Supervisor - Referral Enterprise

About the Role

The day-to-day responsibilities of this role will involve supervising staff, developing workflows, and collaborating with other departments to ensure accurate and efficient referral management. You will also be responsible for staying up-to-date on regulatory requirements and implementing changes as needed to maintain compliance.

MultiCare Health System is a well-established healthcare organization that values its employees and offers a supportive work environment. As a supervisor in this role, you will have the opportunity to make a meaningful impact on the referral management process and contribute to the overall success of the organization.

What You Will Do

• Supervise staff members who handle referrals, insurance verification, and authorizations
• Develop and implement workflows to improve efficiency and reduce payment denials
• Collaborate with other departments, such as Patient Access and Care Management, to ensure seamless referral management
• Stay up-to-date on regulatory requirements and implement changes as needed to maintain compliance
• Analyze data and metrics to identify areas for improvement and develop strategies to address them
• Provide training and development opportunities for staff members to enhance their skills and knowledge
• Participate in quality improvement initiatives to enhance patient experience and access to care
• Develop and maintain relationships with external partners, such as insurance companies and healthcare providers
• Identify and mitigate risks associated with referral management, such as payment denials and regulatory non-compliance

What We Are Looking For

• Associate degree preferred, or two years of leadership experience in a related field
• Two years of experience in access services, pre-service, referral management, or revenue cycle management
• Previous experience in a leadership or supervisory role, with a proven track record of success
• Strong knowledge of regulatory requirements, such as HIPAA and CMS guidelines
• Excellent communication and interpersonal skills, with the ability to build strong relationships with staff and external partners
• Strong analytical and problem-solving skills, with the ability to analyze data and develop effective solutions
• Experience with electronic health records (EHRs) and other healthcare technology systems
• Certification in a related field, such as medical billing or coding, is preferred but not required

Nice to Have

• Experience with referral management software and systems
• Knowledge of medical terminology and clinical procedures
• Certification in leadership or management, such as a Lean Six Sigma Black Belt
• Experience with quality improvement initiatives and data analysis

Benefits and Perks

• Competitive salary and benefits package, including medical, dental, and retirement benefits
• Generous paid time off (PTO) and holiday schedule
• Opportunities for professional development and continuing education, including tuition reimbursement and certification programs
• Collaborative and supportive work environment with a team of experienced professionals
• Flexible work arrangements, including remote work options and flexible scheduling
• Access to cutting-edge technology and resources, including EHRs and healthcare software systems
• Employee recognition and reward programs, including bonuses and incentives for outstanding performance

• When applying for this role, be sure to highlight your leadership experience and supervisory skills, as well as your knowledge of regulatory requirements and referral management processes.
• Develop a portfolio that showcases your ability to analyze data and develop effective solutions to improve efficiency and reduce payment denials.
• Be prepared to discuss your experience with electronic health records (EHRs) and other healthcare technology systems, as well as your knowledge of medical terminology and clinical procedures.
• Research the company culture and values, and be prepared to discuss how your own values and approach to leadership align with those of MultiCare Health System.
• Consider obtaining certification in a related field, such as medical billing or coding, to demonstrate your expertise and commitment to the field.
• Be prepared to ask informed questions during the interview process, such as 'What are the biggest challenges facing the referral management team, and how do you see this role contributing to the solution?' or 'Can you tell me more about the company culture and values, and how they impact the way the team works?'