Supervisor, HCS Specialty Recovery

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.

Key Responsibilities

• Monitoring staff and daily recovery efforts.
• Responsible for driving recovery team’s daily productivity, ensuring team is adhering to goals and SLAs.
• Program outreach as required, working with Providers and Networks as needed at the request of team members and Management. 
• Effectively collaborates with Management and teams to ensure departmental needs are met.
• Communicates with team to ensure all production goals are clear, understandable, and achievable.
• Work with Leadership to set production goals as needed to meet department expectations.
• Provides feedback coaching and training to team members as required by management.
• Occasional assistance with Audit Concept development and claims review.
• Works with Healthcare Service’s leadership to ensure assigned areas are staffed appropriately to achieve recovery goals.
• Assist in development and revision of team training materials as needed.
• Contribute to development or enhancement or operational and recovery procedures, policies, and tools.
• Advises Leadership of operational training gaps, staff development issues and other observation and areas or opportunity that may involve training.
• Perform other duties as assigned.

Knowledge, Skills and Abilities Needed

• Working knowledge of recovery and revenue cycle management.
• Strong knowledge of Medicare requirements and regulations. 
• Proficient in MS Office, MS word, PowerPoint, and Excel.
• Strong communication skills, both verbal and written are required, to assist recovery agents with escalated Provider and Network communications.
• Ability to manage multiple tasks and priorities to meet department deadlines and expectations. 
• Proven Experience in developing and maintaining a high performing production team.
• Strong interpersonal skills that lead to positive interactions with staff, peers, leadership, and stakeholders, with a demonstrated ability to assist in conflict resolution.
• Self-Motivated, thrives in a fast-paced office environment while performing multiple tasks cohesively, with keen attention to detail.
• Ability to work full-time and on site/ or remote as needed to meet business needs.
• Ability to adapt quickly and transition effectively to changing circumstances, client requirements, assignments, and business needs: and consistently performs job responsibilities.
• Ability to lead group activities and discussions that result in effective knowledge transfer, development and or desired business outcome.
• Strong critical thinking and problem-solving skills

 Required and Preferred Qualifications

• High School Diploma or GED required.
• Bachelor’s degree in relevant field or equivalent combination of education and experience.
• 3 + years of Revenue cycle or Recovery experience.
• 3+ years in a Healthcare claims or revenue cycle management environment.
• 2+ years supervisory experience in fast paced production or call center environment.
• Some college or training in medical terminology, billing, coding, or medical billing/Coding certificate.
• Extensive experience with provider outreach and communication.