AR Insurance Supervisor Facilities
AR Insurance Supervisor Facilities
Posted on :
02-10-2025
Employer Active
1 Vacancy
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Job Description
ESSENTIAL FUNCTIONS
- Responsible for supervising and developing patient account and insurance follow-up representatives.
- Assist staff with timely identification of denial trends and work with team to initiate workflows to resolve future denials.
- Supervise daily operations of the facility authorization team including scheduling task delegation and performance monitoring.
- Ensure timely and accurate pre-authorization of surgical procedures diagnostic testing inpatient admissions and other billable services.
- Review authorization and insurance verification workflows to improve efficiency and reduce errors and delays.
- Serve as the point of contact for escalations involving urgent or complex authorization issues.
- Monitor payer policies and communicate changes or updates to the team promptly.
- Collaborate with clinical departments schedulers physicians and billing to ensure accurate communication and coordination of services.
- Track and report key performance indicators (KPIs) including authorization turnaround times denial rates and retro-authorization volumes.
- Assist with training coaching and developing authorization team staff.
- Ensure compliance with HIPAA and other applicable federal state and payer regulations.
- Partner with billing and coding teams to review and resolve retroactive authorization issues and prevent revenue leakage.
- Perform quality auditing on live and retrospective auditing of inbound and outbound phone calls.
- Performs monthly billing audits to ensure timely and accurate claims submission and insurance follow-up activities.
- Coaches established employees when needs are identified holding employees accountable for results through coaching and development of action plans.
- Performance management of personnel including reviews corrective action mentoring and development plans and performance improvement plans.
- Assist in interviewing hiring and training of new staff members.
- Monitor and manage the productivity and performance of assigned employees including reporting daily/weekly/monthly department metrics to Senior Management.
- Responsible for handling escalated patient phone calls regarding billing and payment issues.
- Acts as a resource to the department taking inbound phone calls to provide coverage for breaks and lunches.
- Review patient accounts for accurate customer service supporting documents and correct collections activity.
- Support and comply with all company policies and procedures and comply with Medicare and Medicaid regulations.
- Conducts regularly scheduled staff meetings.
- Research and resolve discrepancies in a timely manner.
- Review and assist with processing refunds turning accounts to collections and financial assistance applications.
- Responsible for accurate and timely application of transactions including adjustments and write-offs.
- Communicate effectively with other internal departments and with outside vendors such as phone system collection agency and credit card processor.
EDUCATION
- High school diploma/GED or equivalent working knowledge preferred.
EXPERIENCE
- Requires 2 years of experience acting as a team lead or in a supervisor role in a revenue cycle department in a healthcare environment.
REQUIREMENTS
- Must have a full understanding of the Revenue Cycle Management process to include collections billing and coding
- Excellent critical thinking troubleshooting and analytical skills
- Excellent interpersonal skills including conflict management
- Experience working in Microsoft products Word Outlook and Excel (advanced formulas pivot table)
- Well organized and able to meet deadlines
- Excellent attention to details
- Works with sensitive and confidential materials and must be able to exercise discretion.
KNOWLEDGE
- Knowledge in patient billing healthcare administration healthcare insurance requirements and medical terminology and coding.
- Knowledge of business office methods and policies regarding productivity/workload analysis and scheduling procedures.
- Knowledge of government regulatory requirements and commercial contracts.
SKILLS
- Skilled in defusing difficult situations while remaining calm and exhibiting professionalism and courtesy.
- Skilled in establishing metrics and clear objectives including performance management.
- 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 work in a fast-paced environment
ENVIRONMENTAL WORKING CONDITIONS
- Normal office environment.
- Extended work hours at or near month end to meet department objectives may be necessary.
PHYSICAL/MENTAL DEMANDS
- Requires sitting and standing associated with a normal office environment.
- Some bending and stretching required. Manual dexterity using a calculator and computer keyboard.
ORGANIZATIONAL REQUIREMENTS
- HOPCo Mission Vision and Values must be acknowledged and adhered to
Required Experience:
Manager
Employment Type
Full-Time
Key Skills
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