drjobs RCM Healthcare Claims Denials Supervisor

RCM Healthcare Claims Denials Supervisor

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1 Vacancy
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Job Location drjobs

Blue Springs, MO - USA

Yearly Salary drjobs

$ 65000 - 88600

Vacancy

1 Vacancy

Job Description

Become a part of our caring community and help us put health first

This is a hybrid position; 1 day in office/4 days remote. Must live in either the Atlanta GA market or Kansas City MO or Kansas City KS markets.

As theRCM Healthcare Claims Denials (Accounts Receivable) Supervisor you will:

  • Supervise daily billing and collections activities to ensure maximum efficiency. Provide guidance and direction to staff covering all aspects of billing and collection standards/procedures ensure adherence to policies and procedures and initiate correspondence to insurance companies for reconsideration of claims.

  • Supervise accounts receivable management functions and maintain assigned portfolios at acceptable levels. Ensure that service/supplies are billed appropriately and reimbursements are pursued until full payment is received.

  • Provide guidance and assistance to management at branches assigned on reimbursement issues.

  • Develop and implement plans to ensure assigned accounts receivable balances are within stated objectives.

  • Supervise the maintenance of the provider manuals patient information updates and various logs essential to patient clearance/billing processes.

  • Ensure that accounts are billed within the established time frames and that customer service guidelines/guarantees are adhered to. Keep abreast of billing regulations/requirements and changes to national uniform billing forms and communicate changes to all pertinent personnel.


Use your skills to make an impact

Required Experience/Skills:

  • High School Diploma or the equivalent

  • A minimum of three years healthcare related collection/billing experience

  • Some experience in a lead or supervisory role generally required

  • Strong knowledge of collection and accounts receivables procedures

  • Effective communication skills

Additional Information:

To ensure Home or Hybrid Home/Office employees ability to work effectively the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

  • At minimum a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless wired cable or DSL connection is suggested.

  • Satellite cellular and microwave connection can be used only if approved by leadership.

  • Employees who live and work from Home in the state of California Illinois Montana or South Dakota will be provided a bi-weekly payment for their internet expense.

  • Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.

  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

CenterWell Home Health offers a variety of benefits to promote the best health and well-being of our employees and their families. Our competitive and flexible benefits surround you with support the same way you do for our patients and members including:

  • Health benefits effective day 1

  • Paid time off holidays and jury duty pay

  • Recognition pay

  • 401(k) retirement savings plan with employer match

  • Tuition assistance

  • Scholarships for eligible dependents

  • Caregiver leave

  • Employee charity matching program

  • Network Resource Groups (NRGs)

  • Career development opportunities

Travel: While this is a remote position occasional travel to Humanas offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills knowledge experience education certifications etc.


$65000 - $88600 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana Inc. and its affiliated subsidiaries (collectively Humana) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits Humana provides medical dental and vision benefits 401(k) retirement savings plan time off (including paid time off company and personal holidays volunteer time off paid parental and caregiver leave) short-term and long-term disability life insurance and many other opportunities.


About us

About CenterWell Home Health: CenterWell Home Health specializes in personalized comprehensive home care for patients managing a chronic condition or recovering from injury illness surgery or hospitalization. Our care teams include nurses physical therapists occupational therapists speech-language pathologists home health aides and medical social workers all working together to help patients rehabilitate recover and regain their independence so they can live healthier and happier lives.

About CenterWell a Humana company: CenterWell creates experiences that put patients at the center. As the nations largest provider of senior-focused primary care one of the largest providers of home health services and fourth largest pharmacy benefit manager CenterWell is focused on whole-person health by addressing the physical emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM) CenterWell offers stability industry-leading benefits and opportunities to grow yourself and your career. We proudly employ more than 30000 clinicians who are committed to putting health first for our teammates patients communities and company. By providing flexible scheduling options clinical certifications leadership development programs and career coaching we allow employees to invest in their personal and professional well-being all from day one.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race color religion sex sexual orientation gender identity national origin age marital status genetic information disability or protected veteran status. It is also the policy of Humana to take affirmative action in compliance with Section 503 of the Rehabilitation Act and VEVRAA to employ and to advance in employment individuals with disability or protected veteran status and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions including but not limited to recruitment hiring upgrading promotion transfer demotion layoff recall termination rates of pay or other forms of compensation and selection for training including apprenticeship at all levels of employment.


Required Experience:

Manager

Employment Type

Full-Time

Company Industry

About Company

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