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Billing and Collections Supervisor

2 months ago

Arlington, Texas, United States AMERICAN OUTCOMES MANAGEMENT dba AOM INFUSION Full time
Job Overview

POSITION SUMMARY:

The Reimbursement Operations Supervisor plays a crucial role in overseeing the billing, collections, and administrative functions of the Reimbursement team. This position encompasses a range of responsibilities as designated by management, including but not limited to collections, billing, and cash application initiatives. The supervisor will aid in resolving challenges related to high-value accounts receivable, provide backup support for the collections and billing teams, and collaborate on strategies to enhance efficiency within the revenue cycle.

ESSENTIAL REQUIREMENTS:

  1. Education:
  2. High School Diploma or equivalent qualification.
  3. Experience:
    1. Preferred 3 to 5 years of experience in Home Infusion insurance authorization, collections, and/or billing.
    2. Strong familiarity with the insurance plans relevant to the team’s responsibilities.
    3. Proficient in coding, creation of clean claims, management of patient data, and auditing clinical documentation.
    4. Excellent communication and organizational skills, with a self-motivated approach.
    5. Proficient in Office applications, including Excel and Word.
  4. Employment Type:
  5. Full-time position, requiring 40 hours per week, Monday through Friday.
  6. Work schedule to be determined by the supervisor.

KEY RESPONSIBILITIES:

  1. Ensure timely and accurate transmission or mailing of all electronic and paper claims.
  2. Assist in initiatives aimed at reducing Days Sales Outstanding (DSO) and enhancing collections.
  3. Conduct audits of existing processes to identify opportunities for improvement in billing and collections.
  4. Collaborate with other departments to gather additional patient information necessary for effective billing and collection efforts.
  5. Ensure compliance with all protocols, including adherence to payer, state, and federal regulations and guidelines.
  6. Stay informed on HIPAA and other health information management regulations.
  7. Provide training, assign tasks, and resolve issues among billing and collection personnel.
  8. Work closely with management to ensure timely completion of month-end processes.
  9. Serve as a subject matter expert to assist the team with denials, appeals, payer policies, and reimbursement procedures.
  10. Monitor and report on any issues related to insurance, authorization, billing, or collections to the Reimbursement Manager.
  11. Assist the Reimbursement Manager in evaluating employee performance for annual reviews.
  12. Perform any additional duties as assigned by the Reimbursement Manager.