Reimbursement Supervisor

Superior Air-Ground Ambulance•Town of Ellicott, NY

7d•$50,000 - $65,000•Onsite

About The Position

Superior Ambulance Service started in 1959 with one ambulance and today is the largest independent, locally owned, and operated emergency medical services provider in the Midwest. Superior employs more than 3,500 licensed EMT, Paramedics and Nurses, operating a fleet of more than 800 ambulances throughout Illinois, Indiana, Ohio, Michigan, and Wisconsin. Superior also provides Critical Care, helicopter, and fixed wing emergency medical transportation. All employees are expected to uphold the company’s high value and impeccable reputation within the medical community. One must demonstrate the company’s philosophy and values which are TLCS= Timelines, Look Good, Customer Service, and Safety. The Reimbursement Supervisor is responsible for overseeing all aspects of Account Receivable department including oversight and audit of all follow up employee’s work regarding production with backup to payers/responsibilities during absences. The Reimbursement Supervisor may perform clerical duties of his or her staff as needed, as well as participate in other projects or special assignments in other sections of Accounts Recievable department when appropriate. This position is fully in-office Monday through Friday in Elmhurst. Mandatory overtime will be required depending on business needs.

Requirements

Minimum High School Diploma or equivalent.
Healthcare experience preferred.
Excellent verbal communications skills.
Ability to multi-task and handle fair amount of stress when busy.
Experience, education and/or equivalent training.
Maintain a positive and professional attitude.
Computer literate.
Typing of at least 45 WPM.
Ability to respond to common inquiries and forward appropriate complaints from employees, customers, agencies, facilities, and hospitals.
Ability to effectively present information to Management.

Nice To Haves

Experience with ERA and EFT forms for healthcare payers .
Knowledge of or previous experience running custom scripts to increase automations and efficiencies with legacy systems .
Previous experience hiring, disciplining, and training clerical employees.

Responsibilities

Responsible for resolving denials/appeal (Current Denials/Correspondence) Tasks within 72 hours of receipt
Onboarding new staff
Assuring Medicare/Medicaid requirements are met by staff working claims by revising and creating policies for employees to follow
Assuring all company policies are being followed by employees and meeting with staff members one-on-one at least once a month to address any new and ongoing issues
Create and maintain a farming system of growth for staff into higher acuity roles, including employee responsibility lists maintained with backup employee listings
Assure work is being maintained by all employees by maintaining communication with Reimbursement Manager
Maintain work split and make sure workload is balanced among staff
Articulate system issues including Import deficiencies
Supports the guiding principles & vision by exhibiting the following behavior with staff, customers, patients, guests, and communities: Excellence & Competence, Communication, Accountability, Responsiveness, Ownership
Team Management: Supervise and lead the team of Accounts Receivable, providing guidance, training, and support as needed.
Conduct performance evaluations for team members, providing feedback and coaching to support their professional development and ensure high levels of performance
Deliver performance improvement plans to clerical support where appropriate
Accounts Receivable Oversight: Oversee the accurate and timely follow up of accounts including claim submission, verification, denials, and adjustments to customer accounts in accordance of follow up guidelines and elated documentation for auditing and reporting purposes.
Collaboration: Collaborate with other departments, such as accounting, finance, and customer service, to ensure seamless communication and coordination regarding financial transactions and customer accounts.
Address any issues or discrepancies related to follow up promptly and effectively, working closely with team members and other stakeholders to resolve challenges.
Process Improvement: Develop and implement efficient processes and procedures to optimize the follow up workflow, streamline operations, and minimize errors.
Identify training needs within the team and provide ongoing training and development opportunities to enhance the skills and knowledge of team members.
Assist in revision of training materials as structure and policy change
Quality Assurance: Ensure the accuracy and integrity of financial data by performing regular audits and quality checks on follow up activities.
Reporting: Generate regular reports on follow up activities, including key performance indicators (KPIs) such as follow up accuracy, timeliness, and productivity.
Regular use of Power BI, and custom scripts to import data into legacy systems
Occasionally support follow up at the clerical level during periods of backlog or labor shortages