Supervisor - Revenue at Abarca Health

Sioux Falls, South Dakota, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Bachelor's degree in business, economics, management, accounting, or related field, or equivalent combination of education and experience
Related experience (preferred: experience working in and with multiple IT systems)
Visual acuity adequate to perform position duties
Ability to communicate effectively with others, hear, understand, and distinguish speech and other sounds
Ability to work the specified hours (full-time, day shift)
Commitment to Avera’s mission, vision, core values, and social principles
Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement

Responsibilities

Supervise activities of accounts receivable, credit balance, and denials staff in daily tasks
Handle denials, credit balance resolution, and accounts receivable follow-up
Coordinate with Accounts Receivable Manager and Business Office Director for quality account services
Support execution of process flow for collections and accounts receivable to achieve quality results
Provide guidance and supervision to accounts receivable associates, denials associates, and credit balance associates
Validate accuracy of associates' performance, conduct quality audits, train team members, evaluate and ensure quality performance
Oversee day-to-day efforts of associates in prioritizing, troubleshooting, and monitoring accounts
Be available to associates for questions, support, and triaging to the Accounts Receivable Manager
Assist Accounts Receivable Manager with development of immediate and future goals and objectives for the department
Assist with analysis, collection, and maintenance of records for Quality Assurance, Joint Commission, OSHA, or legal requirements
Support operations, including assisting with escalated customer questions or disputes on bills/charges, and answering incoming calls on billing/charge questions, credit terms, or complaints
Verify billing accuracy
Review and initiate appeal information when appropriate
Implement process changes to accelerate cash flow and improve department productivity
Participate in continuing education programs and professional activities in revenue cycle and healthcare finance
Interview, hire, develop, train, and retain employees; plan, assign, and lead work; appraise performance; reward and coach employees; address complaints and resolve problems

Skills

Key technologies and capabilities for this role

Accounts ReceivableDenials ManagementCredit Balance ResolutionBillingQuality AuditsTeam SupervisionProcess ImprovementTroubleshootingTrainingPerformance Evaluation

Questions & Answers

Common questions about this position

Is this a remote position or does it require on-site work?

This is an on-site position located at Avera Downtown Building in Sioux Falls, with a day shift schedule.

What are the key responsibilities of the Supervisor - Revenue role?

The role involves supervising accounts receivable, credit balance, and denials staff, overseeing daily tasks, providing guidance, conducting quality audits, training team members, and handling escalations like customer disputes and appeals.

What essential qualifications are needed for this position?

Candidates must be able to work the specified hours, have adequate visual acuity for duties, and possess effective communication skills including the ability to hear, understand, and distinguish speech.

What is the team structure like for this role?

The supervisor oversees a multidisciplinary team including accounts receivable associates, denials associates, and credit balance associates, while coordinating with the Accounts Receivable Manager and Business Office Director.

What makes a strong candidate for the Supervisor - Revenue position?

Strong candidates have supervisory experience in revenue cycle management, skills in training and developing staff, knowledge of healthcare finance, and the ability to implement process improvements for cash flow and productivity.

Abarca Health

Pharmacy Benefit Management services provider

About Abarca Health

Abarca Health provides Pharmacy Benefit Management (PBM) services, focusing on flexible and user-friendly solutions for health plans, employers, and government programs like Medicare and Medicaid. Its main product, the Darwin platform, allows clients to quickly implement and modify benefit designs while ensuring compliance with regulations. Abarca Health manages over $5.3 billion in drug spend and processes 100 million prescription claims annually, offering additional services like home delivery for prescriptions. The company's goal is to deliver exceptional service and innovative solutions in the PBM market.

Aventura, FloridaHeadquarters

2005Year Founded

VENTURE_UNKNOWNCompany Stage

HealthcareIndustries

501-1,000Employees

Benefits

PTO

Parental leave

Work flexibility

Health insurance

Wellness stipend

401k

Tuition reimbursement

Leadership development programs

Risks

Increased competition from Amazon Pharmacy and Mark Cuban's Cost Plus Drug Company.

Growing focus on specialty drugs may require platform adaptation.

Shift towards price transparency could pressure Abarca's pricing models.

Differentiation

Abarca Health's Darwin platform is highly adaptable and user-friendly.

The company offers innovative programs like Triple S en Casa for home delivery.

Abarca Health ensures compliance with ever-changing healthcare regulations.

Upsides

Abarca transitioned two million members to Darwin in 18 months, showing operational efficiency.

Collaboration with Blue Shield of California boosts Abarca's reputation in the PBM sector.

Recognition as a top IT workplace attracts top talent, driving innovation.

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