A/R Supervisor
2 days ago
The No-Fault Billing Accounts Receivable (AR) Supervisor oversees the management of medical billing and collections related to no-fault insurance claims. This role ensures accurate and timely processing of accounts receivable, maintains compliance with industry standards, and leads a team responsible for revenue cycle management within a healthcare or medical services organization. The supervisor plays a critical role in optimizing cash flow, ensuring adherence to financial regulations, and providing exceptional customer service to internal and external stakeholders.
Essential Functions
- Responsible for overseeing pre-bill edits. Identifies errors/omissions and collaborates with intra-departmental teams to determine root cause.
- Performs denial investigation and corrections to secure claim payment.
- Identifies opportunities for denial prevention through the revenue cycle.
- Maintains an understanding of regulatory and payer changes to ensure correct charging and billing requirements are met.
- Maintains working knowledge of coding and billing regulations for all payors. Keeps current on regulatory updates, local payer policies and procedures to ensure charge accuracy, compliance and optimization.
- Contact payors and patients to obtain or relay billing account information.
- Works to ensure that procedures adhere to the standards, guidelines, and deadlines set by the company.
Qualities and Characteristics
- 3+ years or recent experience in high-volume No-Fault billing.
- Maintains a professional relationship and positive attitude with co-workers, patients, and all staff.
- Strives to learn more and is receptive to new challenges and opportunities.
- Displays enthusiasm toward the work and the mission of the company.
- Problem-solving, time management, and exceptional interpersonal skills.
Skills
- Strong knowledge of financial concepts, including debits & credits, journal entries, double-entry bookkeeping, and account reconciliation.
- Proficiency with QuickBooks accounting software.
- Working knowledge of third-party payer rules and requirements, computer operations, and electronic interfaces related to charge documentation, capture and billing is required.
- Expertise in revenue cycle management within a healthcare setting; knowledge of CPT coding, ICD-10 coding, medical terminology, and medical collection processes.
- Excellent analysis skills for account analysis and data entry accuracy; strong attention to detail is essential.
- Negotiation skills for resolving disputes with payers or clients effectively.
- Effective communication skills, including phone etiquette and customer service orientation.
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