drjobs AR Workers Compensation Manager

AR Workers Compensation Manager

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1 Vacancy
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Job Location drjobs

Philadelphia, PA - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Job Details

Management
Center City 833 Chestnut Philadelphia PA
Hybrid
Full Time
High School
Day Shift

Description

Job Summary:

The AR Workers Compensation Manager overviews the activities of the Work Comp Followup Department by managing the workflow and processes of the department. The Manager promotes a work environment of high accountability and ownership. The Manager also practices performance management by coaching mentoring counseling and developing employees for success. Will engage with Nurse Case Managers and Payer Reps regularly. Will oversee billing relationship with WC payers.

Hours:Mon Fri: 8am 4:30pm

Location:833 Chestnut St Philadelphia PA

  • hybrid will be required to work onsite as needed

Essential Duties:

  1. Supervises the activities of the department
  2. Manages department workflow and efficiently and effectively performs time management by delegating and prioritizes task
  3. Responds to billing calls and resolves billing issues.
  4. Facilitates accurate claim corrections
  5. Performs random Audits on teams individual batches for trends and reeducation
  6. Reviews and keeps track of followup stats for review w/Management through productivity reports
  7. Distributes physician case reviews accordingly and reviews for accuracy before sending to management
  8. Exemplifies the desired culture and philosophies of the organization.
  9. Maintain 12 day lag time with team and communicate any deterrents or issues to manager.
  10. Monitors assigned claim status and reports to leadership
  11. Performs daily Checklist attached for completion
  12. Trains new employeesmonitors batches for New employees competency and communicates to manager
  13. Communicates with other supervisors to resolve issues
  14. Manage Time and Attendance
  15. Responsible for learning payer policies

Minimum Requirements:

  • Education:High School diploma or GED
  • Experience Level:35 years experience in Workers Comp billing and 35 years experience in orthopedic billing. Currently in a Lead position.
  • Knowledge:Medical billing/collection practices medical coding insurance company operating and reimbursement procedure

Preferred Qualifications:

  • Knowledge:Physician billing knowledge of CPT/ICD10 coding. Knowledge of government and commercial billing requirements. General understanding of the various components of revenue cycle

Our Commitment to Employees:

Come work at Rothman Orthopaedics! Our employees are our single greatest asset as such we strive to provide a professional nurturing environment where every member of our team can make a meaningful difference in the lives of others. This commitment to our employees has earned us the distinction as a Top Workplace in Philadelphia by thePhiladelphia Inquirer year after year. Our employees enjoy competitive pay comprehensive health and dental benefits tuition reimbursement paid time off and retirement savings plans.

Rothman Orthopaedics is an Equal Opportunity employer committed to providing opportunities to all qualified applicants without regards to sex gender identity sexual orientation race color religion national origin disability protected veteran status age or any other characteristic protected by law. We value developing an inclusive and equitable environment that strengthens our organization and allows us to better attract and retain a diverse workforce that is representative of our patients and our community. We model our values by creating and enacting practices that encourage participation from all backgrounds perspectives and experiences.

COVID19 Policy:

As a condition of employment at Rothman Orthopaedics it is required you receive the COVID19 vaccination. Rothman Orthopaedics is an Equal Opportunity Employer and requests for reasonable accommodations will be considered.


Required Experience:

Manager

Employment Type

Full-Time

Company Industry

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