Job Family:

PFS General

Travel Required:

Up to 10%

Clearance Required:

None

What You Will Do:
 

The PFS Supervisor – Clinical Trials an extension of a client’s business office staff. This position is responsible for overseeing the direct reports of the clinical trials department, developing, implementing, managing, meeting, or exceeding the Operational goals of our clients and Company. This includes billing, collecting, and working closely with other areas to ensure timely submissions of claims to the payers. Ensure all claims are billed and resolved in the SSI billing system same day or within 24 hours. Pulling, reviewing, distributing, and completing daily A/R reports and spreadsheets within the Metrix system. Work with each payer’s Provider Rep to resolve trends and issues, therefore reducing denials and increasing cash collections. Ensure all deadlines are met. Complete monthly productivity and quality audits of direct reports and provide one on one feedback. Enter staff’s time in the timekeeping system. This position will follow and ensure that client policies and procedures are followed and will also perform all job-related duties as assigned.

• Account Review and Follow-up.
• Billing.
• Coordinate and conduct interviewing of potential new hires and bring recommendations to Operations Manager.
• Training of new team members.
• Ongoing training and mentoring of team members.
• Complete monthly account reviews for each patient account representative on the project.
• Ensure team member and project compliance with HIPAA standards.
• Receives and reviews client project reports generated from supervised team members.
• Monitor and ensure all staff member’s compliance with Company/Client standards.
• Monitor team member phone calls for adherence to client and Company/Client expectations.
• Monitor team member attendance and punctuality.
• Communicate team member non-compliance with Operations Manager.
• Conduct disciplinary counseling including performance improvement plans as required.
• Complete annual evaluation of staff.
• Take “supervisor” calls when a team member needs assistance with a patient.
• Complete all assigned projects in a timely manner.
• Assist all staff members with their questions in the absence of their Project Supervisor.
• Meet or exceed revenue goal for project.
• Conduct weekly team meetings to ensure the on-going understanding of client and company expectations.
• Monitor and ensure team members meet or exceed established productivity goals.
• Reviews and approves monthly client invoices for accuracy.
• Identify and communicate trends and issues to Operations Manager & Client.
• Works with management in developing policies.
• Promote teamwork and a positive work environment.
• Any duties as assigned by leadership.
• Possible travel.

What You Will Need:

• Bachelor’s Degree or Relevant experience may be substituted for formal education or advanced degree
• Five years of relevant experience in Healthcare billing
• 1 or more years with prior supervisor, leadership, and management experience

What Would Be Nice To Have:

• Prior experience with Metrix, SSI, Waystar, and HealthQuest.
• Experience with spreadsheets, reporting, payer contracts, payer websites and sFax.
• ​Critical thinking skills, both independent and team oriented, problem solver, and excellent time management
• Knowledge and utilization of desktop applications to include Word and Excel is essential.
• Ability to initiate and follow through on projects and work independently.
• Strong written and verbal communication skills.
• CPAR certification.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [email protected]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.