Job Description

Overview

The Accounts Receivable Supervisor will work under the general supervision of the Associate Director of Revenue Cycle (ADRC). This position is responsible for ensuring that insurance accounts receivable resolution are consistently completed timely and in accordance with policy. The supervisor will minimize bad debt, improve cash flow, and effectively manage all insurance accounts receivables functions. This position will coordinate effective leadership of revenue cycle activities across the department to include, but not limited to insurance AR follow up, denial management, measuring performance, and staff training and development.

Responsibilities

Essential Duties:

• Provide overall leadership and support to centralized payment posting and A/R management staff, including proactive guidance, troubleshooting support, issue escalation, and project prioritization.
• Develop, implement, and monitor key performance indicators and productivity goals; identify root cause for variances and applicable process improvements; and report key findings to appropriate leadership.
• Review and approve write‐offs, and adjustments on accounts, as defined in CommUnityCare policies
• Management of the accounts receivable (AR) including analysis of the aged AR, looking for root cause issues; writing rules where appropriate to stop errors from occurring.
• Denial management ‐ investigating denial sources, resolving/appealing denials which may include contacting payer representatives.
• Makes independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques.
• Responsible for training internal teams as well as providing updates to patient access team when appropriate.
• Works closely with Charge Review Supervisor, to support efforts to ensure reimbursement is in line with payer contract agreements.
• Laser focused drive toward achievement of department’s daily and monthly Key Performance Indicators (KPIs), requiring a team focused approach to attainment of these goals.
• Provide oversight to research, implementation, and education/training on payer regulations and guidelines related to revenue management activities.
• Manage special projects associated with revenue cycle as needed and/or requested.
• Maximize reimbursement in a cost‐effective manner that is compliant with federal/state and payer‐specific billing requirements.
• Collaborate effectively with appropriate departments across the organization.
• Perform other duties as assigned including short term oversite of payment reconciliation department.PEOPLE MANAGEMENT/DEPARTMENT MANAGEMENT/BUSINESS UNIT MANAGEMENT:
• Promptly identifies issues and develops action plans for resolution with ADRC
• Monitor staff schedule and adherence to time and attendance protocol
• Attend meetings, training session, and conference calls, as well as team meetings, one-on-one meetings with ADRC to provide consistent performance feedback.
• Supervisory responsibilities include but are not limited to interviewing, hiring, and training employees, planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems with ADRC
• Assists with recruitment and training of new employees. Interviews prospective employees with the ADRC
• Motivates employees to achieve peak productivity and performance.
• Maintain regular and predictable attendance
• Develop work ques to ensure success in area. Assigns and monitors employee work ques.
• Assist staff with their work que(s) and resolving issues.
• Realizes the importance of, and practices, good customer service and can communicate effectively with people of varying cultures, socio-economic backgrounds; languages, and educational levels.
• Collaborates regularly with compliance, clinical and operations to maximize reimbursement and efficiency.

Knowledge/Skills/Abilities:

• High level of skill at building relationships and providing excellent customer service.
• Ability to utilize computers for data entry, research, and information retrieval.
• Strong attention to detail and accuracy.
• Ability to multitask.
• Excellent verbal and written communication skills.
• Ability to understand complex insurance issues, including assigning correct payer, adjustments, and refunds to accounts.
• Must be able to effectively monitor steps in claims processing operations.
• Must have excellent computer, time management, organizational, data processing, and analytical skills with proficiency in Excel and Microsoft Office Suite as well as A/R systems and associated applications required
• Must have highly developed problem-solving skills.
• Knowledge of revenue cycle including denial management and payment posting.
• Knowledge of CPT and ICD coding and related regulations and guidelines.
• Knowledge of billing and collections best practice processes and procedures.

Qualifications

MINIMUM EDUCATION: High school diploma or GEDMINIMUM EXPERIENCE:

• 2 years equivalent experience Required AND
• Experience with third party government billing and reimbursement procedures Required