A/R Supervisor

Healthcare Outcomes Performance Company•Phoenix, AZ

23d•Onsite

About The Position

ESSENTIAL FUNCTIONS Responsible for supervising and developing patient account and insurance follow-up representatives. Assist staff with timely identification of denial trends and work with team to initiate workflows to resolve future denials. Supervise daily operations of the facility authorization team including scheduling, task delegation, and performance monitoring. Ensure timely and accurate pre-authorization of surgical procedures, diagnostic testing, inpatient admissions, and other billable services. Review authorization and insurance verification workflows to improve efficiency and reduce errors and delays. Serve as the point of contact for escalations involving urgent or complex authorization issues. Monitor payer policies and communicate changes or updates to the team promptly. Collaborate with clinical departments, schedulers, physicians, and billing to ensure accurate communication and coordination of services. Track and report key performance indicators (KPIs) including authorization turnaround times, denial rates, and retro-authorization volumes. Assist with training, coaching, and developing authorization team staff. Ensure compliance with HIPAA and other applicable federal, state, and payer regulations. Partner with billing and coding teams to review and resolve retroactive authorization issues and prevent revenue leakage. Perform quality auditing on live and retrospective auditing of inbound and outbound phone calls. Performs monthly billing audits to ensure timely and accurate claims submission and insurance follow-up activities. Coaches established employees when needs are identified, holding employees accountable for results through coaching and development of action plans. Performance management of personnel including reviews, corrective action, mentoring, and development plans and performance improvement plans. Assist in interviewing, hiring, and training of new staff members. Monitor and manage the productivity and performance of assigned employees including reporting daily/weekly/monthly department metrics to Senior Management. Responsible for handling escalated patient phone calls regarding billing and payment issues. Acts as a resource to the department taking inbound phone calls to provide coverage for breaks and lunches. Review patient accounts for accurate customer service, supporting documents, and correct collections activity. Support and comply with all company policies and procedures and comply with Medicare and Medicaid regulations. Conducts regularly scheduled staff meetings. Research and resolve discrepancies in a timely manner. Review and assist with processing refunds, turning accounts to collections and financial assistance applications. Responsible for accurate and timely application of transactions including adjustments and write-offs. Communicate effectively with other internal departments and with outside vendors, such as, phone system, collection agency and credit card processor.

Requirements

High school diploma/GED or equivalent working knowledge preferred.
Requires 2+ years of experience acting as a team lead or in a supervisor role in a revenue cycle department in a healthcare environment.
Must have a full understanding of the Revenue Cycle Management process to include collections, billing, and coding
Excellent critical thinking, troubleshooting, and analytical skills
Excellent interpersonal skills including conflict management
Experience working in Microsoft products – Word, Outlook, and Excel (advanced formulas, pivot table)
Well organized and able to meet deadlines
Excellent attention to details
Works with sensitive and confidential materials and must be able to exercise discretion.
Knowledge in patient billing, healthcare administration, healthcare insurance requirements, and medical terminology and coding.
Knowledge of business office methods and policies regarding productivity/workload analysis and scheduling procedures.
Knowledge of government regulatory requirements and commercial contracts.
Skilled in defusing difficult situations while remaining calm and exhibiting professionalism and courtesy.
Skilled in establishing metrics and clear objectives including performance management.
Skill in effectively managing multiple projects simultaneously.
Ability to multi-task and work well under pressure
Ability to analyze problems and interpret information and to prioritize and reprioritize, as necessary.
Ability to work independently, and as part of a team.
Ability to work in a fast-paced environment

Responsibilities

Responsible for supervising and developing patient account and insurance follow-up representatives.
Assist staff with timely identification of denial trends and work with team to initiate workflows to resolve future denials.
Supervise daily operations of the facility authorization team including scheduling, task delegation, and performance monitoring.
Ensure timely and accurate pre-authorization of surgical procedures, diagnostic testing, inpatient admissions, and other billable services.
Review authorization and insurance verification workflows to improve efficiency and reduce errors and delays.
Serve as the point of contact for escalations involving urgent or complex authorization issues.
Monitor payer policies and communicate changes or updates to the team promptly.
Collaborate with clinical departments, schedulers, physicians, and billing to ensure accurate communication and coordination of services.
Track and report key performance indicators (KPIs) including authorization turnaround times, denial rates, and retro-authorization volumes.
Assist with training, coaching, and developing authorization team staff.
Ensure compliance with HIPAA and other applicable federal, state, and payer regulations.
Partner with billing and coding teams to review and resolve retroactive authorization issues and prevent revenue leakage.
Perform quality auditing on live and retrospective auditing of inbound and outbound phone calls.
Performs monthly billing audits to ensure timely and accurate claims submission and insurance follow-up activities.
Coaches established employees when needs are identified, holding employees accountable for results through coaching and development of action plans.
Performance management of personnel including reviews, corrective action, mentoring, and development plans and performance improvement plans.
Assist in interviewing, hiring, and training of new staff members.
Monitor and manage the productivity and performance of assigned employees including reporting daily/weekly/monthly department metrics to Senior Management.
Responsible for handling escalated patient phone calls regarding billing and payment issues.
Acts as a resource to the department taking inbound phone calls to provide coverage for breaks and lunches.
Review patient accounts for accurate customer service, supporting documents, and correct collections activity.
Support and comply with all company policies and procedures and comply with Medicare and Medicaid regulations.
Conducts regularly scheduled staff meetings.
Research and resolve discrepancies in a timely manner.
Review and assist with processing refunds, turning accounts to collections and financial assistance applications.
Responsible for accurate and timely application of transactions including adjustments and write-offs.
Communicate effectively with other internal departments and with outside vendors, such as, phone system, collection agency and credit card processor.