Reimbursement Supervisor (Skilled)

Addus HomeCare•Frisco, TX

5h•Remote

About The Position

Position Summary : The Reimbursement Supervisor, is responsible for overseeing reimbursement activities related to admissions, insurance verification, documentation, billing, collections, cash management and other operations impacting the revenue cycle. They will have primary leadership responsibility for maintaining and strengthening revenue cycle activities in an internal control environment. The successful candidate will provide independent reviews and evaluations of the companys billing and collections activities as well as provide recommendations to Reimbursement Manager/Director. Additionally, we are looking for someone who really understands Home Health and Hospice. They should be able to spot patterns, priorities, and problems before they snowball. A strong supervisor keeps the team on track, makes sure follow-up is happening, and holds people accountable. Theyre a great communicator, organized, and take ownership of their work. They also need to be strong with authorizations and eligibility able to troubleshoot issues quickly, prevent delays, and guide the team so we dont get denials from missing or incorrect auth/eligibility. Overall, they should always be looking for process improvements when something breaks down. >> We offer our team the best << Medical, Dental and Vision Benefits Continued Education PTO Plan Retirement Planning Life Insurance Employee discounts Schedule : Remote: Full-time / Mon-Fri

Requirements

High School Diploma or GED
Three to five years of previous supervisory experience preferred.
Comprehensive knowledge of reimbursement guidelines (specifically Medicaid, Managed Care and Long Term Care insurance).
Comprehensive knowledge of electronic transmissions of billing, cash posting and/or insurance verification.
Solid history of proven success with Revenue Cycle Supervision (admissions, billing, collections and/or cash applications).
Advanced computer proficiency including Microsoft office.
Ability to create and manage excel spreadsheets.
Excellent customer service skills.
Excellent verbal and written communication skills
High level interest in being part of a dynamic and growing team
Ability to meet critical deadlines

Responsibilities

Supervise reimbursement activities at the Support Center for multiple branch locations and payers as it relates to admissions, insurance verification, authorization, billing, collections, cash management and/or other operations related to the revenue cycle process.
Supervise and train Support Center and branch personnel as it relates to revenue cycle activities.
Assist in recruiting of new personnel.
Monitor and supervisor revenue cycle team of 10-15 employees.
Supervise adherence to departmental operating procedures to ensure efficient, compliant and profitable operations.
Supervise staff to drive to key metrics.
Keeps abreast of payer guidelines and changes to these guidelines.
Notify all affected personnel of these changes.
Assist in implementation of these changes.
Analyze and trend key data to improve overall performance.
Implement efficiencies within department including, but not limited to: new electronic claim transmission, electronic funds transfer, and electronic eligibility verification.
Assist in recommending, establishing and implementing new reimbursement policies and procedures to drive improvement.
Monitor revenue cycle processes to ensure timeliness and adherence to established policies.
Audit all necessary reports, forms and schedules in a timely manner to ensure accuracy.
Implement new billing codes and techniques to maximize timely reimbursement and monitor results.
Supervise appeals associated with denials and process in a timely manner
Oversee team meetings with branches.
Provide timely performance evaluations for staff.
Consult in due diligence for potential company acquisitions.
Evaluate and recommend to the Director, new procedures or modifications to current procedures relating to Reimbursement specific functions.
Maintains a high degree of confidentiality at all times due to access to sensitive information
Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
Follows all Medicare, Medicaid, and HIPAA regulations and requirements
Abides by all regulations, policies, procedures and standards
Performs other duties as assigned
Maintains positive internal and external customer service relationships
Maintains open lines of communication
Plans and organizes work effectively and ensures its completion
Meets all productivity requirements
Demonstrates team behavior and promotes a team-oriented environment
Actively participates in continuous quality improvement
Represents the organization professionally at all times