Inquiry Resolution Supervisor

Description

JOB SUMMARY

Responsible for supervision of IRS & CCU departments.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

• Monitors staff performance through witness evaluations, provides feedback through weekly performance reviews and monthly performance scorecards, annual reviews, provides level setting, provides training and development to staff to ensure staff members are working efficiently and accurately.
• Facilitates the identification of issues and solutions by staff related to patient disputes related to Health Insurance Portability and Accountability Act (HIPAA), Fair Debt Collection Practices Act (FDCPA), Fair Collection Practices Act (FCRA), Emergency Medical Treatment and Active Labor Act (EMTALA), Quality of care (including, inappropriate/inadequate diagnosis/care, questionable services, or services not received) , Spousal parental liability , Inappropriate/incomplete insurance billing , Account explanation, Proposed accord and satisfaction or restrictive endorsement/conditional payment., and disputes escalated to Tenet executives, Legal, and/or National Ethics Compliance Line.
• Monitors billing and IRS email inboxes and responds to issues or delegates tasks to staff members to respond to issues.
• Manages changes to redistribution assignment table, branch and desk file maintenance, CCU facility assignments, staff eID requests, incentive contests, general employee file maintenance and tracking, kronos maintenance, and performance management through counseling.
• Responsible for daily CDV reviews and completions and monthly CDV callibrations.
• Work with management and/or Perot systems to resolve any system/process issues identified through investigation process; including opening any necessary tickets with Perot systems for resolution of such issues identified.

SUPERVISORY RESPONSIBILITIES

This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

Direct Reports (titles) IRS reps, CCU reps and Support Services III

Indirect Reports (titles) Hearing Rep

KNOWLEDGE, SKILLS, ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Thorough understanding of all federal and state laws and regulations, such as, HIPAA, FDCPA, FCRA, and EMTALA but not limited to.
• Excellent oral and written communication skills
• Strong analytical skills
• Intermediate Microsoft Office (Word, Excel)
• Ability to multi-task and work well under pressure
• Strong leadership and organizational skills
• Excellent interpersonal skills including conflict management

Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience required to perform the job.

• 4 year college degree in Business or Healthcare Administration preferred
• 3 -5 years experience providing leadership and management direction related to collections and processes within a multi-facility environment

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• Ability to sit and work at a computer terminal for extended periods of time

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Call Center environment with multiple workstations in close proximity

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!

Compensation and Benefit Information

Compensation

• Pay: $42,661.00 - $64,002.00 annually. Compensation depends on location, qualifications, and experience.
• Management level positions may be eligible for sign-on and relocation bonuses.

Benefits

Conifer offers the following benefits, subject to employment status:

• Medical, dental, vision, disability, life, and business travel insurance
• Paid time off (vacation & sick leave) – min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
• 401k with up to 6% employer match
• 10 paid holidays per year
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
• For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.