HUB Services Reimbursement Supervisor

2 weeks ago


Memphis, United States Anovorx Group LLC Full time
Job DescriptionJob Description

Job Summary:

The HUB Reimbursement Supervisor will work closely with HUB Program Manager overseeing manufacturer services operations (“HUB”) to ensure proper contractual requirements are followed, such as: reimbursement from insurance companies, third party payors, patients and other customers for services provided. The below is intended to describe the general content of and requirements for the performance of this job and is not to be construed as an exhaustive statement of essential functions, responsibilities, or requirements.

Primary Duties and Responsibilities

  1. Supervises daily shipping issues, while ensuring pending reimbursement cases are being worked in accordance with SOPs, policies, and procedures.
  2. Understands and models Anovo-specific SOPs, policies and procedures, as well as HUB-specific policies and procedures.
  3. Ensures direct reports are appropriately trained on Anovo and HUB SOPs, policies, and procedures, and provides guidance and direction to staff as needed.
  4. Assists in continuous review of current SOPs, policies, and procedures for areas of improvement in efficiency and accuracy as needed.
  5. Monitors reports to ensure work is being completed timely and accounts reflect the correct status.
  6. Ensures adequate phone coverage amongst direct reports during published business hours.
  7. Ensures staff initiates correspondence to insurance companies for reconsideration of claims, and/or assists staff in this process as needed.
  8. Works collaboratively with other departments, including operations and managed care, to improve reimbursement process and results.
  9. Monitors processing of claim denials and secondary billing requirements to ensure prompt follow-up.
  10. Supervises, mentors and trains staff as needed.
  11. Participates in interviewing prospective employees and evaluating current employees on performance.
  12. Holds regular 1:1s with team members to provide timely feedback and coaching to underperforming areas as needed.
  13. Works independently on projects as assigned by manager.
  14. Able and willing to cover any Anovo-operating shift between the hours of 7am-7pm, Monday-Friday.
  15. Regular and reliable attendance expected.
  16. Other work-related duties as assigned by supervisor/manager.

Minimum Knowledge, Abilities, and Skills Required

  1. Must possess a high school diploma or equivalent.
  2. Must possess 1-2 years of prior supervisory/managerial experience.
  3. Must have a minimum of three years’ experience in a HUB setting, a health care billing or reimbursement related organization.
  4. Must possess strong critical thinking skills.
  5. Must possess strong interpersonal skills.
  6. Must be highly motivated, people friendly, organized and detail oriented.
  7. Must not have history evidencing any dishonesty, lack of trustworthiness, or workplace violence.
  8. Proficient with Microsoft Office Suite (primarily Outlook, Word, Excel and PowerPoint.)
  9. Must have history evidencing reliability and consistency in timeliness, attendance, and quality of work.
  10. Must present yourself professionally on the phone and in person.
  11. Must articulate thoughts well and communicate them clearly, both verbally and in writing.
  12. Must be able and willing to take and pass pre-employment drug and background screening.

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