16 days old

Supervisor-Insurance Follow Up

Vancouver Clinic
Vancouver, WA 98660
  • Job Code
    REQ0004001
The Supervisor is responsible for the management of insurance accounts receivable, claims edits, and claim form level denials. Supervises patient account representatives; monitors work production; identifies problems and implements resolutions; coordinates staff schedules. The Supervisor participates in program development and department performance improvement, Assures performance standards are met for quality, productivity and timeliness.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

  • Monitor work production of Patient Account Representatives in Insurance Follow Up
  • Assures staff provides accurate, sensitive, timely responses to patient questions and concerns.
  • Acts as second level of escalation for customer complaints
  • Monitors phone activity and maintains reasonable abandonment rate, talk and answer time.
  • Monitors Insurance Accounts Receivable (AR) levels, identifying problems and recommending changes to effectively reduce Days in AR
  • Perform trend analysis of denials to conduct process improvements to eliminate/reduce denials
  • Collaboratively with IT and Training, monitors workflows and system-enhancement opportunities to optimize efficiency and effectiveness.
  • Coordinate schedules of staff to ensure adequate coverage.
  • Calculates and reports productivity measurements to Manager, Insurance AR Management.
  • Recommends, monitors and reports individual and team goals.
  • Write and perform employees' performance evaluations and makes recommendations for disciplinary actions.
  • Interviews and selects new staff.
  • Develops, maintains and assures compliance with Policies and Procedures for the team.
  • Assure staff are trained, meet competency standards and follow existing policies.
  • Assures staff are trained in relevant insurance regulations, basic CCI rules, compliance, CPT and ICD-10 coding.
  • Maintain a basic knowledge of the Correct Coding Initiative guidelines.
  • Meets weekly with the Manager, Insurance AR Management to review the status of KPIs, departmental goals and projects.
  • Trains staff on Epic system upgrades.
  • Participates in Epic system testing.
  • Leads and participates in ad hoc teams to improve clinic-wide and business services processes.
  • Other related duties as requested.

EDUCATION AND SKILLS

  • Minimum of an Associate's Degree or equivalent experience in healthcare billing and collections required.
  • Experience in insurance billing regulations and requirements required.
  • Experience in a medical business environment strongly required.
  • Proficient in Microsoft Word and Excel software required.
  • Experience with reimbursement payment methods required.
  • Experience with patient collections and customer service preferred.
  • Experience with effective cash handling procedures required.
  • Previous supervisory experience preferred.

The above information is intended to indicate the general nature and level of work required in this position. It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job.

We offer a competitive Total Rewards Program which includes insurance programs covering medical, dental, vision, life, long-term disability, generous time off, holidays, education reimbursement, and a 401(k) plan. Eligibility for benefits is dependent on factors such as position type and FTE. Contact your recruiter for more information.

Vancouver Clinic is proud to be an Equal Opportunity Employer. Vancouver Clinic does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, gender identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.





Posted: 2020-10-04 Expires: 2020-11-02
Sponsored by:
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Sponsored by:
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Supervisor-Insurance Follow Up

Vancouver Clinic
Vancouver, WA 98660

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