Medical Collections Supervisor

3 weeks ago


Dallas, United States SCP Health Full time

Description

Responsibilities: Identify and resolve insurance claim denials Identify and communicate reimbursement and billing system problems to the Medical Collections Manager Review and diagnosis ETM Inventory Resolve insurance claim denials and no-response claims in a timely and efficient manner. Monitor trends and resolving billing/payer problems as they are identified Create good teamwork and high morale within your team Monitor performance and challenge the team to meet goals while maintaining adequate staffing levels. Set clear expectations and holding staff accountable to those expectations Keep upper management abreast of both successes and problems as they occur. Perform standard supervisory tasks such as hiring new Medical Collections Specialists, performance reviews, performance counseling, conflict resolution, terminations, payroll, etc. Be a role model within the department by exhibiting mature leadership qualities such as positive outlook, confidentiality, respect, and team spirit. Direct Medical Collections Specialists in all aspects of the collection and billing process. Achieve, monitor, and maintain acceptable adjudication percentages for assigned payer mix. Coordinate with other departments in identifying and resolving billing/collection problems. Monitor and maintain a high level of productivity and quality of work. Stay abreast of payer regulatory changes and communicate these to team members and Medical Collections Manager. Generate and distribute standard and special reports as required. Develop relationships with carrier representatives to help speed resolution to adjudication problems. Develop relationships with contacts at client hospitals to help resolve issues that arise. Assist Manager in developing and implementing departmental policies and procedures. Assure that HIPAA compliance guidelines are followed. Attend annual workshops in the states or responsibility. Monitor the AR and ETM metrics for accuracy Assist Manager and other Supervisors in coordinating weekly motivational meetings. Complete assigned Training sessions in the timeframe allotted by management, and maintain passing scores. All other duties deemed necessary by management

Knowledge, Skills, and Abilities: Understanding the overall billing process through final adjudication of accounts. Excellent written and oral communication skills. Excellent interpersonal skills. Leadership ability Ability to work well in a team environment Professional attitude and demeanor Self-starter and problem solver Willingness to cross-train Ability to conduct Department Presentations

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