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Revenue Cycle Operations Supervisor

2 months ago

Alpharetta, United States U.S. Orthopaedic Partners Full time
MINIMUM QUALIFICATIONS:
  • Proficient computer skills
  • Effective phone communication
  • Strong interpersonal abilities
  • Experience with insurance claims and reporting
  • Background in hospital or medical facility environments
ESSENTIAL FUNCTIONS:
  • Oversee the processing and posting of claims for patients enrolled in both private and public insurance plans, ensuring accurate updates and statuses in the Revenue Cycle Management (RCM) system
  • Rectify any inaccuracies in patient information, account status, and insurance verification
  • Conduct daily submissions of insurance claims and follow up as necessary
  • Generate regular reports on claims status
  • Manage correspondence from insurance providers or patients, responding appropriately via email, phone, or portal
  • Prepare correspondence, forms, and other documentation for external agencies
  • Investigate and process credits, including recoupments and refunds, to insurance companies and patients as warranted
  • Maintain coding and policy updates with insurance entities
  • Stay informed on ICD-10, CPT codes, and relevant medical terminology
  • Serve as a subject matter expert in RCM, providing assistance and training to RCM specialists
  • Perform additional duties and responsibilities as assigned
  • Utilize Microsoft Office Suite effectively (PowerPoint, Excel, Word, Outlook)
  • Familiarity with Modernizing Medicine practice management systems and orthopedic billing and collections is advantageous
EXPERIENCE / EDUCATIONAL REQUIREMENTS:

Education:
High school diploma or equivalent (GED)

Experience:
Five to ten years of experience in healthcare revenue cycle management related to the responsibilities outlined.