Supervisor, Reimbursement

1 month ago


Arlington, United States AMERICAN OUTCOMES MANAGEMENT dba AOM INFUSION Full time
Job DescriptionJob Description

JOB SUMMARY:

The Reimbursement Supervisor is responsible for supervising the billing, collections, and administrative support activities for the Reimbursement team. This role will include a variety of duties as assigned by the manager, which includes collections, billing and cash application projects as needed. Will assist will problem solving and issues with high dollar A/R accounts, assist in back-up for collection and billing teams and will collaborate on best practices for improved efficiencies in the revenue cycle. Will help coordinate activities, schedules, and teamwork assignments to meet billing deadlines and collection goals.

REQUIREMENTS

  1. Education:
  1. High School Diploma or equivalent.

  1. Experience
    1. Prefer 3 to 5 years’ experience in Home Infusion insurance authorization, collections and/or billing.
    2. Prefer a strong understanding of their team’s assigned insurance plans.
    3. Skilled in coding, clean claims creation, patient data management, and auditing of clinical documentation
    4. Good communication skills, organizational skills and self-motivated.
    5. Computer literate with proficiency in Office applications such as Excel and Word.
  2. Fulltime Employment:
  1. 40hrs per week. Work week is Monday thru Friday
  2. Schedule determined by supervisor

RESPONSIBILITIES

  1. Ensure all electronic and paper claims are transmitted or mailed timely and accurately.

  1. Assist in activities to reduce DSO and increase collections in any way possible.

  1. Conduct audits of current processes and determine billing and/or collections opportunities to improve on and effect the necessary actions.

  1. Collaborate with other departments to analyze additional information about patients to be able to record and process billing and/or collection efforts effectively.

  1. Ensure the billing and/or collection departments carry out all activities in accordance with overall protocols, including compliance with payer, State, and Federal requirements, regulations, and guidelines.

  1. Remain updated on HIPAA and all other health information management regulations.

  1. Train, allocate work, and resolve problems among billing and/or collection office personnel.

  1. Work with manager to ensure end of month is done in a timely manner.

  1. Be a subject matter expert to assist the team with denials, appeals, payer policy and reimbursement processes.

  1. Track and trend any insurance, authorization, billing, or collection issues and relay the information to the Reimbursement Manager.

  1. Assist Reimbursement Manager with evaluation for the completion of annual employee reviews.

  1. Any other duties as assigned by the Reimbursement Manager


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