Accounts Receivable Supervisor

2 weeks ago

Tustin, United States Medusind Full time
At Medusind we take immense pride in offering superior, cost-effective solutions covering the whole spectrum of tasks and processes to the healthcare industry. A significant factor is that our workforce comes with rich domain expertise and robust compliance norms.
Our four-prong approach of an excellent management team coupled with a detailed eye for processes experienced manpower, and cutting-edge technology helps us deliver superior, cost-effective services to our clients across the globe.
Benefits:
  • Health insurance. 
  • Dental insurance. 
  • Employer-paid life insurance.
  • Employer-paid short-term & long-term disability.
  • Voluntary additional life insurance.
  • Employee Assistance Program. 
  • 48 hours of sick time after three months.
  • 80 hours of vacation time after six months.
  • $400 referral bonus.

We are seeking a proactive and detail-oriented Accounts Receivable Supervisor to oversee the accurate and timely processing of healthcare insurance claims. This role is responsible for investigating unpaid and underpaid claims, identifying and addressing root causes of payment delays, and taking proactive measures to secure reimbursements. The ideal candidate is highly skilled at navigating and resolving payer issues, familiar with behavioral health claims and motivated to maximize revenue cycle performance.  

Key Responsibilities:  
  • Provide ongoing coaching to Claims Resolution Team to support skill development, task execution and insurance and/or process updates.  
  • Conduct regular audits of delegated tasks to ensure accuracy, timeliness of delivery and quality standards are met  
  • Oversee the end-to-end processing of behavioral health insurance claims  
  • Investigate unpaid and underpaid claims to identify current and potential payment delays  
  • Develop and execute strategies to address recurring payer issues, implementing proactive solutions to optimize claim resolution efficiency  
  • Collaborate with and guide the Claims Resolution team to address and rectify payer issues, assigning work and coordinating special projects  
  • Work closely with insurance companies, internal teams, and customers to resolve payment disputes, denials, or discrepancies in a timely manner.  
  • Prepare weekly and end-of-month reports to provide insights into claims processing and revenue cycle performance  
  • Audit assigned accounts claims data for accuracy, ensuring all statuses, payments and denials are documented according to company standards and processes  
  • Complete claim-related appeals, ensuring all necessary documentation and follow-up actions are executed accurately and promptly. 
  • Review all items in write-off status that have not yet been approved, making decisions to either approve for write-off, escalate internally, or return to the Claims Resolution team with detailed notes for next steps. 
  • Generate weekly reports for Client Services, summarizing key updates on claims resolution and revenue performance.
  • Conduct high-level facility reviews to identify and resolve any systemic issues impacting revenue cycle efficiency. 
  • Create end-of-month client invoices, ensuring accurate and timely insurance payment information. 
  • Coordinate and manage projects related to claims resolution and process improvement, ensuring milestones are met and stakeholders are informed. 
  • Serve as the primary liaison between departments to facilitate collaboration on revenue cycle and accounts receivable initiatives. 
  • Track and monitor the progress of special projects, providing regular updates and reports to leadership and stakeholders. 
  • Develop and maintain project documentation, including timelines, action plans, and outcomes, ensuring all objectives are met efficiently. 
  • Proactively identify opportunities for process improvements for assigned facilities and implement project plans to address the issues. 
Qualifications:  
  • 3+ years of experience in accounts receivable, auditing, healthcare billing, or insurance-related roles.  
  • Strong knowledge of healthcare insurance billing, claims processing, and EOB interpretation.  
  • Proficiency in accounting software and healthcare billing systems.  
  • Excellent analytical skills with a keen attention to detail.  
  • Strong problem-solving abilities, particularly in resolving insurance-related account issues.  
  • Excellent communication and interpersonal skills to collaborate with insurance companies and internal teams  
  • Ability to work independently and manage multiple priorities.  
Desired Qualities:  
  • Familiarity with healthcare industry standards, insurance regulations, and behavioral health landscape.  
  • Strong understanding of the healthcare revenue cycle and insurance payment processes.  
  • A customer-centric mindset, ensuring positive experiences for clients during issue resolution.  
  • A passion for continuous improvement in AR processes and insurance payment collections.  


About Medusind:

Since 2002, organizations across the entire healthcare spectrum have leveraged our deep expertise and high-quality solutions to maximize revenue, reduce operating costs and navigate the changing healthcare landscape.Medusind’s unique combination of deep industry expertise, robust operational capability, and client-focused service significantly improves the efficiency and profitability of healthcare organizations. Client satisfaction is the primary focus of the Medusind leadership and staff.Our highly experienced personnel, cutting edge technology, and forward thinking approach allows us to deliver effective solutions while staying ahead of healthcare industry changes.

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