Performant Corporation is an Equal Opportunity Employer (Minorities/Females/Disabled/Veterans).

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Supervisor, Healthcare Reclamation Operations
Job Code:2023-50-6A-001
Location:Sunrise, FL - Remote
Status:Regular Full Time
Pay Range:0.00-0.00
  
Responsibilities:
The Healthcare Reclamation Operations Supervisor oversees and supports daily business operations for Performant’s Post-Payment Reclamation-related solutions.  We are looking for a candidate with a strong knowledge of Medical claims billing and recovery. Must have a vast knowledge in Medicare regulations, Medical terminology, medical coding, forms UB04 and CMS 1500.  This role will require the ability to gather and interpret explanation of benefits (EOB) and Provider feedback to answer questions and assist recovery teams with Provider and Network communications.

They will leverage their knowledge in Medical and Rx billing and recovery, with a focus on Medicaid and Medicare rules and regulations; paired with leadership experience and adaptability to support team functions to make a positive impact in the growth of our overall recovery operations.  
They will play a key support role in continual improvement of recovery processes, procedures, and staff development.

Essential Duties
•Monitoring staff and daily recovery efforts
•Effectively collaborates with Management and teams to ensure departmental needs are met.
•Communicates with team to ensure all production goals are clear
•Strong communication skills both verbal and written, to assist recovery staff with escalated Provider and Network communications.
•Provides insight and collaborates to ensure appropriate staffing levels and staff competencies for assigned business
•Proven experience leading and overseeing high performing dynamic teams
•Contributes to continual improvement of reclamation processes, procedures, and staff development
•Supports the organization in meetings with the clients and other reclamation business constituents as needed
•Assist with implementation of new accounts as needed
•Uses excellent communication skills to influence a wide range of internal and external audiences.
•Assists in development and revision of team training materials.
•Advises Leadership of operational training gaps, staff development issues and other observation and areas or opportunities that may involve training.
•Assist in operational training for staff to support operational quality and compliance, and optimal service delivery to clients as needed
•Leads by example and adheres to all Company policies and procedures in performance of job duties and all interactions
 
Required Skills and Knowledge:
•Working knowledge of Medicaid Third-Party Liability (TPL) business, recovery, and revenue cycle management
•Excellent professional written and verbal communication skills
•Understands and adheres to HIPAA standards and regulations
•Strong critical thinking, analytical and problem-solving skills
•Self-motivated and thrives in a fast-paced business performing multiple tasks cohesively, with keen attention to detail
•Ability to adapt quickly and transition effectively to changing circumstances, client requirements, assignments, and business needs; and consistently performs job responsibilities
•Perform other duties as may be required to meet business needs

Additional Requirements:

Ability to obtain and maintain client required clearancesas well as pass company regular background and/or drug screening.

•Completion of Teleworker Agreement upon hire, andadherence to the Agreement (and related policies and procedures) including, butnot limited to: able to navigate computer and phone systems as a user to workremote independently using on-line resources, must have high-speed internetconnectivity, appropriate workspace able to be compliant with HIPAA, safety& ergonomics, confidentiality, and dedicated work focus without distractionsduring work hours.

Physical Requirements:

**NOTE: Must be able to meet requirements for andperform work assignments in accordance with Company policies and expectationson a home remote basis (and must meet Performant remote-worker requirements)until at which time staff may be notified and required to work from aPerformant office location on an ad-hoc or periodic basis.

Basic office equipment required to perform remote workis provided by the company.

•Job is performed in a standard busy office environmentwith moderate noise level (or may be home-office setting subject to Companyapproval and Teleworker Agreement), sits at a desk during scheduled shift, usesoffice phone or headset provided by the Company for calls, making outboundcalls and answering inbound return calls using an office phone system; views acomputer monitor, types on a keyboard, and uses a mouse.

•Reads and comprehends information in electronic(computer) or paper form (written/printed).

•Sit/stand 8 or more hours per day; has the option tostand as needed while on calls; reach as needed to use office equipment.

•Consistently viewing a computer screen and typesfrequently, but not constantly, using a keyboard to update accounts.

•Consistently communicates on the phone as requiredprimarily within the department and company and may include client contacts orother third-party depending on assignment with account holders, may dialmanually when need or use dialer system; headset is also provided.

•Occasionally lift/carry/push/pull up to 10lbs.















 
Education and Experience:
•High School Diploma or GED required
•BA or equivalent combination of education and experience
•3 + years of Revenue cycle or Recovery experience.
•3+ years in a Healthcare claims or revenue cycle management environment.
•2+ years supervisory experience in fast paced production or call center environment.
•Some college or training in medical terminology, billing, coding, or Medical billing/Coding certificate.
•Extensive experience with provider outreach and communication.
 

Other Requirements:

Performant is a Government contractor and subject tocompliance with client contractual and regulatory requirements, including butnot limited to, Drug Free Workplace, background requirements, and clearances(as applicable).

•Must submit to and pass pre-hire background check, aswell as additional checks throughout employment.

•Must be able to pass a criminal background check; mustnot have any felony convictions or specific misdemeanors, nor on state/federaldebarment or exclusion lists.

•Must submit to and pass drug screen pre-employment (andthroughout employment).

•Performant is a government contractor. Certain clientassignments for this position requires submission to and successful outcome ofadditional background and/or clearances throughout employment with the Company.

Employment VISA Sponsorship is not available for thisposition

Job Profile is subject to change at any time.

 

EEO

Performant Financial Corporation is an Equal OpportunityEmployer.

Performant Financial Corporation is committed tocreating a diverse environment and is proud to be an equal opportunityemployer. All qualified applicants will receive consideration for employmentwithout regard to race, color, national origin, ancestry, age, religion,gender, gender identity, sexual orientation, pregnancy, age, physical or mentaldisability, genetic characteristics, medical condition, marital status,citizenship status, military service status, political belief status, or anyother consideration made unlawful by law.

 

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