What are the responsibilities and job description for the Accounts Receivable Supervisor - Full Time position at IRMC?
In this role you will be:
- Lead and supervise a team of AR Reps, assigning tasks, providing training, coaching, and performance evaluations to ensure efficient workflow and optimal results.
- Review and approve staff timecards prior to deadline to ensure paychecks are received.
- Approve and deny vacation time requests strategically to ensure daily department operations are not compromised.
- Monitor the accurate and timely submission of claims to insurance companies, ensuring proper coding and compliance with billing regulations.
- Analyze denied claims, identify reasons for denials, identify trends, and work with the billing team and other departments to resolve issues with insurance companies to minimize revenue loss.
- Oversee the process of contacting insurance companies to follow up on outstanding balances. Maintain a relationship with the early-out patient statement vendor that manages past-due accounts and have knowledge of the collection strategies for past due accounts.
- Generate reports on key AR metrics like aging receivables, collection rates, and denial trends to identify areas for improvement and informed management decisions.
- Ensure adherence to HIPAA regulations, general understanding of coding guidelines, and other healthcare billing compliance standards.
- Utilize the electronic health record (EHR) and billing systems to efficiently manage patient accounts and track billing statuses.
- Maintaining knowledge of industry data and regulatory changes; ensures staff are appropriately educated about and compliant with payer guidelines, state and federal regulations, and industry updates.
- Works with the Director and staff to identify overpayments and provide refunds.
- In conjunction with the Director, establish departmental objectives and work with the staff to set individual goals; monitors staff performance, perform reviews, and compiles productivity reports.
- Works with the Director to assist in developing, reviewing, and revising policies and procedures to maintain the efficacy of the department.
- Meets regularly with leadership from other RC departments to review performance, align strategies, identify best practices, and improve collections. This includes support and notification of RC improvements that can be made by the operations team that is directly affected by their actions in the office.
- Assists the Director in recruiting, hiring, and training practices; monitors and provides performance appraisal for new staff.
OTHER DUTIES:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
QUALIFICATIONS:
Required:
- EDUCATION: Associate’s degree in business or healthcare preferred.
- EXPERIENCE:
- 3-5 years relevant experience in billing, collections, and denials required.
- 2 – 3 years supervisory experience required.
- LICENSURE/CERTIFICATION: Professional certification preferred
SKILLS:
- Strong understanding of medical billing codes (CPT, HCPCS): Knowledge of healthcare billing guidelines and coding practices to ensure accurate claim submission.
- Experience with healthcare billing systems: Proficiency in using electronic health records (EHR) and billing software.
- Excellent communication skills: Ability to effectively communicate with insurance companies, and internal stakeholders to resolve billing issues.
- Strong Critical and Analytical skills: Capability to analyze data, identify trends, and make informed decisions regarding billing strategies.
- Leadership abilities: Proven experience managing and motivating a team to achieve performance goals.
- Knowledge of HIPAA regulations: Understanding of patient privacy laws and compliance requirements.
- Effective time management: Ability to manage time to ensure deadlines are met.
- Ability to coordinate with leaders from other departments.
- Ability to coordinate, direct and supervise the work of others.
- Ability to collect, analyze, and interpret data trends; identify opportunities for improvement; and helping develop and implement policies and procedures.