Billing Supervisor - Revenue Cycle Edi Verifications

Additional Location(s): N/A
Diversity - Innovation - Caring - Global Collaboration - Winning Spirit - High Performance
At Boston Scientific, we'll give you the opportunity to harness all that's within you by working in teams of diverse and high-performing employees, tackling some of the most important health industry challenges. With access to the latest tools, information and training, we'll help you in advancing your skills and career. Here, you'll be supported in progressing - whatever your ambitions.
About the role:
As an RCM- EDI, Verification, Quality Supervisor, you will drive innovation and continuous improvement using your talents to transform patient claim outcomes. You will lead a team of experienced Revenue Cycle Specialists, ensuring they are appropriately trained and meeting quality and performance expectations. Partnering with your team, you will create solutions for billing challenges and work to enhance quality, compliance, and appropriate billing of services for patients.
Your responsibilities will include:

• Supervise, lead, coach and provide work direction to a team of Revenue Cycle billing specialists including performance management, new hire on-boarding and cross-training
• Run day-to-day operations of the team, owning scheduling, and ensuring all workflows are appropriately staffed
• Work as part of a core team with Authorizations, Accounts Receivable, Clinical, Medical Safety, and Customer Support to enhance the team and processes performed
• Drive innovation and change by communicating key business initiatives, promoting employee engagement, and specifically acting as a lean deployment leader. Challenge the status quo
• Meet quality and accuracy objectives by ensuring compliance to quality systems, supporting continued education and clinical education initiatives, and coaching and mentoring team members
• Develop and achieve compliant billing plans, and proactively identify and resolve issues
• Develop and communicate departmental goals to achieve established core metrics and possess the ability to present metrics and administer the expectations of production to every team member
• Investigate root cause of non-conformances, and support remediation and communication to stakeholders
• Lead by example by consistently adhering to company policies and procedures
• Ensure integrity of data and execute required tasks in corporate data systems
• Foster an inclusive and positive work environment focused on enhancing employee engagement and retention
• Maintain flexibility in scheduling
  • Management responsibilities
    • Team Leadership: demonstrate strong leadership skills to manage the Revenue Cycle processes assigned including insurance verification, EDI and revenue integrity effectively. This includes providing clear direction, setting performance expectations, and fostering a positive and collaborative work environment. Also, support the professional development of team members and provide coaching and feedback to enhance their skills and performance
    • Workload Management: Possess the ability to assess workload demands and allocate resources effectively. Ensure that the team has appropriate staffing levels to handle the volume of enrollments, prioritize tasks based on urgency and importance, and adjust as needed to meet deadlines and achieve departmental goals
    • Problem-Solving and Decision Making: possess strong problem-solving and decision-making skills to address challenges and make informed judgments in a healthcare reimbursement environment
    • Adaptability and Change Management: Be adaptable to changing reimbursement regulations, payer requirements, and industry trends. Ability to manage change effectively within the team, communicate changes clearly, and provide support and resources to ensure a smooth transition. Be open to feedback, embrace innovation, and be willing to implement new approaches or technologies that can improve reimbursement operations

Required qualifications:

• Bachelor's Degree in Healthcare Administration / related field or relevant years of experience
• 5+ years of experience in insurance verification, Revenue Cycle quality or related areas, with at least three years in people leadership experience
• In-depth knowledge of healthcare Revenue Cycle processes, including payer contracting, claim submission, EDI and medical billing compliance
• Strong understanding of healthcare regulations, payer policies, and coding systems
• Advanced reporting and analysis skills, with the ability to identify trends and propose improvements

Preferred qualifications:

• Medical device or regulatory environment experience
• XIFIN experience
• WAVE experience
• Dynamics 365 experience
• Excellent communication and collaboration skills

Requisition ID: 570261
As a leader in medical science for more than 40 years, we are committed to solving the challenges that matter most - united by a deep caring for human life. Our mission to advance science for life is about transforming lives through innovative medical solutions that improve patient lives, create value for our customers, and support our employees and the communities in which we operate. Now more than ever, we have a responsibility to apply those values to everything we do - as a global business and as a global corporate citizen.
So, choosing a career with Boston Scientific (NYSE: BSX) isn't just business, it's personal. And if you're a natural problem-solver with the imagination, determination, and spirit to make a meaningful difference to people worldwide, we encourage you to apply and look forward to connecting with you!
At Boston Scientific, we recognize that nurturing a diverse and inclusive workplace helps us be more innovative and it is important in our work of advancing science for life and improving patient health. That is why we stand for inclusion, equality, and opportunity for all. By embracing the richness of our unique backgrounds and perspectives, we create a better, more rewarding place for our employees to work and reflect the patients, customers, and communities we serve. Boston Scientific is proud to be an equal opportunity and affirmative action employer.
Boston Scientific maintains a prohibited substance free workplace. Pursuant to Va. Code § 2.2-4312 (2000), Boston Scientific is providing notification that the unlawful manufacture, sale, distribution, dispensation, possession, or use of a controlled substance or marijuana is prohibited in the workplace and that violations will result in disciplinary action up to and including termination.
Please be advised that certain US based positions, including without limitation field sales and service positions that call on hospitals and/or health care centers, require acceptable proof of COVID-19 vaccination status. Candidates will be notified during the interview and selection process if the role(s) for which they have applied require proof of vaccination as a condition of employment. Boston Scientific continues to evaluate its policies and protocols regarding the COVID-19 vaccine and will comply with all applicable state and federal law and healthcare credentialing requirements. As employees of the Company, you will be expected to meet the ongoing requirements for your roles, including any new requirements, should the Company's policies or protocols change with regard to COVID-19 vaccination.