AIC Supervisor of Revenue

ACU-Serve Corp

104d

About The Position

The position involves overseeing the billing functions within the organization, which includes initiating goals and procedures, managing daily operations, and coordinating office efforts to expedite the payment of accounts. The role requires strong customer service skills, including answering calls and promptly responding to requests for information both internally and externally. The individual will be responsible for identifying, implementing, and improving billing and collections processes to positively impact financial results. Additionally, the position entails developing and implementing goals, policies, procedures, and guidelines to ensure that reimbursement analysts work efficiently and maximize reimbursement. Monitoring the effectiveness of activities related to authorizations, billings, postings, collections, accounts receivable, and adjustments is crucial to stay within established ranges. The role also includes preparing accurate billing, collections, accounts receivable, and bad debt reports, as well as maintaining and analyzing insurance reports to meet compliance and performance standards. The individual will oversee the functionality and integrity of software for timely and accurate administration of electronic claims and payment remittance. Regular performance reviews, team meetings, and individual meetings with direct reports are part of the supervisory responsibilities. The position requires continued education in reimbursement rules, billing rules, and coding, as well as billing and collecting as needed to meet client goals. The individual will also work on metrics for the Reimbursement Analysts and conduct conference calls as needed, while attending yearly conferences as requested by management.

Requirements

• Experience with medical billing for home infusion, specialty pharmacies, DME, or another area of medical billing.
• Graduate of an accredited Medical Billing Program and hold billing certification preferred.
• Minimum of 3 years’ experience in Billing Management/Supervision is preferred.
• Knowledge of Microsoft Office and proficiency with spreadsheets.
• Proficiency in medical terminology, HCPC, and ICD 10 coding.
• Proficiency in filing medical claims.
• Expertise in reading and interpreting EOBs.
• Excellent communication skills.
• Commitment to the goals and philosophy of Pinnacle Revenue Management, Inc.
• Knowledge of HIPAA compliance.

Nice To Haves

• Experience with WeInfuse, CPR Plus, or CareTend system use preferred.

Responsibilities

• Oversee the billing functions, including the initiation of goals and procedures, overseeing daily operations, and coordinating office efforts to expedite payment of accounts.
• Provide strong customer service skills; answer calls, return and follow-up on all interactions promptly, and respond to requests for information.
• Identify, implement, and improve billing and collections processes to positively impact financial results.
• Develop and implement goals, policies, procedures, and guidelines for reimbursement analysts to work efficiently and maximize reimbursement.
• Monitor the effectiveness of activities related to authorizations, billings, postings, collections, accounts receivable, and adjustments.
• Prepare accurate billing, collections, accounts receivable, and bad debt reports.
• Report, review, maintain, and analyze all insurance reports by tracking codes, payments, denials, and refund processes to meet compliance and performance standards.
• Oversee the functionality and integrity of software for timely and accurate administration of electronic claims and payment remittance.
• Conduct yearly reviews for direct staff and maintain performance notes.
• Hold monthly one-on-one meetings with direct reports and weekly team meetings to discuss issues, ideas, and recommendations.
• Supervise the Billing and AR team through effective hiring, coaching, mentoring, and performance management.
• Continue education in reimbursement rules, billing rules, and coding.
• Bill and collect as needed to meet client goals and expectations.
• Work on metrics for the Reimbursement Analysts to meet monthly goals and monitor their performance.
• Conduct conference calls weekly, bi-weekly, or monthly as requested by clients.
• Complete daily, weekly, and monthly assignments as assigned by management.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree