the ability to communicate concepts for automated processes and written communication.
• Experience must also demonstrate effective customer service skills and ability to effectively resolve technical problems.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS

• Work is performed in a typical office environment requiring extended periods of sitting, standing, and walking, carrying files, and the like.
• WFH/Hybrid schedule: Current staffing utilizing hybrid schedule. Position will utilize a blended hybrid schedule as needed with a minimum of 16 hours in office weekly.

INDEPENDENT ACTION

Functions independently within department policies and practices. Refers specific complex problems to director when clarification of departmental policies and procedures is required.

SUPERVISORY RESPONSIBILITY

Supervision for up to 25 FTEs.

Pay Range

$58,489.60 - $96,491.20

Location

Brown Health Medical Group Primary Care - 593 Eddy St - Executive Suite Providence, Rhode Island 02903

Work Type

7:00 - 3:30

Work Shift

Day

Daily Hours

8 hours

Driving Required

No

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.