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Supervisor, Access Operations

  • Second Street, Cambridge, Massachusetts, United States
  • Full Time

About the Job

The Supervisor, Access Operations is responsible for monitoring, delegating and reporting accessions for preliminary and final submissions to the billing vendor and for leading a team of Access Operations Associates, supporting team member development, establishing best practices, troubleshooting errors and ensuring team goals are met in a timely fashion.

Key Responsibilities

• Establish and maintain process workflows for billing, reimbursement and related special projects.

• Complete preliminary billing activities within Foundation Medicine’s applications including document review, data entry, error logging, and case submission to Foundation Medicine’s billing vendor.

• Facilitate and support client billing as required.

• Obtain missing billing information from internal and external clients.

• Meet and help the team meet month-end and quarter-end deadlines through planning and preparation, and support as an individual contributor.

• Support and develop team members in their growth potential by establishing goals, implementing thorough training modules, scheduling routine 1:1 meetings, communicating timely updates, and providing constructive and qualitative feedback to address specific areas.

• Foster a warm and collaborative atmosphere where team members are enthusiastic about supporting fellow team members and bring a positive attitude to the workplace.

• Assure that daily, weekly, monthly and quarterly productivity is met for the team.

• Address incomplete or inaccurate accessions.

• Guide team members to make good judgement calls and make decisions when needed, recognizing when the correct action is the tougher choice.

• Collaborate with appropriate internal departments to manage billing preferences, communicate educational opportunities for ordering clients.

• Process financial assistance applications and respond to patients regarding award determinations.

• Identify and proactively propose process improvements; implement, assess and refine these improvements at regular intervals.

• Ensure team members are complying to both company and legal guidelines.

• Assist internal and external clients with their billing inquiries via phone and email.

• Take on and resolve escalated client concerns and ensure team members are providing secondary support for the billing call line.

• Process and complete prior-authorizations for third-party insurance carriers.

• Review and enter supplemental-test charges to billing vendor’s system.

• Collaborate with Project Manager to set and implement the Access Operations vision, strategy, and objectives.

• Support the hiring and staffing needs and strategy for the department.

• Rebalance work including re-assignment of regional work, as needed.

• Ad hoc requests and special projects as necessary.

• Other duties as assigned.

Qualifications

Basic Qualifications

• Bachelor’s degree in Healthcare Information or related fields, or equivalent work experience

• 3+ years of finance and billing experience

Preferred Qualifications

• Bachelor’s Degree in Finance, Business

• 4+ years of finance and billing experience

• 1+ years of supervisory or managerial experience

• Experience with finance and billing in a pharmaceutical company

• Experience working in a Billing & Reimbursement setting

• Experience working in a call center

• Demonstrated history of professionalism and leadership

• Knowledge of medical terminology

• Proficiency utilizing Microsoft Office Suite, specifically Excel

• Ability to lead through changing processes and work environments

• Ability to work well under pressure while maintaining a professional demeanor

• Excellent organization and attention to detail

• Strong project management skills

• Strong interpersonal skills that include excellent skills in written communication, oral communication, collaboration, and problem solving with other departments and colleagues

• Understanding of HIPAA and the importance of patient data privacy

• Understanding of confidentiality as it pertains to financial information

 

Confidence, or the belief that we need to check every box before applying for a job, can sometimes hold us back from going after a role that inspires us. At Foundation Medicine there's no such thing as the 'perfect' applicant, and our company is a place where every employee can make an impact and continue to grow whatever background they may have or path they may have taken. So, as long as you meet the basic qualifications for a role, please apply if you see a position that would make you excited to come into Foundation Medicine every day and help us transform cancer care.

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Foundation Medicine is proud to be an Equal Opportunity and Affirmative Action employer and considers all qualified applicants for employment without regard to race, color, religion, sex, gender, sexual orientation, gender identity, ancestry, age, or national origin. Further, qualified applicants will not be discriminated against on the basis of disability or protected veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. See also FMI’s EEO Statement and EEO is the Law and Supplement. If you have a disability or special need that requires accommodation, please let us know by completing this form.  (EOE/AAP Employer)

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