Providence Health & Services Supervisor Revenue Recovery in Mission Hills, California
Providence is calling a Revenue Recovery Supervisor (Full Time/Day Shift) to our Facey Revenue Audit Department location in Mission Hills, CA.
In this position you will:
Responsible for monitoring day-to-day operations that pertain to Revenue Recovery including capitation, sub-capitation, revenue reporting and risk adjustment activities to optimize data utility, integrity and consistency.
Monitors Hierarchical Condition Codes (HCC)/ Risk Adjustment Factor (RAF) strategies across all applicable product lines.
Performs adhoc projects for Senior Management.
Assists in business analysis to identify areas for financial, operational monitoring and performance improvement.
Oversees the Revenue Recovery Department staff under the direction of the Revenue Recovery Manager.
Subject matter expert for Capitation, Sub-Capitation, HCC and Encounter data for AMG and FMG.
Go to leader in department on all staff questions and concerns.
Required qualifications for this position include:
Bachelor’s degree in Business Administration, Health Care Management or minimum five years experience in health care environment, preferably in the areas of medical group Eligibility, Revenue Recovery, Risk Adjustment and analysis.
Knowledge of Risk Adjustment model with CMS Hierarchical Condition Categories (HCC).
Must possess excellent oral and written communication, and computer skills including advance knowledge of Microsoft Office (i.e., Excel, Microsoft Word, Access, etc.).
Solid knowledge of insurance programs – HMO, PPO, EPO, POS, Medicare, etc.
Ability to supervise and motivate staff to maximum potential.
Preferred qualifications for this position include:
- Green Belt certification
About the organization you will serve:
Facey Medical Group is a multi-specialty medical group with over 160 physicians providing care to the growing population in the North & East regions of Los Angeles & Ventura Counties. Twelve medical clinics, including two urgent care centers and dedicated women's centers, are located across the San Fernando, Santa Clarita and Simi Valleys. The group began as a single medical practice over 90 years ago.
Facey is part of Providence Health & Services, an integrated, not-for-profit 5-state network of hospitals, care centers, medical clinics, affiliated services and educational facilities spanning from California to Alaska.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Finance & Accounting
Location: California-Mission Hills
Req ID: 190110