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The Reimbursement Supervisor, is responsible for overseeing reimbursement activities related to admissions, insurance verification, documentation, billing, collections, cash management and other operations impacting the revenue cycle. They will have primary leadership responsibility for maintaining and strengthening revenue cycle activities in an internal control environment. The successful candidate will provide independent reviews and evaluations of the company’s billing and collections activities as well as provide recommendations to Reimbursement Manager/Director.
Job Responsibility:
Supervise reimbursement activities at the Support Center for multiple branch locations and payers as it relates to admissions, insurance verification, authorization, billing, collections, cash management and/or other operations related to the revenue cycle process
Supervise and train Support Center and branch personnel as it relates to revenue cycle activities
Assist in recruiting of new personnel
Monitor and supervisor revenue cycle team of 10-15 employees
Supervise adherence to departmental operating procedures to ensure efficient, compliant and profitable operations
Supervise staff to drive to key metrics
Keeps abreast of payer guidelines and changes to these guidelines. Notify all affected personnel of these changes. Assist in implementation of these changes
Analyze and trend key data to improve overall performance
Implement efficiencies within department including, but not limited to: new electronic claim transmission, electronic funds transfer, and electronic eligibility verification
Assist in recommending, establishing and implementing new reimbursement policies and procedures to drive improvement
Monitor revenue cycle processes to ensure timeliness and adherence to established policies
Audit all necessary reports, forms and schedules in a timely manner to ensure accuracy
Implement new billing codes and techniques to maximize timely reimbursement and monitor results
Supervise appeals associated with denials and process in a timely manner
Oversee team meetings with branches
Provide timely performance evaluations for staff
Consult in due diligence for potential company acquisitions
Evaluate and recommend to the Director, new procedures or modifications to current procedures relating to Reimbursement specific functions
Maintains a high degree of confidentiality at all times due to access to sensitive information
Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
Follows all Medicare, Medicaid, and HIPAA regulations and requirements
Abides by all regulations, policies, procedures and standards
Performs other duties as assigned
Requirements:
High School Diploma or GED
Three to five years of previous supervisory experience preferred
Comprehensive knowledge of reimbursement guidelines (specifically Medicaid, Managed Care and Long Term Care insurance)
Comprehensive knowledge of electronic transmissions of billing, cash posting and/or insurance verification
Solid history of proven success with Revenue Cycle Supervision (admissions, billing, collections and/or cash applications)
Advanced computer proficiency including Microsoft office
Ability to create and manage excel spreadsheets
Excellent customer service skills
Excellent verbal and written communication skills
High level interest in being part of a dynamic and growing team