Insurance Reimbursement Supervisor - Georgetown (1.0 FTE)

Neighborcare Health•Seattle, WA

8h•$30 - $46•Onsite

About The Position

The Insurance Reimbursement Supervisor works alongside the Insurance Reimbursement and Cash Application Teams. The Insurance Reimbursement Supervisor will work with the team to ensure the collection of and to maximize revenue opportunities through daily/regular oversight of the Insurance Reimbursement by ensuring consistent follow-up and/or appeal of unpaid, partially paid or denied claims. The Insurance Reimbursement Supervisor will work alongside the Director of Revenue to effectively monitor and review revenue opportunities. The Insurance Reimbursement Supervisor will monitor collection and accounting of payer revenues including but not limited to the billing of all claims, collections and follow-up on existing accounts receivables.

Requirements

Ability to adhere to Neighborcare Health policy and procedures
Ability to be detail oriented and to problem-solving
Ability to interpret and discuss an insurance explanation of benefits and payments
Ability to meet and comply with HIPAA/Confidentiality policies and procedures
Ability to organize, problem solve, and work under pressure independently to meet critical deadlines
Ability to demonstrate predictable, reliable and timely attendance
Knowledge of Managed Care, Medicare and Medicaid guidelines
Extensive working knowledge of billing and collections for Medicare, Medicaid and commercial payers
Skill in time management
Basic Accounting Skills
Basic knowledge in Microsoft Word and Excel
Strong attention to detail
Knowledge and understanding of policies and procedures governing credit balance analysis and resolution of provider contracts with insurance companies
Associate’s degree or relevant work experience
Revenue Cycle Specialist Certification (AAHAM)/AAPC Billing Course Dental Billing Certificate via AAPC within a year of employment
2-3 years appealing denied or unpaid claims experience
2-3 years of medical billing/collections experience

Nice To Haves

Bachelor’s degree desired or equivalent training and/or equivalent experience in patient accounting.
3-5 years of healthcare collections/billing experience
1-3 years of lead or supervisory experience

Responsibilities

Supervise and mentor the Insurance Reimbursement Team and Cash Application Team
Accurately decipher denial reason and prospectively plans follow-up steps utilizing the electronic billing system
Collection efforts for primary, secondary, or tertiary Insurances, which include calling commercial and government insurance companies
Provide oversight at all levels of an insurance appeal
Provide training, guidance and direction to direct reports
Monitor and review Aged A/R
Responsible for ensuring that all payer correspondence is distributed and handled in a timely manner
Submit written appeals for underpayments to insurance companies
Tracks, recognizes trends and analyzes ways to fix/reduce payer denials and rejections
Call insurance companies to check on the status of unpaid claims
Works on and tracks outgoing and incoming correspondence from insurance companies
Understands and follows all federal, state, and local payer-billing requirements
Perform other duties as assigned
Develop effective and efficient staffing schedules that are sensitive to productivity, workflow requirements
Audit operational processes and counsel/train staff as needed
Supports staff efforts in the resolution of customer service and billing issues
Recommends and implements changes to Billing policies and procedures as necessary