Swedish
Job Description
The Supervisor, Billing and Follow Up - Commercial has direct operational accountability for billing and follow up for multiple service lines of business, including all assigned payers, across all Swedish acute ministries, including critical access hospitals, rural health clinics, provider based clinics and hospital based profee billing, including specialty service lines but are not limited to Clients, Third Party Liability, Behavioral Health, Research, and Global/Bundle arrangements. This role assists in developing and executing a strategic plan to accomplish the goals for the commercial, other government and specialty service lines of business, in partnership with the leaders of Providence RCS Services. Providence Swedish caregivers are not simply valued – they’re invaluable. Join our team at Swedish Shared Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Required Qualifications
Bachelor’s Degree in Business, Healthcare Management, or related field --or-- equivalent education and experience Demonstrated experience in managing all aspects of billing follow-up, denial management – reporting and reimbursement recovery, including patient accounting, third-party payor billing and EDI billing experience in a business office that supports a multiple hospital healthcare system Experience with Critical Access Hospital (CAH) billing and collections, CAH regulatory guidelines, Swing bed rules, SNF billing rules and follow-up processes, Rural Health Clinic rules, Provider Based Clinic rules in a CAH setting, Professional fee billing in both a clinical and Acute Hospital setting, SNF consolidated billing rules, Medicaid TAD claim submission rules, CAH Method I and Method II Billing rules, CRNA Pass Through Exemption, and Provider Based Clinic Billing Preferred Qualifications
4 years related experience in healthcare, revenue cycle or finance. 3 years leadership experience. Epic Experience. Experience with Reference Lab Billing rules. Why Join Providence Swedish?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Equal Opportunity Employer
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment 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.
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The Supervisor, Billing and Follow Up - Commercial has direct operational accountability for billing and follow up for multiple service lines of business, including all assigned payers, across all Swedish acute ministries, including critical access hospitals, rural health clinics, provider based clinics and hospital based profee billing, including specialty service lines but are not limited to Clients, Third Party Liability, Behavioral Health, Research, and Global/Bundle arrangements. This role assists in developing and executing a strategic plan to accomplish the goals for the commercial, other government and specialty service lines of business, in partnership with the leaders of Providence RCS Services. Providence Swedish caregivers are not simply valued – they’re invaluable. Join our team at Swedish Shared Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Required Qualifications
Bachelor’s Degree in Business, Healthcare Management, or related field --or-- equivalent education and experience Demonstrated experience in managing all aspects of billing follow-up, denial management – reporting and reimbursement recovery, including patient accounting, third-party payor billing and EDI billing experience in a business office that supports a multiple hospital healthcare system Experience with Critical Access Hospital (CAH) billing and collections, CAH regulatory guidelines, Swing bed rules, SNF billing rules and follow-up processes, Rural Health Clinic rules, Provider Based Clinic rules in a CAH setting, Professional fee billing in both a clinical and Acute Hospital setting, SNF consolidated billing rules, Medicaid TAD claim submission rules, CAH Method I and Method II Billing rules, CRNA Pass Through Exemption, and Provider Based Clinic Billing Preferred Qualifications
4 years related experience in healthcare, revenue cycle or finance. 3 years leadership experience. Epic Experience. Experience with Reference Lab Billing rules. Why Join Providence Swedish?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Equal Opportunity Employer
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment 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.
#J-18808-Ljbffr