Managed Care Supervisor jobs in Pasadena, CA

Description

Take on an important leadership role in a world-class health organization. Help ensure the financial efficiency of a dynamic healthcare leader. Take your professional expertise to the next level. UCan do all this and more at UCLA Health. You will serve as a front-line Supervisor for the Department of Patient Business Services. This will involve the direct supervision of billing staff in order to ensure the achievement of key department objectives and metrics. You will implement daily validation of EDI claims receipt; ongoing interim billing frequency management of all payers; ongoing analysis of hard copy billing for conversion to optimize electronic billing; and optimization of EDI edits, Excel and other reports. You will also be responsible for active EDI system implementation and the daily review/monitoring of the EDI Claims Control Center. You will: * Review and analyze claims on interim, high dollars, weekly billing metrics/KPI's, and payer trends * Attend/lead internal and external meetings on behalf of the department * Review and analyze pre-billing * Resolve problem areas that can decrease or hinder cash flow * Recommend areas for improvement * Monitor budget items that directly affect the unit * Manage daily claim edits * Manage and train staff Salary Range: $64,800 - $137,600/annually

Qualifications

We're seeking a detail-oriented, self-directed leader with: * Bachelor's degree in related area and/or equivalent experience/training * Three or more years of supervisory experience in healthcare billing or collections * Five or more years of experience in Hospital Billing and Collections for Commercial and Managed Care health plans * Relevant certifications in healthcare billing and collections, highly desired * Strong communication skills * Ability to track, trend, and analyze payer data * Background in commercial and managed care denial management * Experience managing commercial and managed care audits * Computer proficiency Microsoft Office