Medical Office: Accounts Receivable Supervisor

Job type  

• Full-time

Shift and schedule 

• M-F  8am - 5pm

Benefits

*  401(k)

* Employee assistance program

* Health insurance

* PTO

Full job description

ESSENTIAL FUNCTIONS

           Manages the day-to-day operations of the Accounts Receivable department to maximize net revenues and cash flow while ensuring adherence to billing policies and procedures.

• Monitor accounts receivable activity and initiates appropriate corrective measures as needed.
• Daily receipt balancing and payment posting.
• Insurance Verification
• Patient and insurance refunds
• Insurance Portal experience and administration
• Monthly patient statements and mailings
• Month-End Closing
• Provide Month-End Reports to Finance Director
• Maintain fee masters and fee schedules
• Clearinghouse experience: ERA/EDI
• Communicates performance data and associated action plans to Senior Leadership.
• Identifies and implements processes to achieve key revenue cycle metrics including but not limited to AIR days, unbilled A/R, denial percentage, and insurance/patient collections.
• Analyze large volumes of data and provide financial analysis and regularly presents trends, movements, and status to Senior Leadership.
• Review billing work queues regularly to ensure that workloads are distributed evenly, and that the department metrics are being met.
• Resolve complex insurance, patient, physician, and other issues when necessary.
• Manages self-pay receivables to help resolve AR.
• Communicate with payers and know when and how to escalate payer issues and appeals.
• Oversee the training, and supervision of department personnel.
• Maintains comprehensive knowledge of 3rd party billing requirements and reimbursement principles. 
• Maintains comprehensive working knowledge of payor contracts and ensures that payers are billed according to contract provisions.
• Conducts regular meetings with staff to discuss third-party reimbursement methodologies. Provides direction to staff on changes in managed care reimbursement and expectation of changes in insurance guidelines.
• Keeps abreast of compliance regulations, standards, and directives regarding governmental/regulatory agencies and/or third-party payers. Ensure communication and education of such to the Billing department as well as other Revenue Cycle Leaders.
• Must be able to meet deadlines given by Manager or Senior Leadership.
• Research and resolve discrepancies in a timely manner.
• Works with sensitive and confidential materials and must be able to exercise discretion.
• Verifies and updates patient registration information in the practice management system.
• The job holder must demonstrate current competencies for this position.

           EDUCATION

           High School diploma or equivalent working knowledge preferred. 

           CBC, ROCC, or CPB certification preferred or equivalent work experience.

           EXPERIENCE

            A minimum of three years of experience in a leadership role within a billing department in healthcare revenue cycle operations. 

            Prefer experience working with multiple physician specialties. 

            Previous supervisory experience and/or strong leadership skills with an ability to motivate with a positive attitude that positively impacts others.

        REQUIREMENTS

       Background and drug screenings are required. This includes cotinine testing as we are a nicotine-free facility.

• Demonstrated successful healthcare revenue cycle experience.
• Experience analyzing and trending financial data.
• Excellent written and verbal communication and presentation skills.
• Excellent critical thinking, troubleshooting, and analytical skills.
• Excellent interpersonal skills including conflict management
• Experience working in Excel
• Well organized and able to meet deadlines.
• Excellent attention to detail. 
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• KNOWLEDGE
• Knowledge of claims processing and editing systems. 
• Strong knowledge of Medicare and Medicaid payer guidelines. 
• Knowledge of CPT, HCPCS, and diagnosis coding.

           SKILLS

           Skill in effective data collection and analysis. 

           Interpersonal skills essential to communicate effectively, written and oral, with internal and external personnel at various levels.

           Skill in effectively managing multiple projects simultaneously. 

            ABILITIES

• Ability to multi-task and work well under pressure. 
• Ability to analyze problems and interpret information and to prioritize and reprioritize, as necessary. 
• Ability to work independently, and as part of a team. 
• Ability to read and interpret payer contracts. 
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• ENVIRONMENTAL WORKING CONDITIONS
• Normal office environment. 
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• PHYSICAL/MENTAL DEMANDS
• Requires sitting and standing associated with a normal office environment. 
• Some bending and stretching are required. 
• Manual dexterity using a calculator and computer keyboard.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.