Insurance Follow-Up Manager
1 day ago
- Manage and oversee the follow-up of all patient service revenue to ensure timely and accurate payment.
- Contribute to the development of an operating plan that aligns with the company's goals and objectives.
- Work closely with the department Director to set goals and objectives that align with the company's overall strategy.
- Responsible for hiring, developing, coaching, disciplining, and performing evaluations of associates.
- Maintain and improve the department workflow and utilization of personnel to maximize individual and group productivity, competence, and effectiveness.
- Provide support and coaching to assist in identifying denial trends with a focus on prevention.
- Monitor system dashboards and reporting to identify areas of focus and create structured plans to address.
- Monitor write-offs and ensure all efforts to obtain reimbursement have been exhausted and proper approvals are obtained.
- Maintain knowledge of government and private payer regulations and contracts.
- Maintain effective communication with insurance companies, managed care contractors, and governmental payers.
- Be proficient in Microsoft applications, including Outlook, Word, and Excel.
- Detail-oriented and able to research accounts to bring it to an appropriate account resolution.
- Knowledgeable of medical terminology and in-depth understanding of insurance processes.
- Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited information is provided.
- High school diploma or general education degree (GED); or one to three years related experience and/or training; or equivalent combination of education and experience.
- A medical background with experience in patient financial services is preferred.
- Previous insurance billing and/or follow-up experience is preferred.
- Proficiency with hospital accounts receivable software is required.
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