Supervisor Accounts Receivable - Follow Up

Schuylkill•Allentown, PA

5d•Onsite

About The Position

Supports management in leading colleagues that are responsible for Account Receivable Follow-up. Monitors work queues and identifies accounts that underpaid/unpaid or have line item denials for balance resolution. Works collaboratively with management team to improve work flow efficiencies through review of claim denial/underpayment trends through meetings with contracting and the provider representative. Monitors staff performance (e.g. productivity, quality) and meets regularly with colleagues to review results and to identify ways to improve performance in an effort to decrease A/R aging and enhance cash flow.

Requirements

High School Diploma/GED in Business, finance, or healthcare related curriculum.
3 years Experience in accounts receivable, healthcare, health insurance, or equivalent operations environment
1 year Experience in a lead role (Senior Representative or Team Lead)
Experience in accounts receivable, healthcare, health insurance, or equivalent operations environment
Knowledge of hospital/physician revenue and receivable systems and use of a personal computer and related software applications.
Demonstrates strong leadership, the ability to effectively manage and embrace change, effective decision-making, and delegation of tasks.
Working knowledge of insurance carrier billing requirements for both government and commercial payers.

Nice To Haves

Associate’s Degree In Business, finance, or healthcare related curriculum.
Bachelor’s Degree In Business, finance, or healthcare related curriculum.
Knowledge of ICD, CPT, and HCPCS coding.
Knowledge of Medical Terminology.
CRCP - Certified Revenue Cycle Professional AAHAM - State of Pennsylvania within 1 Year
CPC - Certified Professional Coder - State of Pennsylvania within 1 Year

Responsibilities

Hires, fires, trains, disciplines, conducts performance reviews, and provides other management responsibilities related to the ongoing department operations.
Develops and monitors goals and objectives relating to the work quality, productivity, denial rates, work queue completion, and A/R aging.
Monitors and manages WQs to ensure that accounts are worked in a timely manner, identifying opportunities for work flow modifications to improve efficiencies.
Conducts routine one-on-one sessions with colleagues to review productivity and quality; addresses any questions/concerns as procedures are enhanced or new procedures developed.
Evaluates procedures to improve work flow with a focus on reduction in claim errors and reduction in A/R aging.
Monitors and reports on resolution of open A/R, Denials, credit balances, and A/R aging.
Facilitates meetings with provider Reps, maintaining agendas and listing of problem accounts to ensure timely resolution.
Maintains up-to-date knowledge on payer requirements, recommending work flow changes as new requirements are implemented by the payer and submitting recommendations for claim edits.